News | Jan. 11, 2022

Need Help Finding a TRICARE Network Provider?

By TRICARE Communications

The new year has begun. It’s a great time to renew focus on your health. Did you put off seeing a doctor in 2021? If so, now is your time to act. Regular checkups are critical to screening for diseases and preventing future health problems. And TRICARE is here to help you find the right doctor.
 
“With TRICARE, you may get care from a military hospital or clinic, or from a civilian TRICARE-authorized provider,” said Curt Prichard, deputy chief of TRICARE Health Plan at the Defense Health Agency. “Your coverage enables you to visit different types of civilian providers, but a TRICARE network provider is your most cost-effective option.”
 
Would you like to know more about network providers? Here are some helpful answers to questions you may have.
 
Q: What are some advantages of using a TRICARE-authorized network provider?
A: There are two types of TRICARE-authorized providers: network and non-network. If you’re looking for medical care outside of a military hospital or clinic, you may have the option of visiting either provider. It all depends on your health plan and the type of care you need. But choosing a network provider may minimize your out-of-pocket costs. Network providers have agreed to accept the contracted rate as payment in full for covered health care services. Network providers will also file claims for you so you don’t have to.
 
If you live overseas, network providers also have an agreement with the TRICARE overseas contractor. As outlined in the TRICARE Overseas Program Handbook, they agree to provide cashless and claimless services to those in TRICARE Overseas Program (TOP) Prime and TOP Prime Remote. But keep in mind, network providers don’t have to file claims for those enrolled in TOP Select.
 
Q: How can I find a TRICARE-authorized network provider?
A: The TRICARE contractors have established provider networks in each region. You can use the Find a Doctor tool to find a provider. You can also go directly to your TRICARE contractor’s network provider directory and search for a TRICARE provider in your area:  
Do you live or travel in the Philippines? If yes, use the Philippine Provider Search tool to locate a provider near you. Keep in mind, you must see a Philippine Preferred Provider Network provider or certified provider.
 
Q: How can I find a TRICARE-authorized mental health network provider?
A: The TRICARE contractors have established provider networks in each region to include mental health providers. You can go directly to your TRICARE contractor’s network provider directory to find a TRICARE mental health provider in your area:  
You don’t need to get a referral or pre-authorization for any outpatient mental health (except psychoanalysis) and substance use disorder care. This includes services, like therapy and counseling. If you choose a provider outside the network, you may pay higher costs.
 
Did you know that you have the option to use telemental health services as part of your TRICARE benefit? Your regional contractor has a network of providers who provide telemedicine that you can choose from. Telemedicine can be done using live audio and video or audio-only services. You can search for a telemental health provider on your TRICARE contractor’s network provider directory. Or, you can call to request telemental health services or other types of mental health services.
   
Keep in mind, if you’re an active duty service member and seek care in the TRICARE network, you must get a referral and pre-authorization. You don’t need a referral or pre-authorization if you seek outpatient mental health services at a military hospital or clinic.
 
Q: What provider options do I have if I’m covered by TRICARE For Life?
A: Your provider options differ if you have TRICARE For Life (TFL). Remember that TFL coverage is automatic for beneficiaries age 65 and older, who have both Medicare Part A and Part B. With TFL, you may get care from Medicare participating, Medicare non-participating, or opt-out providers.
 
To find a Medicare provider:  
As you search for a provider who meets your needs, remember you’ll need to follow your plan’s rules for referrals and pre-authorizations when seeking care. Some services may require a referral or pre-authorization depending on your health plan. To learn more about your coverage, visit the Health Plans page and choose your plan. If you have questions about your provider options, reach out to your TRICARE contractor.
 
Get this year off on the right foot by choosing a network provider and getting your checkup.
Graphic of the TRICARE Choices for National Guard and Reserve Handbook

In the National Guard or Reserve? Learn About Yo...

News
Dec. 28, 2021

Are you a National Guard or Reserve member? Check out the TRICARE Choices for National Guard and Reserve...
Read More
There are two main categories of Medicare providers: participating and non-participating. A third category is opt-out providers, which are your most expensive option. If you wish to make the best choice for your coverage, it’s important that you learn the differences between each provider type.

TRICARE For Life: Choosing Your Provider Option

News
Dec. 22, 2021

Do you have medical coverage under the TRICARE For Life (TFL) program? Will you soon be eligible for TFL? If...
Read More
MHS Nurse Advice Line logo

Need Health Advice at Home? Chat With a Nurse 24/7

News
Dec. 20, 2021

With the threat of flu season added to the ongoing COVID-19 pandemic, you might not want to go to the doctor’s...
Read More
Prescription pill bottles sit on a shelf

What You Need to Know About New TRICARE Pharmacy...

News
Dec. 15, 2021

As of Dec. 15, CVS Pharmacy is a part of the TRICARE retail pharmacy network. At the same time, Walmart, Sam’s...
Read More
Hands holding pill bottle

How TRICARE Pharmacy Network Changes Will Affect...

News
Dec. 13, 2021

Have you heard about the changes coming to the TRICARE retail pharmacy network starting Dec. 15? CVS Pharmacy...
Read More
Service member hugs children

Act Now: TRICARE Open Season Ends Dec. 13

News
Dec. 09, 2021

Did you know TRICARE Open Season ends on Monday, Dec. 13? This is your last opportunity, if you so choose, to...
Read More
Woman on laptop

Researching Your 2022 Health Care Costs? Here Ar...

News
Dec. 07, 2021

Did you know that we’re currently in TRICARE Open Season? This is the time when eligible TRICARE beneficiaries...
Read More
A nurse speaks with patient

How to Choose Between TRICARE Prime and TRICARE ...

News
Dec. 02, 2021

TRICARE Open Season is your yearly opportunity to review your current benefits. It’s a time to make changes to...
Read More

Jan. 11, 2022

Need Help Finding a TRICARE Network Provider?

The new year has begun. It’s a great time to renew focus on your health. Did you put off seeing a doctor in 2021? If so, now is your time to act. Regular checkups are critical to screening for diseases and preventing future health problems. And TRICARE is here to help you find the right doctor.

Dec. 28, 2021

In the National Guard or Reserve? Learn About Your Health Care Options

Are you a National Guard or Reserve member? Check out the TRICARE Choices for National Guard and Reserve Handbook.

Dec. 22, 2021

TRICARE For Life: Choosing Your Provider Option

Do you have medical coverage under the TRICARE For Life (TFL) program? Will you soon be eligible for TFL? If so, it’s important to become familiar with your choices of Medicare providers, whatever your needs may be.

Dec. 20, 2021

Need Health Advice at Home? Chat With a Nurse 24/7

With the threat of flu season added to the ongoing COVID-19 pandemic, you might not want to go to the doctor’s office for a minor health issue. And with the Military Health System (MHS) Nurse Advice Line, you may not have to. According to the Centers for Disease Control and Prevention, one of the best ways to prevent flu and COVID-19 is to avoid contact with people who are sick. With the MHS Nurse Advice Line, you can get health advice 24/7 from a registered nurse from the comfort of your home.

Dec. 15, 2021

What You Need to Know About New TRICARE Pharmacy Network Options

As of Dec. 15, CVS Pharmacy is a part of the TRICARE retail pharmacy network. At the same time, Walmart, Sam’s Club, and some community pharmacies are no longer a part of the TRICARE network. What does this mean for you? Although the list of retail network pharmacies has changed, you can still get the medications you need.

Dec. 13, 2021

How TRICARE Pharmacy Network Changes Will Affect TRICARE For Life

Have you heard about the changes coming to the TRICARE retail pharmacy network starting Dec. 15? CVS Pharmacy is joining the network on that date. At the same time, Walmart, Sam’s Club, and some community pharmacies are leaving the network. If you’re a TRICARE For Life (TFL) beneficiary, you may be wondering how these changes affect the coverage of your current drugs. They don’t.

Dec. 9, 2021

Act Now: TRICARE Open Season Ends Dec. 13

Did you know TRICARE Open Season ends on Monday, Dec. 13? This is your last opportunity, if you so choose, to enroll in or change your health plan. Any changes you make to your coverage during open season will take effect Jan. 1, 2022.

Dec. 7, 2021

Researching Your 2022 Health Care Costs? Here Are 7 Terms to Know

Did you know that we’re currently in TRICARE Open Season? This is the time when eligible TRICARE beneficiaries can change or enroll in health plans for the upcoming year. But choosing a plan often means encountering a few unfamiliar health care terms.

Dec. 2, 2021

How to Choose Between TRICARE Prime and TRICARE Select

TRICARE Open Season is your yearly opportunity to review your current benefits. It’s a time to make changes to your health plan based on your personal needs. Dec. 13 marks the end of open season, so it’s important to make your decisions now. But which plan will best meet your needs in the new year?

Dec. 2, 2021

COVID-19 Booster Shots: Check Your Eligibility

Are you wondering if you’re eligible for a COVID-19 booster shot? The answer is yes, if you’re age 18 or older. The Centers for Disease Control and Prevention (CDC) recently expanded eligibility for COVID-19 vaccine booster shots as further described below.

Learn More about COVID-19 and the COVID-19 Vaccine.