Oct. 8, 2024

Learn How Referrals and Specialty Care Will Work as New TRICARE Contracts Start in 2025

FALLS CHURCH, Va. — Health care delivery under new TRICARE contracts starts on Jan. 1, 2025. These new contracts will improve quality and access for beneficiaries in the United States by enhancing referral management and access to specialty care. Learn more about what to expect starting Jan. 1.

Aug. 9, 2023

How To Find Your TRICARE Referrals

FALLS CHURCH, Va. — If you have a TRICARE Prime plan, referrals play a big role in how you get health care. A referral is when your primary care manager (PCM) sends you to see another provider. If your PCM needs to refer you to a civilian provider, your TRICARE regional contractor also plays a role in the referral process.

May 10, 2023

Key Things To Know About Your TRICARE Primary Care Manager

FALLS CHURCH, Va. — If you’re a new or longtime TRICARE Prime enrollee, you need to know about your primary care manager (PCM). Your PCM is the health care provider you’ll visit for most of your care. Learn about the role your PCM will play in your health care and your options for choosing or changing your PCM.

Feb. 23, 2023

Q&A: Getting and Using Referrals With TRICARE

FALLS CHURCH, Va. — You’ve likely heard the term “referral” in connection with health care. But what exactly is a referral—and how do you know if you need one? A referral is when your primary care manager (PCM) or primary care provider sends you to another provider or specialist for care.

Dec. 22, 2022

Changes to TRICARE Expected in 2024

FALLS CHURCH, Va. — A new TRICARE contract that facilitates beneficiary health care in the civilian sector, known as T-5, is expected to start in 2024. The changes will improve the delivery, quality, and cost of health care services for service members, retirees, and their families.

Nov. 22, 2022

Know the Difference: TRICARE Network Provider vs. Non-Network Provider

FALLS CHURCH, Va. — Are you looking for a new doctor? Finding the right doctor is crucial to your overall health. Regular checkups are one of the best ways to screen for diseases and prevent future health problems. When searching for a doctor, you may come across the term “network provider” or “non-network provider.” Understanding these two provider types matters to you and your family.

March 22, 2022

How Referrals Work With Your TRICARE Prime Plan

FALLS CHURCH, Va. — Are you enrolled in a TRICARE Prime plan? Then you have a primary care manager (PCM) to handle your basic primary health care services. But what if you need specialty treatment, like from a cardiologist to evaluate a possible heart problem or a dermatologist to check a mole that’s changed? In that case, your PCM needs to submit a referral for you to see a specialist.

May 20, 2021

Get the Mental Health Care Support You Need With TRICARE

FALLS CHURCH, Va. — If you think you or a family member may need mental health services, explore your options with TRICARE.

April 6, 2021

What is ECHO and How do I Enroll?

FALLS CHURCH, Va. — Are you an active duty service member who has a family member with special needs? Your family member may qualify for the Extended Care Health Option (ECHO).