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TRICARE changes and network providers

TRICARE urges you to take command of your health care to enhance your TRICARE experience. TRICARE is changing. Are you ready?

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TRICARE Health Program | New Regional Contracts to Administer the TRICARE Benefit

On Jan. 1, 2018, the current three U.S. TRICARE regions consolidate into two. New regional contractors will administer the TRICARE benefit for the East (Humana Military) and West (Health Net Federal Services, LLC) Regions. Due to these changes, it’s possible that your primary care manager (PCM) will no longer be in network.

What can you do? First, check to see if your PCM is still in network. If you’re enrolled in TRICARE Prime and are being assigned a new PCM, your regional contractor will notify you. If enrolled in a plan other than TRICARE PrimeA managed care option available in Prime Service Areas in the United States; you have an assigned primary care manager who provides most of your care.TRICARE Prime, you should also check to see if your specialty care providers will remain in network. Remember that your out-of-pocket costs are lower when using a network provider. The 2018 TRICARE Network Provider Directories are now available when using the online Find a Doctor provider search tool.

Establishing a relationship with a PCM is important so that you have easier access to routine care and the specialty providers and hospital of your choice. You may also make a request to your provider to remain in the network. The Invite a Provider form on the Find a Doctor page outlines the necessary steps.

For more information about the changes coming to TRICARE, visit www.tricare.mil/changes. Stay informed about your benefit and take command of your health. 

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