This page contains a series of frequently asked questions. You can use the search bar below to explore additional FAQ pages.
Q4:
I am a Reservist/National Guard in the Army. Why does my unit have to use MEDCHART?
A:
This is not a Defense Health Agency, Great Lakes mandate. All Army National Guard/U.S. Army Reserve requests are required by the National Guard Bureau and Office of the Chief of Army Reserve to be submitted via the Electronic Medical Processing System (eMMPS/MEDCHART). Defense Health Agency, Great Lakes will not accept Army Reserve Component eligibility packages submitted by mail, fax, or email.
** If you are a Unit Administrator seeking more information about MEDCHART access or instructions, please contact your chain of command.
Q5:
I am a Reservist on orders more than 31+ days. When should my eligibility be submitted?
A:
Your unit representative does not need to submit your eligibility. Your Defense Enrollment Eligibility Reporting System record should reflect your time as active duty which will prompt TRICARE to pay your claims as TRICARE Prime Remote. If you need follow-up care after your orders end, your unit representative should submit a pre-authorization request along with the required documentation.
Q7:
I am a Reservist who went to the Emergency Room/Urgent Care while on drill status. Why was my eligibility denied?
A:
Defense Health Agency, Great lakes reviews each case. If the eligibility documents submitted by your unit representative did not meet incurred criteria or aggravated criteria, the government is not obligated for the payment. Some examples are:
- Alcohol misuse/withdrawal
- Annual health assessments
- Behavioral health
- Blood test
- Competence for Duty Examination from the Command
- Drug use
- DUI
- Existed prior to (drill) service
- Gross negligence
- Maternal care
- Medication refills
- Misconduct
- MRI
- Sexually transmitted infections
- Sleep apnea
- Rehab
Please note: Commander or Command “mandated” does not guarantee approval.
Q8:
What does “eligibility on file” mean?
A:
"Eligibility on file" means we have verified and approved your eligibility documents. The claims sent to TRICARE that are associated with your line of duty injury or illness will be authorized for payment.
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Last Updated: April 25, 2025