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TRICARE

TRICARE is the military health system funded and managed by the Department of Defense. Health care is provided to active duty uniformed service members, active duty families, retirees and eligible family members, and other beneficiaries. Specialized coverage is also available to members of the National Guard, Reserves, and their families.

Understanding TRICARE

• Your TRICARE Benefits Explained – Provides a brief overview of the program.
• TRICARE: The Basic Options – Provides a summary of the main TRICARE programs.
• TRICARE for Retirees
• TRICARE North Region  – Tricare is currently organized into three geographic regions with a network of contractors providing services in each region. North Carolina lies in the Tricare North region, and the contract provider for this region is Health Net Federal Services, Inc.
  ( www.HNFS.net )  
• TRICARE North Provider Directory -- Search the directory to find TRICARE providers in your area.
• TRICARE Pharmacy Program Factsheet
• TRICARE Mail Order Pharmacy Factsheet
• TRICARE - Contact Us

Eligibility & Enrollment

Entry into and continuing care within the TRICARE system is only available with a current registration in the Defense Enrollment Eligibility Reporting System (DEERS).

• Who's Eligible?
• Defense Enrollment Eligibility Reporting System (DEERS)
• How to Enroll – Enter your profile online at TRICARE.mil and select your plan.

TRICARE Plans

TRICARE services are organized into three levels of care: TRICARE Prime, TRICARE Standard, and TRICARE Extra. There are also special programs available. Each service level is chosen by the beneficiary based upon geographic location and availability of service providers. Costs vary with the level of service and the status of the beneficiary. Active Duty and Guard and Reserve service members must enroll in a TRICARE Prime option. However military dependents and retirees must choose the TRICARE option that best suits their needs. Use the Plan Wizard to help you determine what options you are eligible for.

TRICARE Prime offers the most comprehensive and affordable coverage. Most health care takes place at military treatment facilities (MTFs) and within the Preferred Provider Network (PPN) of contracted Civilian Medical Providers. All active duty and retired service members, as well as their family members, are eligible. National Guard and Reserve members, as well as their families, are also eligible if the service member has been activated for 30 consecutive days.


• TRICARE Prime Overview
• TRICARE Prime Remote – For members and their families living in remote areas of the United States.
• TRICARE Prime Overseas – For members and their families stationed overseas.
• TRICARE Global Remote Overseas – For members and their families stationed overseas.
TRICARE Standard is the option that gives you the most flexibility. It is a fee-for service option that allows you to seek care from any TRICARE-authorized provider. TRICARE Standard is NOT available to active duty service members, but is available to the family members of active duty service members and retired service members and their families.


• TRICARE Standard Factsheet
• TRICARE Standard Overseas – For family members stationed overseas.
TRICARE Extra is an addition to TRICARE Standard that can help reduce out-of-pocket costs by having TRICARE Standard users make appointments with TRICARE network providers (similar to a Preferred Provider Option).


• TRICARE Extra Overview
Other Programs


• TRICARE Dental Plan Overview – A voluntary dental insurance program that is available to active duty family members, as well as National Guard and Reserve members and their families. For retirees and their eligible family members there is also the TRICARE Retiree Dental Program.
• TRICARE Extended Care Health Option (ECHO) – A program that supplements the TRICARE program option that you are already eligible for; it provides financial assistance to eligible beneficiaries who qualify based on specific mental or physical disabilities. See more supplemental programs: Special Programs.
• TRICARE For Life – A plan offering Medicare-wraparound coverage for TRICARE beneficiaries who have Medicare Parts A and B.
• TRICARE Reserve Select – A premium-based health care plan that qualifying National Guard and Reserve members may purchase.
• TRICARE for Retired Reserve and Guard – Retired members of the National Guard and the Reserves, along with their family members, may be eligible for medical and dental benefits.

Resources compiled by Kristin White, Health Sciences Library, UNC-Chapel Hill.

 

This page presented by Citizen-Soldier Support Program.