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TRICARE Prime Referral Process

Walter Reed National Military Medical Center

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Your referral to a specialty clinic follows these steps:
  1. When a specialty clinic is located at your Military Treatment Facility (MTF) or a nearby MTF:

    2. a. You will receive the notice TRICARE Prime Beneficiary Referral Process.
    b. Two days after you receive this notice, please call to check appointment availability: 1-866-NAVYMED (1-866-628-9633).

  2. If a specialty appointment is not available at your MTF or any local MTF, your referral will be forwarded to Health Net, the area TRICARE contractor, by the WRNMMC Referral Management Center to locate a specialist in the civilian network:

    3. a. You will receive a letter from Health Net to inform you of an available specialist in the civilian network.
    b. Health Net will verify that the service can be paid under your TRICARE benefit.
    c. Health Net will verify the appointment is available within 4 weeks.
    d. You will schedule the appointment directly with the specialist’s office.
    e. Please notify Health Net of the appointment date: 1-877-TRICARE (1-877-874-2273) to help get the specialist’s consultation information to your PCM.

  3. Referral expiration:

    a. Your referral (consult) expires 28 days from the date it was written.
    b. If an appointment has not been made within the 28 days, you may need to contact your Primary Care Manager (PCM) for a new referral.
    c. Call Health Net for further information and assistance: 1-877-TRICARE (1-877-874-2273).

  4. Need to change or cancel your appointment?

    a. At an MTF, call 1-866-NAVY MED (1-866-628-9633).
    b. With a civilian doctor, call the doctor’s office directly. Then please notify Health Net of your appointment change: 1-877-TRICARE (1-877-874-2273).

  5. Experiencing difficulty? Contact HealthNet at 1-877-TRICARE (1-877-874-2273):

    a. To check on the status of your referral,
    b. To obtain the provider information if you have not received your letter from Health Net within 5-7 business days,
    c. To request a different doctor if needed.

    Phone Numbers:

Concerning your MTF specialist appointment:
1-866-NAVYMED (1-866-628-9633)
Concerning your civilian specialist appointment:
HealthNet: 1-877-TRICARE (1-877-874-2273)

 
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Walter Reed National Military Medical Center

8901 Rockville Pike
Bethesda, MD 20889-5600
(301) 295-4611; toll-free 1-800-526-7101
www.bethesda.med.navy.mil