TRICARE

TRICARE Prime:

TRICARE Prime is a voluntary health maintenance organization (HMO)-type option. Active duty service members and their dependents have no enrollment fee. Retirees pay an annual enrollment fee and enroll for one year at a time. You should contact one of the information sources mentioned in the Information section for more details on TRICARE Prime, and to find out if this option is right for you. Note: Active duty service members are required to enroll in TRICARE Prime.

More on TRICARE Prime at WRNMMC.

TRICARE Extra

You do not have to enroll or pay an annual fee to participate in TRICARE Extra. You do, however, have to satisfy an annual deductible for outpatient care, just as you do under TRICARE Standard. In the TRICARE Extra program, you receive discounts on cost sharing when you use a TRICARE Extra network provider. You do not have to file your own claims, and may use TRICARE Extra on a case-by-case basis just by using the network provider. TRICARE Extra is not available overseas. Refer to the Information section to find out how to get details on deductibles and cost sharing through TRICARE.

• TRICARE Service Center
  • Walk-in services only.
  • Location:
    • Building: 9 Floor: 1 Room: 1439B
  • Next to Customer Service Desk in Bldg 9, 1st floor. From entrance to Outpatient Center, Bldg 9, pass escalators. Customer Service, Health Benefits Services, and TRICARE Service Center are on left.
  • Phone:
    • National, toll-free : 1 (877) TRICARE (1-877-874-2273)
  • Hours of Operation:
    • Monday thru Friday 7:30 AM to 4:30 PM

• Visitor Center
• Email
  • A contact OR Customer Advocate may be available for this department.
  • THE EMAIL RECIPIENT WILL NOT BE YOUR DOCTOR!
  • Check FAQs for quick answers.
  • Customer Advocates do not address:
  • Medical advice.
  • Prescriptions.
  • Appointments.
  • Vendors.
  • Customer Advocates do welcome:
    • Suggestions or compliments.
    • Helpful web site additions.
    • Feedback about your recent experience at WRNMMC.
  • Email the contact or Customer Advocate for TRICARE Service Center .

TRICARE For Life (over 65)

TRICARE for Life (TFL) is an enhanced health care benefit for Medicare-eligible uniformed services beneficiaries, their eligible family members and survivors. Some key features of TFL are: you must be enrolled in Medicare Part B, TRICARE pays second to Medicare, and you will incur no monthly premiums (except for Medicare Part B). For additional information visit Department of Defense TRICARE or call 1- (888) DOD-LIFE (1-888-363-5433).

For selected seniors and other eligible beneficiaries, TRICARE Plus provides access to Primary Care Managers (PCMs) at participating Military Treatment Facilities (MTFs). Availability based on the space and resources in individual MTFs. WRNMMC is proud to be a participating TRICARE Plus MTF. The TRICARE Plus Program at WRNMMC features the same high access standards as for primary care: Urgent/Acute Care appointments within 24 hours, and routine care appointments within 7 days. Furthermore, TRICARE Plus patients are provided specialty care on a space-available basis within the Military Health System.

TRICARE Senior Pharmacy Benefit provides Medicare-eligible retirees of the uniformed services, their family members and survivors the same pharmacy benefit as retirees who are under age 65. It includes access to prescription drugs not only at military treatment facilities, but also at retail pharmacies and through the TRICARE Mail Order Pharmacy program. Contact the TRICARE information specialists referred to in the Information section for detailed information on eligibility.

Pharmacy Benefits

TRICARE beneficiaries have three options for filling prescriptions:

• A military treatment facility.
• A TRICARE retail network pharmacy.
• The TRICARE Mail Order Pharmacy (TMOP).

TRICARE Prime at WRNMMC

Choosing to enroll in TRICARE Prime at WRNMMC guarantees certain benefits, including:

• Timely and priority access to care.
  
• Coverage away from home.
  
• Preventive medical services.
  
• A Primary Care Manager (PCM) to coordinate your health care.
  
• WRNMMC Wellness Center privileges.
  
• School and sports physicals for children and adolescents.
  
• Access to online PCM appointments with TRICARE Online.
  
• Appointment scheduling via the WRNMMC Patient Appointment Call Center.

Enrolling at WRNMMC:

1. Walk-in to enroll at WRNMMC’s Health Benefits Services or TRICARE Service Center.

   Health Benefits Services - A WRNMMC Health Benefits Advisor (HBA) will provide you with an enrollment packet, instructions, information on all of your options.

   TRICARE Service Center (TSC) - A "walk-in" service for enrollment help and other assistance with your TRICARE contract such as benefits, claims, and authorizations.

   Location - Both Health Benefits Services and the TRICARE Service Center are next to Customer Service Desk in Bldg 9, 1st floor. From entrance to Outpatient Center, Bldg 9, pass escalators. Customer Service, Beneficiary Services, and TRICARE Service Center are on left.

2. Obtain an Enrollment Form at HealthNet Federal Services or call 1-877-TRICARE (1-877-874-2273).

Referral Process at WRNMMC.

• Military Health System   * - Official Site
• TRICARE North   * - Improved customer service, easier access to care, and a reduced need for transferring enrollment when moving.
• Tricare Handbook   * - Explains Benefits
• Tricare Management Activity   * - Senior Pharmacy Program
• Tricare Online   * - Official Site