Are you enrolled in a TRICARE Prime Plan? If you are, and you're not an active duty service member, you must follow these rules for outpatient and inpatient care.
You must see a network provider in your region. If you see a non-network provider or a network provider in another region without a referral, you'll have to pay point-of-service fees.
You can get care from a supervised mental health counselor or pastoral counselor, but a doctor must supervise the care, even if in the TRICARE network. Certified mental health counselors don't need doctor referral and supervision.
If you need to stay in the hospital, you must have a referral and prior authorization from your regional contractor.
Take a voluntary, anonymous self-assessment to see if you have symptoms that are consistent with a condition that would benefit from further treatment or evaluation.
Last Updated 11/29/2017
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