What is TRICARE Prime Overseas?

 

TRICARE Prime Overseas is a managed care option available in overseas areas near military hospitals and clinics. You must be TRICARE-eligible to enroll. If you’re a retiree or a family member of a retiree, you can't enroll in TRICARE Prime Overseas. To see if you’re in a TRICARE Prime Overseas area, use the Plan Finder Tool or call your overseas contractor. To learn more about TRICARE Prime Overseas, visit the TRICARE Prime Overseas page. 

Costs:

• There is no annual enrollment fee.
• There are no copayments for care if you get care from your primary care manager (PCM) or with a referral.

Providers:

• You have an assigned PCM at a military hospital or clinic. 

Referrals and Authorizations:

• Your PCM must refer you for any care they can’t provide.
• If you’re an active duty service member, you need a referral for urgent care, routine, preventive and specialty careSpecialized medical/surgical diagnosis, treatment, or services a primary care provider isn’t qualified to provide..
• All other TRICARE Prime Overseas enrollees need referrals for specialty and diagnostic care.
• Your PCM works with the overseas contractor for referrals and authorizations.
• If you see a provider without a referral, you’re using the point-of-service option.

Covered Services:

Visit the Covered Services page to find out if your service is covered. 

Pharmacy Benefits:

Included as part of the TRICARE Pharmacy Program. To learn more, visit the Pharmacy page. 

Dental Benefits:

• Not included. You may buy separate dental coverage. To learn more, visit the Dental Care page. 
• If you’re an active duty service member, you have coverage under your active duty dental benefits.

Vision Benefits:

• Available but depends on who you are, and the type of vision care you need. To learn more, visit the Vision page.
• You may have the option to enroll in vision coverage through the Federal Employees Dental and Vision Insurance Program (FEDVIP). To learn more, visit BENEFEDS.com.