Services that Don't Require Referrals
Are you enrolled in a TRICARE Prime plan?
You can get the following services from a TRICARE network provider in your region without a PCM referral.
- Preventive services
- Outpatient mental health care visits
If you get care from a non-network provider (or a network provider outside of your region) without a referral from your PCM, you're using the point-of service-option, resulting in higher out-of-pocket costs.
Health Net Federal Services and Humana Military are honoring authorizations and referrals issued by the previous TRICARE contractors through their 2018 expiration dates. There is no action needed for these already-approved requests. If your referral or authorization expired prior to 1/1/18, your provider can submit updated requests to your new TRICARE contractor.
- If you are in the West RegionClick to closeAlaska, Arizona, California, Colorado, Hawaii, Idaho, Iowa (excludes Rock Island arsenal area), Kansas, Minnesota, Missouri (except St. Louis area), Montana, Nebraska, Nevada, New Mexico, North Dakota, Oregon, South Dakota, Texas (southwestern corner including El Paso), Utah, Washington and Wyoming., visit TRICARE West for more information.
- If you are in the East RegionClick to closeUnder the new regional contracts, the East Region is a merger of the North and South Regions and includes: Alabama, Arkansas, Connecticut, Delaware, the District of Columbia, Florida, Georgia, Illinois, Indiana, Iowa (Rock Island area), Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Mississippi, Missouri (St. Louis area), New Hampshire, New Jersey, New York, North Carolina, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas (excluding El Paso area), Vermont, Virginia, West Virginia, and Wisconsin., visit TRICARE East for more information.
Last Updated 1/4/2019