Find/Change My Primary Care Manager
What is a primary care manager (PCM)?
All TRICARE Prime enrollees select or are assigned a PCM. Your PCM is responsible for providing you with all routine, non-emergency, and urgent health care.
- Your PCM can be a military or civilian network provider.
- Your PCM accepts your copaymentA fixed dollar amount you may pay for a covered health care service or drug.. They’ll also file claims for you.
- If your PCM isn’t able to provide your care, they’ll refer you to a specialist.
If you don't get a referral from your PCM, your care will be under the point-of-service (POS) option. By using the POS option, you’ll pay higher out-of-pocket-costs. The POS option has its own deductible which doesn't count toward your annual catastrophic cap.
You may request to change your PCM at any time. Your request:
- Must comply with guidelines at the local military hospital or clinic.
- May take up to 6 days to confirm.
US Family Health Plan (USFHP)
If you're enrolled in the USFHP, you may have a PCM or primary care provider (PCP). A PCP is the same as a PCM. USFHP members can't enroll at a military hospital or clinic, and don't see military PCMs.
TRICARE Prime Overseas
If you’re overseas and stationed at a military installation that has a military hospital or clinic, you’re assigned to a PCM where you are required to get most of your medical care. Your PCM refers you to a specialist for care he or she can't provide and works with International SOS for authorization, when needed.
>>Visit the TRICARE Prime Overseas page to learn more.
How Do I Find Out Who My PCM Is?
Log in to the Beneficiary Web Enrollment (BWE) via milConnect and follow the steps below:
- Click the "Benefits" menu.
- Click the "Beneficiary Web Enrollment" option.
- Click the "Medical Enrollments" tab. Your PCM information displays.
You may also call your regional contractor. Only TRICARE Prime enrollees have PCMs.
Do You Want to Find a New PCM?
If you’re a TRICARE Prime enrollee, you can search your region's provider directory if you want to find a new PCM. You should call first to see if they’re accepting new patients.
- East RegionAlabama, 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. Provider Directory: Humana Military
- West RegionAlaska, 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. Provider Directory: Health Net
- USFHP Provider Locator
How to Change Your PCM
You can change your PCM either by phone, online, or by mail. See steps below:
You may mail a “TRICARE Prime Enrollment, Disenrollment and PCM Change Form” with the new PCM's name and address to your regional contractor. The mailing address is found on Page 3 of the form. You only need to complete the part of the form related to the PCM change. Use the form associated with your plan below.
The change is effective when your regional contractor processes the PCM change. Make sure your regional contractor has changed your PCM by visiting milConnect. You can also find your new PCM’s telephone number on milConnect.
Note: TRICARE enrollment cards are no longer on milConnect or sent through US mail. To receive services:
Call your Regional Contractor
If you’re a USFHP Member, Call your Designated Provider
Last Updated 3/23/2021