All Prime enrollees select or are assigned a PCM. The PCM is responsible for providing you all routine, non-emergency, and urgent health care.
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 will 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:
Search your region's provider directory to find a new PCM near you. Call first to see if they are accepting new patients.
Mail a TRICARE Prime Enrollment, Disenrollment and PCM Change Form to your regional contractor with the new PCM's name and address (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.
The change is effective when your regional contractor processes the PCM change. You'll get a letter with your new PCM's name and telephone number. Write this information on the back of your enrollment card.
Last Updated 1/19/2018