TRICARE Select and Other Plans

If you’re using any of these plans:

These rules apply to you for booking appointments:

  • You don’t usually need a referral for most primary and specialty careSpecialized medical/surgical diagnosis, treatment, or services a primary care provider isn’t qualified to provide. appointments. (One exception is care through the Autism Care Demonstration.)
  • Some services may require pre-authorization
  • Contact your regional contractor if you have any questions about the type of care you need. 

In the U.S.

Emergency care 
  • Call 911 or go to the nearest emergency roomThe hospital department that provides emergency services to patients who need immediate medical attention. immediately.  
  • If admitted, you may need authorization from your regional contractor
All other types of care
  • Book an appointment with any TRICARE-authorized providerAn authorized provider is any individual, institution/organization, or supplier that is licensed by a state, accredited by national organization, or meets other standards of the medical community, and is certified to provide benefits under TRICARE. There are two types of TRICARE-authorized providers: Network and Non-Network. DS.
  • Look for a network provider first. You’ll save money and the network provider will file claims for you.
  • If a network provider isn’t available, you can book the appointment with a non-network provider.
  • You may get care at military hospitals or clinics if space is available.

Overseas

You don’t usually need a referral for most primary and specialty care appointments, but some services may require pre-authorization. Contact International SOS if you have any questions about the type of care you need.

Emergency care
All other types of care 
  • Schedule an appointment with any approved overseas provider.
  • To find a provider, contact International SOS or search the overseas provider directory.
  • You may get care at military hospitals and clinics if space is available.
Looking to book an appointment online at a military hospital or clinic? Visit the Secure Patient Portal for more information.

Last Updated 11/20/2024