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for you and your family.

TRICARE Prime Distance and Drive Time Standards

Basically, to enroll in TRICARE Prime you need to live:

  1. Inside a Prime Service Area, or
  2. Within 100 miles of a primary care manager (PCM) 

Your Drive Time to a PCM Determines Where You Can Enroll

Your drive time will determine if you can select a military or network PCM.  See the following scenarios:

Scenario 1: You live within 30 minutes of a military hospital or clinic.

  • You’ll likely be enrolled at the military hospital or clinic.
  • Check with your regional contractor to see if you are eligible to select a network PCM.

Scenario 2: You live more than 30 minutes from a military hospital or clinic.

  • The military hospital or clinic will decide if they can accept your enrollment request.
  • You’ll need to waive your drive time standards (see below). 
  • If you’re not able to enroll at the military hospital or clinic, you can select a network PCM.

Scenario 3: You live more than 30 minutes from a military hospital or clinic, but within 100 miles of a network PCM.

  • You can select a network PCM.
  • You’ll need to waive your drive time standards (see below).

Scenario 4: You live more than 100 miles from a military hospital or clinic.

  • You can only enroll there if approved by the hospital or clinic commander and the TRICARE Regional Office.
  • If not approved, you can select a network PCM (see Scenario 3).

Waiving Your Drive Time Standards

When you enroll in TRICARE Prime, you should expect to drive no more than:

  • 30 minutes to your PCM for primary care
  • 60 minutes for specialty care

These drive time standards don’t apply to active duty service members.

If you want to select a military or network PCM that’s outside of the 30-minute drive time standard, you’ll need to waive your drive time standards when you enroll. When you waive your drive time standards, you should expect to drive:

  • More than 30 minutes to your PCM for primary care
  • More than 60 minutes for specialty care  
If You Enroll  You Need To 
On the Phone Tell your regional contractor you want to waive your drive time standards
Online Check the boxes in the "Compliance" section
In the Mail Check the "Access to Care" waiver box (Section V) on the enrollment form

If You Can't Enroll in TRICARE Prime

If you're not sure about your plan options:

Some general guidelines:

Who are you? You Can 
Active Duty Service Member
Active Duty Family Member 
Retired Service Members and Family Members 

Last Updated 11/29/2017

contact Your Contacts

East Region - Humana Military

1-800-444-5445


West Region - Health Net Federal Services
1-844-866-9378


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