Skip to main content

TRICARE logo Go to TRICARE home

Instructions

If you have a civilian PCM, the following documents must be submitted to the TRICARE Prime Travel Benefit Office.

**If you are a Coast Guard member with either a military or civilian PCM please follow the guidance below.

Getting Started

Required Documents

If you don't include all of the required documents, your claim can't be processed. Be sure to make copies of everything for your records.

Form/Document Instructions
Patient Information Form

The form must be completely filled out and signed.

Travel Claim Forms:

DD Form 1351-2 

DD Form 1351-3

  • Patients and non-active duty Non-Medical Attendants (NMAs): Complete both forms
  • Active duty NMAs: Complete only the DD Form 1351-2
  • View the Instructions and Examples for help completing the DD 1351-2 form
Itemized Receipts
  • Include legible, itemized receipts for all travel claims.
  • Credit card or bank statements don't qualify as receipts.
  • Receipts must be dated during the approved travel timeline or they won't be reimbursed.
Proof that you Attended the Appointment A note from the specialty care provider's office verifying that you attended the appointment.

Non-Medical Attendant Letter

A letter from your doctor stating that a non-medical attendant (NMA) is appropriate and medically-necessary. (Only required when you have a NMA). For chronic conditions, the doctor may request the letter be valid for up to one year.

Active Duty/ Federal Employee NMA Memo 

This form is required to authorize TDY travel reimbursement for an active duty service member or federal employee traveling as a NMA.
EFT Authorization Form

All payments are made by electronic funds transfer (EFT).

Submit Packages

Send all required documents via email or to one of the following addresses:

East West

Prime Travel Office - East RegionUnder 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.

7800 IH 10 West, Ste. 400

San Antonio, TX 78230

Prime Travel Office - 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.

Attn: Prime Travel 401 West A Street, Suite 2100

San Diego, CA 92101

Email

You must file your travel claim within one year of the travel date.

Your Reimbursement

Travel claims are processed using the Defense Travel System (DTS).
Include legible, itemized receipts for all travel expensesAmounts you pay when traveling to and from your appointment.  This includes costs for gas, meals, tolls, parking, lodging, local transportation, and tickets for public transportation. with each claim (Fuel receipts aren't needed).
Government rates are used to reimburse  the reasonable expenses.
Please allow up to four weeks for your payment to be processed.

Last Updated 4/18/2018

contact Your Contacts
Prime Travel Office - East Region

1-844-204-9351 


Prime Travel Office - West Region
1-800-558-1746


View More Contacts