TRICARE Prime Remote
TRICARE Prime Remote is a managed care option available in remote areas in the United States. By law, you can only use TRICARE Prime Remote if both your (the sponsor's) home and work addresses are more than 50 miles (or one hour's drive time) from a military hospital or clinic.
If you're in a remote overseas location, you may be able to enroll in TRICARE Prime Remote Overseas.
Who Can Participate?
The following beneficiaries who live and work in designated remote locations:
- Active duty service members
ActivatedClick to closeCalled or ordered to active duty service for more than 30 days in a row. National Guard and Reserve members called or ordered to active duty service for more than 31 days in a row (Pre‐Activation/Pre‐Mobilization/Pre-Deployment/TDY orders aren't eligible)
- Active duty family members who live with TRICARE Prime Remote-enrolled sponsors
- Activated National Guard/Reserve family members if they live in a designated remote location when the sponsor is activated (and continue to reside at that address)
- Surviving family members of deceased active duty service members. After three years (from the sponsor's death), TRICARE Prime Remote is no longer available to surviving spouses, but children may stay enrolled.
How It Works
- You'll get most care from your primary care manager (PCM)
- You may have a network PCM, if available
- If not, select any TRICARE-authorized providerClick to closeAn 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. as your PCM.
- Your PCM:
- Refers you to specialists for care he or she can't provide
- Works with your regional contractor for referrals/authorization
- Helps find a specialist in the network
- Files claims for you
What You Pay
- No enrollment fees
- No out-of-pocket costs for any type of care as long as care is received from your PCM or with a referral.
- Care received without a referral is subject to point-of-service fees.
Is TRICARE Prime Remote Right for You?
TRICARE Prime Remote is only available to active duty service members (including activated Guard/Reserve members) and their families who live and work in designated remote locations.
- If you're on active duty, you have to enroll if you live and work in a remote area.
- Family members can choose to enroll in TRICARE Select.
- TRICARE Prime Remote offers fewer out-of-pocket costs than TRICARE Select, but less freedom of choice for providers.
- If you have other health insuranceClick to closeHealth insurance you have in addition to TRICARE, such as Medicare or an employer-sponsored health insurance. TRICARE supplements don’t qualify as "other health insurance.", TRICARE Prime Remote might not be right for you.
How To Enroll—3 Options
- Online via the Beneficiary Web Enrollment website
- Call your regional contractor
- East RegionClick to closeUnder 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.: 1-800-444-5445
- West RegionClick to closeAlaska, 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.: 1-844-866-9378
- Mail the enrollment form to your regional contractor (mailing addresses on the form):
Once you have enrolled you can download a TRICARE wallet card to take to your appointments but you must also show your military ID as proof of coverage.
For information on disenrolling or ending plan coverage, visit the Disenrolling in TRICARE Prime Remote page.
Last Updated 10/30/2019