TRICARE Prime Handbook

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Your TRICARE  Regional Contractor

The regional contractors administer TRICARE Prime in each region. We will refer regularly to your regional contractor throughout this handbook, and describe differences in each region. In cases where there are differences, refer to the information specific to your region. We encourage you to visit your regional contractor’s Web site, which includes information about how to change PCMs, how to enroll a newborn or adopted child, covered and non-covered services, referral and authorization requirements, and other helpful information. You can also call your regional contractor toll-free for assistance at the numbers listed below. Regional contractors also have TRICARE Service Centers (TSCs) located throughout the region, typically at MTFs, that have customer service representative to assist you.

Region Map


TRICARE North Region

The TRICARE North Region includes Connecticut, Delaware, the District of Columbia, Illinois, Indiana, Kentucky, Maine, Maryland, Massachusetts, Michigan, New Hampshire, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Rhode Island, Vermont, Virginia, West Virginia, Wisconsin, and portions of Iowa (Rock Island Arsenal area), Missouri (St. Louis area), and Tennessee (Ft. Campbell area only).

Regional
contractor

HealthNet Federal Services,Inc.
(HealthNet)
 

Phone 1-877-TRICARE (1-877-874-2273)
Web site www.healthnetfederalservices.com
TRICARE South Region
The TRICARE South Region includes Alabama, Arkansas, Florida, Georgia, Louisiana, Mississippi, Oklahoma, South Carolina, Tennessee (excluding the Ft. Campbell area), and Texas (excluding the El Paso area).

Regional
contractor

Humana Military Healthcare
Services, Inc. (Humana Military)

Phone

1-800-444-5445

Web site www.humana-military.com
TRICARE West Region
The TRICARE West Region includes Alaska,Arizona, California, Colorado, Hawaii, Idaho, Iowa (excluding Rock Island Arsenal area), Kansas, Minnesota, Missouri (except the St. Louis area), Montana, Nebraska, Nevada, New Mexico, North Dakota, Oregon, South Dakota, Texas (the southwestern corner, including El Paso), Utah, Washington, and Wyoming.

Regional
contractor

TriWest Healthcare Alliance
(TriWest)
 

Phone

1-888-TRIWEST (1-888-874-9378)

Web site

www.triwest.com

TRICARE Prime offers enhanced benefits and personalized care. Look in the mail for the TRICARE Health Matters newsletter, a regular publication for all TRICARE Prime beneficiaries. This publication will highlight covered services, customer service options, news, and other important updates.

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Last Reviewed: July 11, 2008