Active duty service members must have a referral and prior authorization before seeking behavioral health care. We do not want to discourage you from seeing a behavioral health specialist, but we want to make sure that your condition does not adversely affect your health and your ability to perform worldwide duty. Contact Humana Military or your service point of contact (SPOC) before obtaining behavioral health care services.
Active Duty Family Members
You may receive the first eight behavioral health outpatient visits per fiscal year (October 1–September 30) from a network provider without a referral or prior authorization from your PCM or Humana Military. After the first eight visits (beginning on the ninth visit), you must obtain a referral and receive prior authorization. Remember to obtain care only from TRICARE network providers, or work with Humana Military to locate a TRICARE-authorized provider. Otherwise, you are utilizing the point of service (POS) option resulting in higher out-of-pocket costs. See the TRICARE: Summary of Beneficiary Costs Flyer to learn about POS fees.
Authorized Behavioral Health Providers
The following types of behavioral health providers may be authorized providers under TRICARE:
Psychiatrists
Clinical psychologists
Certified psychiatric nurse specialists
Clinical social workers
Certified marriage and family therapists with a TRICARE participation agreement
Pastoral counselors—with physician referral and supervision
Mental health counselors—with physician referral and supervision
Licensed professional counselors—with physician referral and supervision
If you are unsure which type of provider would best meet your needs, contact Humana Military for assistance.
