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Designated Providers are facilities specifically
contracted with the Department of Defense to provide
care to beneficiaries enrolled in the U.S. Family Health
Plan. The U.S. Family Health Plan is offered in six
geographic regions in the United States. Although
providing the TRICARE Prime benefit, U.S. Family
Health Plan is a separately funded program different
than the TRICARE plan administered by Humana
Military. The Designated Provider is at full risk for
all medical care for a U.S. Family Health Plan
enrollee, including pharmacy services, primary
care, and specialty care.
If care is provided to a U.S. Family Health Plan
enrollee outside the network because they are
traveling or in an emergency situation, claims
must be filed with the appropriate Designated
Provider at one of the addresses listed in the
table. Do not file U.S. Family Health Plan claims
with Humana Military.
For additional questions about the U.S. Family Health
Plan, please visit the U.S. Family Health Plan Web site. |
