Members of the National Guard/Reserve and their families are eligible for TRICARE under specific circumstances, such as:
 

• When called or ordered to active duty for more than 30 consecutive days—the service member is covered as an active duty service member and their family as active duty family members for TRICARE purposes.
• When released from active duty (deactivated) after supporting a contingency operation—the service member and their family are eligible for 180 days of TRICARE coverage under the Transition Assistance Management Program.
• When called to active duty and meet early eligibility requirements—National Guard/Reserve members who are activated in support of a contingency operation on delayed effective-date orders and their family members are eligible for TRICARE up to 90 days before the active duty begins.

National Guard/Reserve members are eligible for health care if they sustain a line-of-duty (LOD) injury. LOD care is separate from TRICARE benefits received in any of the situations just mentioned.

LOD care is usually provided at a military treatment facility (MTF) if available, but the MTF may refer the National Guard/Reserve member to a civilian provider. When National Guard/Reserve beneficiaries live in remote locations, the Military Medical Support Office may coordinate non-emergency care through any TRICARE-authorized/certified provider.

More information about LOD changes is available on the TRICARE Web site and the Reserve Affairs Web site.

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From the Desk of the CMO (Article 2)

John Crum, MD
Chief Medical Officer
Humana Military Healthcare Services

At Humana Military, we’ve made significant strides in streamlining and automating the process of referrals for Prime enrollees and authorizations for admissions and procedures requiring prior authorization. In March 2006, civilian providers chose to submit over 43 percent of their referrals and authorizations through the Online Provider Services feature. That’s up from 24 percent in August 2004.

This internet procedure reduces the time your staff requires to prepare and submit service requests, and speeds receipt of the approval by your office, specialists and facilities. More than 75 percent of referral and authorization requests are system approved, resulting in immediate notification to the requesting provider and automated fax transmissions to the  PCM, specialist and facility (if applicable) in under two hours.

Here’s how to sign up for Humana Military’s Online Provider Services:
 

• From Humana Military's home page, click on “Register Now” in the right column. Select the “Online Provider Services” option. Read the information about signing up for HMHS Online Provider Services. Click on the “Continue >>” button.
   
• Next, enter a User ID of your choice to access HMHS Online Provider Services. Now enter and confirm a password of your choice. The password must be 8 to 12 letters and/or numbers and contain at least one letter, one number and one special character. Then choose an AKA name that will function as a public User ID. (This allows you to keep your User ID confidential.) Finally, select a password reminder question from the drop down box and enter an answer. Click on the “Continue >>” button.
   
• Enter the information requested in the “Personal Information” box and click on the “Continue >>” button.
   
• Read the “HMHS Security and Information Protection Agreement” that covers information you will be able to access through HMHS Online Provider Services. Click on “I accept this agreement” and click on the Provider Home Page.

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Last Reviewed:  July 10, 2007