TRICARE Provider News image

Adobe PDF print button image Print


  

Caring for Activated Reserve Component Members and Their Families
(Article 15)

Members of the Reserve Component who are called to active duty for more than 30 consecutive days are eligible for TRICARE, as are their family members. During their activation, they are considered active duty service members (ADSMs) and their families are considered active duty family members (ADFMs).


Verify Eligibility
As you would for any TRICARE beneficiary, ensure that they have a valid uniformed services (military) identification (ID) card or authorization letter of eligibility. Check the expiration date and make a copy of both sides of the ID card for your files. Contact Humana Military at 1-800-444-5445 if you have any questions about verifying their eligibility for TRICARE.

Questions or Concerns

Depending on the beneficiary’s program (TRICARE Prime, TRICARE Standard or TRICARE Extra), you should follow the same rules, benefits, costs, referral and prior authorization requirements, and billing guidelines for Reserve Component members and their families as you would for any other TRICARE beneficiaries.

Call Humana Military if you have any questions about caring for members of the Reserve Component.


Back to Top



CONTACTS (Article 16)
Humana Military
1-800-444-5445 
www.humana-military.com 
Pharmacy Customer Service
1-866-DoD-TRRx (retail)
1-866-DoD-TMOP (mail order)
www.express-scripts.com/TRICARE

Wisconsin Physicians Service (WPS)
(TRICARE For Life claims)
1-866-733-0404
www.tricare4u.com

National TRICARE Web Sites
www.tricare.osd.mil
www.tricareonline.com

Update DEERS
1-800-538-9552
http://www.tricare.osd.mil/deers/default.cfm

PGBA (claims)
1-800-403-3950

ValueOptions (behavioral health)
1-800-700-8646
 


Back to Top