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Managing Your Health Care (Article 8)
        Image of stethoscope You have a number of options available to help you manage your health care and take responsibility for your own health. By actively managing your own health care, you can contribute to a higher quality of life for you and your family.

In every case, if you believe it’s an emergency, call 911 first. When the issue is not pressing, you have a number of options available to access health care information and assistance.
 
Where Can I Go for Help with My TRICARE Benefits? (Article 9)
To ensure a smooth transition from 12 to three TRICARE regions, TRICARE Management Activity (TMA) and your regional contractor created new customer service tools, as well as improved existing ones.

No matter your question or concern, assistance is close at hand. From inquiries about your benefits to concerns about any health care-related debt, there is an easy-to-reach support system ready to help you.

                                      
When I need to: I should contact: I can also refer to:
Find information and news about TRICARE, along with program options, policies and guidance Humana Military’s Web site The TRICARE Web site, especially for national benefits information.
Ask specific questions related to my health benefits, including benefits interpretation, referral and authorization, and claims processing (not TFL or TRRx) Humana Military’s customer service representatives at 1-800-444-5445 0
Learn about TRICARE options, understand how to enroll in TRICARE Prime, get enrollment forms, get a listing of network providers, ask about claims, and get TRICARE brochures or other informational materials, including the Patient Bill of Rights and Responsibilities Humana Military at 1-800-444-5445 or Humana Military's Web site TRICARE Service Centers (TSCs), located at or near military treatment facilities (MTFs). Call Humana Military at 1-800-444-5445 or visit Humana Military's online TSC locator.
Receive one-on-one, face-to-face guidance about TRICARE benefits and claims TSCs, located at or near MTFs. Call Humana Military at 1-800-444-5445, or visit 
Humana Military's online TSC locator.		 Beneficiary Counseling and Assistance Coordinators (BCACs), which are located at MTFs and at the TRICARE Regional Office-South. Call the local MTF or go to the online BCAC directory to find the closest BCAC.
Ask questions about any TRICARE-related debt collection issues Humana Military at
1-800-444-5445 or visit your local TSC		 Debt Collection Assistance Officers (DCAOs), which are located at MTFs and at the TRICARE Regional Office-South. To locate the nearest DCAO, go to the online DCAO directory or call your local MTF.
File an appeal regarding TRICARE benefits To appeal a claim, write to:
TRICARE South Region
Appeals
P.O. Box 202002
Florence, SC 29502-2002

To appeal a denial of a prior authorization or referral, write to:
Humana Military Healthcare Services
Attn: Clinical Appeals
P.O. Box 740044
Louisville, KY 40201-9973		 Humana Military at 1-800-444-5445 to learn more about my appeal rights before filing.
Ask mail order or retail pharmacy related questions

The Express Scripts Web site or customer service lines:

  • TRICARE Mail Order Pharmacy (TMOP)
    1-866-DoD-TMOP
    (1-866-363-8667)
  • TRICARE Retail Pharmacy (TRRx) program
    1-866-DoD-TRRx
    (1-866-363-8779)
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Find general information about health care issues that affect my family or me Humana Military’s toll-free audio health library at 1-877-217-7946

Whether you call, use the Internet or visit with customer assistance personnel, you will receive consistent information and answers. According to Marcia Bonifas, TMA director of beneficiary education and staff training, "It's a true partnership among all of those in charge of our customer service lines, Web sites, brochure development and personnel training. Customer service is foremost."

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Last Reviewed:  December 4, 2007