Prior Authorization for Care
You can visit the TRICARE-authorized provider of your choice whenever you need care. Referrals are not required, but some services require prior authorization.
A prior authorization is a review of the requested health care service to determine if it is medically necessary at the requested level of care. Some providers may call Humana Military to obtain prior authorization for you. If you have questions about authorization requirements, visit www.tricare.mil.
The following services require prior authorization:
- Adjunctive dental services
- Extended Care Health Option services
- Home health services
- Hospice care
- Nonemergency inpatient admissions for substance use disorders or behavioral health care
- Outpatient behavioral health care visits beyond the eighth visit per fiscal year (October 1–September 30)
- Transplants—all solid organ and stem cell
This list is not intended to be all-inclusive.
Humana Military has additional prior authorization requirements. |
