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More Information
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Regional Contractors
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TRICARE North Region
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TRICARE South Region
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TRICARE West Region
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Health Net Federal
Services, LLC 
1-877-TRICARE
(1-877-874-2273)
1-800-555-2605
(TRICARE Reserve Select) |
Humana Military Healthcare Services, Inc.
1-800-444-5445
1-877-298-3408
(National Guard & Reserve)
1-877-249-9179
(active duty programs) |
TriWest Healthcare
Alliance Corp.
1-888-TRIWEST
(1-888-874-9378) |
TRICARE Pharmacy Options
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General Pharmacy
Information
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TRICARE Mail
Order Pharmacy
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TRICARE Network
Retail Pharmacy
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| TRICARE Pharmacy |
1-866-DoD-TMOP
(1-866-363-8667)
Member Choice Center (MCC)
1-877-363-1433
TRICARE Pharmacy |
1-866-DoD-TRRX
(1-866-363-8779)
TRICARE Pharmacy |
Prohibition of Waiving Cost-Shares and Deductibles
When using TRICARE Standard, TRICARE Extra, and TRS, you are responsible, under law, to pay an annual deductible and cost-shares associated with your care. The law prohibits health care providers from waiving the deductible or cost-shares and requires providers to make reasonable efforts to collect these amounts. Providers who offer to waive deductibles and cost-shares, or who advertise that they will do so, can be suspended or excluded as TRICARE-authorized providers.
Balance Billing and Violation of Participation Agreements
Nonparticipating providers may charge up to 15 percent above the TRICARE-allowable charge, which you must pay out-of-pocket. Participating providers are prohibited from balance billing—collecting from you any amount in excess of the TRICARE-allowable charge, less any applicable patient cost-share you pay. Once a participating provider marks “yes” on the claim form for that service, he or she cannot later revoke or cancel that decision. Participating providers who attempt to fraudulently collect higher payments are commonly referred to as being in “violation of the participation agreement.” Note: Non-network providers may choose to participate on a claim-by-claim basis.
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