Your Primary Care Manager
      

When you enrolled in TRICARE Prime, you selected or were assigned a primary care manager (PCM). Your PCM provides your routine health care and coordinates referrals for specialty care that he or she cannot provide. Your PCM may be an MTF provider or a civilian TRICARE network provider within a Prime service area (PSA).

A PSA is a geographic area where TRICARE Prime benefits are offered. It’s typically a geographic area around an MTF and specific areas with a significant concentration of uniformed service personnel and retirees and their families.

A PSA must also have a substantial medical community to support most or all TRICARE Prime enrolled beneficiary medical needs.

PCMs are required to provide access to care 24 hours a day, seven days a week. To cover all hours, your PCM may designate an on-call provider who will act on their behalf to support your health care needs. Therefore, the information, instructions, care, or care coordination you receive from the on-call provider should be treated as if it was coming from your PCM.

You may change your PCM at any time provided the new PCM is accepting new patients and your request complies with local MTF guidelines. Once you have selected a new PCM from Humana Military’s provider directory (viewable online), complete a TRICARE Prime Enrollment and PCM Change Form with the new PCM’s name and address.

You only need to complete the portion of the form related to the PCM change. The change will become effective once the application is received and processed by Humana Military. You may also call Humana Military to change your PCM. Once your PCM change is processed, you will be mailed a confirmation letter with the new PCM name and telephone number.