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Active Duty Service Members
If an emergency occurs, call 911 or go to the nearest hospital emergency room and notify your PCM within 24 hours or on the next business day. Note: Prior authorization is not required for emergency care (including overseas care) before receiving treatment. If possible, active duty service members* (ADSMs) traveling overseas should contact the local TRICARE Global Remote Overseas (TGRO) Alarm Center before seeking care or before making a payment. Figure 5.2 lists contact information for the TGRO Alarm Center in each overseas area. While in Puerto Rico, ADSMs should call the Puerto Rico Call Center for assistance.
If traveling or between duty stations, you must receive all nonemergency care at an MTF if one is available. If an MTF is not available, prior authorization from your PCM is required before receiving nonemergency care. Routine care, which includes routine dental care and general office visits for treatment and ongoing care, should be handled before you travel or postponed until you return. For urgent care, ADSMs located overseas should contact the TGRO Alarm Center. If in Puerto Rico, ADSMs should contact the Puerto Rico Call Center. *Includes National Guard and Reserve members on orders of 30 days or less, who should follow normal procedures for emergency care and must provide a copy of their orders to the TGRO contractor to verify TRICARE eligibility.
All Other TRICARE Prime Enrollees
If you need emergency care while traveling in the continental United States, visit the nearest emergency room or call 911. If you are admitted, you must notify your PCM or Humana Military within 24 hours or on the next business day so that ongoing care can be coordinated and to ensure you receive proper authorization for care.
If urgent treatment cannot wait until you return home to see your PCM, you must contact your PCM for a referral or call Humana Military for assistance before receiving care. Failure to obtain a referral may cause your care to be covered under the POS option,* and you will incur higher costs.
When traveling overseas, plan for health care contingencies in advance of the trip. If you need emergency or urgent care, contact the TGRO Alarm Center for the overseas area where you are traveling or the nearest American Embassy Health Unit to find a host nation provider. Visit http://travel.state.gov for a list of every American Embassy or Consular Office worldwide. Figure 5.3 lists contact information for the TRICARE Area Office (TAO) in each overseas area. Note: When seeking care from a host nation (overseas) provider, you should be prepared to pay up front for services then file a claim with TRICARE for reimbursement in the South region.
*The POS option does not apply to ADSMs, children in their first 60 days following their birth or adoption, emergency care, or beneficiaries with OHI.Figure 5.2 TGRO Alarm Center Information
| TRICARE Eurasia-Africa |
TRICARE Latin America
and Canada |
TRICARE Pacific |
| Europe, Africa, and the Middle East |
Central and South America, the Caribbean Basin, Canada, Puerto Rico, and the U.S. Virgin Islands |
Guam, Japan, Korea, Asia, New Zealand, India, and Western Pacific remote countries |
Collect: 011-44-20-8762-8133 Fax: 011-44-20-8762-8125 TRICARE Europe Email |
Collect: 1-215-701-2800 Toll-free (from the United States): 1-800-834-5514 Fax: 1-215-244-9617 TLAC Email
Puerto Rico Call Center Toll-free: 1-800-700-7104
|
Sydney: Collect: 011-61-2-9273-2760 Fax: 011-61-2-9372-2457 TRICARE Sydney Email
|
Figure 5.3 TRICARE Area Office Contact Information
| TRICARE Europe |
TLAC |
TRICARE Pacific |
| Europe, Africa, and the Middle East |
Central and South America, the Caribbean Basin, Canada, Puerto Rico, and the U.S. Virgin Islands |
Guam, Japan, Korea, Asia, New Zealand, India, and Western Pacific remote countries |
Comm.:
011-49-6302-67-7432 DSN: 496-7432 Toll-free:
1-888-777-8343 Fax: 011-49-6302-67-
6372/6374 |
Comm.: 1-706-787-2424 DSN: 773-2424 Toll-free: 1-888-777-8343 |
Comm.:
011-81-6117-43-2036 DSN: 643-2036 Remote Sites:
011-65-6338-9277 Toll-free:
1-888-777-8343 Fax: 011-81-6117-43-2037 DSN Fax: 643-2037 |
| TRICARE Europe eMail |
TLAC eMail |
TRICARE Pacific eMail |
| TRICARE Europe Web site |
TLAC Web site |
TRICARE Pacific Web site |
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