Print Full Version Back to Main  Prime Travel Benefit Offsets Travel Costs to Distant Specialists (Article 2) When referring TRICARE patients to specialists for treatment when care is not available through your office or the local military treatment facility (MTF), there are times when the nearest available specialist provider is located a considerable distance away.  The TRICARE Prime Travel Benefit program can ease the financial burden on beneficiaries when this happens. Who's Eligible? The entitlement is available to nonactive duty beneficiaries enrolled in TRICARE Prime and TRICARE Prime Remote for Active Duty Family Members when they are referred more than 100 miles from their PCM. For beneficiaries to be eligible for the Prime Travel Benefit, PCMs must first refer them to the specialist, and Humana Military must authorize their specialty care. Long-distance referrals will only be authorized when there are no network, non-network or MTF specialists available who meet the TRICARE distance or availability (access) standards.  This entitlement does not apply to: Expenses incurred by active duty service members Expenses incurred by active duty family members living with their sponsors overseas Travel costs of beneficiaries who are referred under Department of Defense(DoD) treatment programs and reimbursed under other travel entitlements  What Are the Next Steps? After beneficiaries have obtained a valid referral, they must obtain travel orders from a TRICARE representative at the MTF where they are enrolled or from the TRICARE Regional Office– South if their PCM is a TRICARE civilian network provider. What's Covered? Reimbursement is based on travel from the beneficiary’s residence to the specialist’s office. The benefit pays actual costs for gasoline, parking, tolls, meals, lodging, etc., so beneficiaries must save all travel-related receipts. A non-medical attendant can travel with and/or drive the patient to the specialty care appointment, if justified by the PCM. The attendant can be a parent, spouse, legal guardian or other family member over age 21. The patient and the attendant cannot be reimbursed for the same travel expenses. If the attendant is a family member and is active duty or a U.S. Government employee, he or she is entitled to TDY allowances (per diem and mileage). For more information, visit www.humana-military.com or call 1-800-444-5445. Back to Top