Provider Handbook

    

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TRICARE Reserve Select
TRICARE Reserve Select (TRS) is a premium-based health plan offered by the DoD that provides comprehensive health care coverage to members of the National Guard and Reserve who meet specific eligibility requirements.

Verifying TRS Coverage

After purchasing TRS, each member and covered family member receives a TRS enrollment card. You should make a photocopy of the front and back of the card for your files. Providers must contact Humana Military at 1-800-444-5445 to verify coverage status.

Figures 4.3 and 4.4 show an example of the TRS enrollment card.
       

TRS Enrollment Card-Front

Fig 4.3

Image of the TRS Enrollment Card - Front
 
TRS Enrollment Card-Back

Fig 4.4

Image of the TRS Enrollment Card - Back

TRS Coverage

TRS offers comprehensive coverage and patient cost-shares and deductibles similar to TRICARE Standard and TRICARE Extra. TRS members may access care from any TRICARE-authorized provider, hospital, or pharmacy—network or non-network. They may also access care from an MTF on a space-available basis only.

See the Medical Coverage section for more information about TRICARE-covered benefits and costs.


Prior Authorizations and Referrals

TRS members may access care from any TRICARE-authorized provider, network or non-network, without a referral.

TRICARE requires prior authorization* for certain services, e.g., inpatient admissions for substance use disorders or behavioral health, adjunctive dental care, home health services, hospice care, transplants, and psychoanalysis and psychotherapy after the initial eight behavioral health outpatient visits.

See the Health Care Management and Administration section for more information.

* Visit www.humana-military.com for a complete list of services requiring prior authorization and how to submit and receive authorization before rendering care.


Claims and Reimbursement

See the Claims Processing and Billing Information section for details about filing TRS claims.

For More Information
  • Visit the TRICARE Web site.
  • Contact Humana Military at 1-800-444-5445.
  • For assistance with DEERS registration, contact the Defense Manpower Data Center Support Office at 1-800-538-9552.


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Last Update: July, 2007