TPR and TPRADFM provide TRICARE Prime coverage to ADSMs and the family members who live with them in remote locations through a network of civilian TRICARE-authorized providers, institutions, and suppliers (network or non-network). ADSMs and their families who live and work more than 50 miles or a one-hour drive time from the nearest MTF designated as adequate to provide primary care may be eligible to enroll in TPR or TPRADFM. Each TPR or TPRADFM enrollee is assigned or may select a PCM. Whenever possible, a TRICARE network PCM is assigned, but a non-network PCM may be assigned if a network provider is not available.
TPR and TPRADFM beneficiaries should always seek nonemergency care from their PCMs, unless they are using the POS option. In most cases, a TPR or TPRADFM enrollee must obtain a referral and/or prior authorization to receive nonemergency care from another provider.
TPR ADSMs do not need referrals, prior authorizations, or fitness-for-duty reviews to receive primary care. Specialty and inpatient services require referrals and prior authorizations from Humana Military and the Military Medical Support Office (MMSO) service point of contact (SPOC). The SPOC determines referral management for fitness-for-duty care.
To determine if a particular ZIP code falls within a TPR coverage area, use the
TRICARE ZIP code lookup tool.