TRICARE and Humana Military
What is TRICARE?
TRICARE is the Department of Defense’s worldwide health care program available to eligible beneficiaries in any of the seven uniformed services—the U.S. Army, U.S. Navy, U.S. Air Force, U.S. Marine Corps, U.S. Coast Guard, Commissioned Corps of the U.S. Public Health Service, and the Commissioned Corps of the National Oceanic and Atmospheric Administration. TRICARE-eligible beneficiaries may include active duty service members (ADSMs) and their families, retired service members and their families, National Guard and Reserve members and their families, survivors, certain former spouses, and others.
TRICARE brings together military and civilian health care professionals and resources to provide high-quality health care services. TRICARE is managed in three stateside regions—TRICARE North, TRICARE South, and TRICARE West. In these U.S. regions, TRICARE is managed jointly by the TRICARE Management Activity (TMA) and TRICARE Regional Offices. TMA has contracted with civilian regional contractors in the North, South, and West regions to assist TRICARE regional directors and military treatment facility (MTF) commanders in operating an integrated health care delivery system. Your Regional Contractor
Humana Military Healthcare Services, Inc. (Humana Military), administers the TRICARE program in the South Region, which includes Alabama, Arkansas, Florida, Georgia, Louisiana, Mississippi, Oklahoma, South Carolina, Tennessee (excluding the Ft. Campbell area), and Texas (excluding the El Paso area).
Humana Military is committed to preserving the integrity, flexibility, and durability of the Military
Health System by offering beneficiaries access to the finest health care services available, thereby contributing to the continued superiority of U.S. combat readiness.
Humana Military Network Subcontractors and Vendors
Humana Military develops and maintains TRICARE contract administration and utilizes various partnerships for certain services:
ValueOptions, Inc. (ValueOptions), is Humana Military’s behavioral health care contractor in the TRICARE South Region. ValueOptions is the largest privately held behavioral health managed care company in the nation.
PGBA, LLC (PGBA), is Humana Military’s claims processing contractor in the TRICARE South Region. PGBA is one of the largest subsidiaries of BlueCross BlueShield of South Carolina.
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