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TRICARE Plus
TRICARE
Plus is a military treatment facility primary care enrollment program
that is offered at selected local military treatment facilities. All
beneficiaries eligible for care in military treatment facilities (except
those enrolled in TRICARE Prime, a civilian HMO, or Medicare HMO) can
seek enrollment for primary care at military treatment facilities where
enrollment capacity exists. Non-enrollment in TRICARE Plus does not
affect TRICARE For Life benefits or other existing programs.
TRICARE Plus Benefits:
Your primary care manager at the military treatment facility is your
principal health care provider.
You may still get care from civilian and/or Medicare providers. TRICARE
Standard/Extra or Medicare rules apply. TRICARE will be second payer to
Medicare for TRICARE-covered services for beneficiaries who are entitled
to Medicare Part A and who have Medicare Part B coverage.
You are not locked into an HMO-like program.
There are no enrollment fees.
You get primary care appointments with the same access standards as
TRICARE Prime enrollees.
TRICARE Plus enrollment is noted on your records in the Defense
Enrollment Eligibility Reporting System.
TRICARE Plus Limitations:
TRICARE Plus is not available at all military treatment facilities.
Local commanders may continue or discontinue TRICARE Plus at their
military treatment facilities depending on their capacities,
capabilities and missions.
TRICARE Plus is a military treatment facility primary care access
program, not a health plan, so it has no effect on civilian provider
care, and TRICARE Standard/Extra rules will apply for most enrollees.
TRICARE Plus does not guarantee access to specialty care at the military
treatment facility where you are enrolled.
TRICARE Plus is not a portable benefit. Your enrollment at one facility
does not guarantee access at another facility.
We encourage TRICARE Plus enrollees to get all their nonemergency
primary care at the military treatment facility where they are enrolled.
The local military treatment facility reviews enrollment in TRICARE Plus
annually. You may be disenrolled if capacity is no longer available.
For more information about TRICARE Plus, call 1-888-DOD-LIFE
(1-888-363-5433), or check the TRICARE Website.
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out about the benefits that are afforded to your soldier, yourself as an
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