Treatment FAQ

tricare south how to change treatment facilities pcm

by Dolores Dicki Published 3 years ago Updated 2 years ago

*If you are a TRICARE Prime beneficiary and want to change your PCM to a network provider, please call the provider first to see if they are accepting new patients. If you have selected a civilian PCM or you wish to change to another PCM within the military hospital, you can submit your request through Beneficiary Web Enrollment (BWE).

Go to the Family Members list and select whose PCM you want to change. On the Medical Enrollments tab, select the "Change PCM" button. On the “Change PCM” page, select the reason you want to change your PCM. On the “Change PCM - Select Provider Type” page, select a provider type.Mar 23, 2021

Full Answer

How do I change the PCM on my Tricare plan?

In the Mail. Mail a TRICARE Prime Enrollment, Disenrollment and PCM Change Form to your regional contractor with the new PCM's name and address (mailing address is found on Page 3 of the form). You only need to complete the part of the form related to the PCM change.

How many regions does Tricare operate in?

TRICARE is available worldwide and managed in three separate regions. The two U.S. regions are shown here. Anywhere outside of the U.S. is considered overseas Each region has its own regional contractor

How do I contact the TRICARE service centers?

(WPS-Military and Veterans Health) Toll-Free: 1-866-773-0404 TDD: 1-866-773-0405 TRICARE Service Centers Eurasia-Africa Area

How do I Change my PCM within the military hospital?

If you have selected a civilian PCM or you wish to change to another PCM within the military hospital, you can submit your request through Beneficiary Web Enrollment (BWE). Please remember that if you select the default date of six days in the future, the effective date of the change will be made retroactive to the date the request was submitted.

How do I change my PCM with TRICARE Prime?

*You must live in a PSA or qualify for TRICARE Prime Remote to use the online tool.Within two weeks, you will receive an email or postcard to view the change at milConnect.If you make the change online or by fax/mail, confirm your assignment before seeing the new PCM.

How often can you change your PCM with TRICARE?

You may change your Primary Care Manager (PCM) at any time as long as the desired PCM is accepting new patients and your request complies with local military hospital guidelines.

How do I contact PCM with TRICARE?

You may call the Appointment Call Center at (910) 450-4357 (HELP) to schedule appointments with your PCM or specialty care provider.

Do I need to select a PCM for TRICARE Select?

Under TRICARE Select, you aren't required to have a PCM. You manage your own health care and can receive care from any provider. However, you can save money with TRICARE Select if you see a TRICARE-authorized network provider.

How do I change my PCM in TRICARE patient portal?

Go to the Family Members list and select whose PCM you want to change. On the Medical Enrollments tab, select the "Change PCM" button. On the “Change PCM” page, select the reason you want to change your PCM. On the “Change PCM - Select Provider Type” page, select a provider type.

How do I change PCM on milConnect?

On the Medical Enrollments tab, select the Change PCM button....Changing Your Primary Care Manager (PCM)Select a facility from the list that appears, then select Continue.Fill in optional fields if applicable.Select a Place of Care from the list.

How do I contact TRICARE South?

1-800-600-9332.Country specific phone numbers.

How do I change my TRICARE region?

Moving to Another TRICARE Region You can begin your enrollment transfer before you move. To start the process, call your new contractor as soon as you know you're moving. Starting the process over the phone before you move is the easiest and fastest way to transfer your TRICARE Prime enrollment.

When can I change my TRICARE plan?

Making Enrollment Changes Outside of Open Season A TRICARE QLE opens a 90-day period for you to make eligible enrollment changes. A QLE for one family member creates a chance for all eligible family members to make enrollment changes.

What is the role of a TRICARE PCM?

Tricare defines a primary care manager as: "A civilian network provider or military treatment facility provider who provides primary care services to Tricare beneficiaries." Most families with Tricare Prime or Prime Remote have a primary care provider. This is the person to run to for all non-emergency services.

Should I pick TRICARE Prime or select?

“For example, if you want a primary care manager to coordinate your care, TRICARE Prime might be right for you. If you would prefer more flexibility when picking specialty providers, consider TRICARE Select.”

Can TRICARE Select use military treatment facilities?

You can get care at military hospitals and clinics on a space available basis. If you live near a military hospital or clinic, it should be your first source for treatment, especially for specialty care when available. There is no cost for outpatient services and inpatient services only have a small copayment per day.

When can I change my TRICARE plan?

Making Enrollment Changes Outside of Open Season A TRICARE QLE opens a 90-day period for you to make eligible enrollment changes. A QLE for one family member creates a chance for all eligible family members to make enrollment changes.

Can TRICARE Prime see civilian doctors?

If you're looking for a doctor, TRICARE can help. Your coverage enables you to visit several types of providers. You may get care from a provider at a military hospital or clinic or from a civilian TRICARE-authorized provider. There are two types of TRICARE-authorized providers: Network and Non-Network.

How do I change my TRICARE remote?

Call your regional contractor: East—Humana Military: 1-800-444-5445. West—Health Net: 1-844-866-9378....Go to the milConnect website:Click on "Beneficiary Web Enrollment"Click the red "Log On" link at the top of the page.Select the “Medical” tab to enroll.

What is MTF TRICARE?

Military hospitals and clinics are found at military bases and posts around the world. They are also referred to as "military treatment facilities" or "MTFs." Use the fields below to find a military hospital or clinic near you. There are two ways you can find your local hospital or clinic.

Request a change online

If you have selected a civilian PCM or you wish to change to another PCM within the military hospital, you can submit your request through Beneficiary Web Enrollment (BWE). Please remember that if you select the default date of six days in the future, the effective date of the change will be made retroactive to the date the request was submitted.

Request a change by mail

You also have the option to submit your request by mailing in a completed TRICARE Prime enrollment and PCM change form or by contacting a customer service representative.

Receive confirmation

Once your PCM change is processed, you will receive either an e-mail or postcard with instructions to access milConnect for the new PCM name and telephone number. All change requests are subject to the military hospital Commander guidelines. PCM changes are effective based on when we receive the request.

Who does PCM work with?

Your PCM works with your regional contractor for the referral and authorization.

What does PCM do?

Your PCM gives you a referral for most services that he or she can't provide. ( See Exceptions ) Your PCM works with your regional contractor for the referral and authorization. Your contractor will try to refer you to a military hospital or clinic first. If not available, you'll be referred to a network provider (in your region).

What does PCM mean in medical?

You need a referral from your primary care manager (PCM) for any care he/she doesn't provide. This includes urgent, routine, preventive, and specialty care services. Your PCM works with your regional contractor for the referral and authorization. Your contractor will try to refer you to a military hospital or clinic first.

Can you get care without seeing your PCM?

You can’t get any care without seeing your PCM first. If you do, you may be responsible to pay for the care out-of-pocket.

Can you change your primary care manager?

Choose or change your primary care manager ( PCM)—you can even choose the same PCM for all family members at the same time

Can you report tricare supplements to other health insurance?

Report other health insuranceHealth insurance you have in addition to TRICARE, such as Medicare or an employer-sponsored health insurance. TRICARE supplements don’t qualify as "other health insurance." information

Where are military hospitals?

Military hospitals and clinics are found at military bases and posts around the world. They are also referred to as "military treatment facilities" or "MTFs." Use the fields below to find a military hospital or clinic near you.

Is tricare a trademark?

TRICARE is a registered trademark of the Department of Defense (DoD), DHA. All rights reserved.

What is the phone number for Tricare?

If you're using TRICARE For Life in the U.S. or a U.S. Territory, call 1-866-773-0404 or visit www.tricare4u.com.

How to contact USFHP?

If you're using the US Family Health Plan, call 1-800-74-USFHP (1-800-748-7347) or visit www.usfhp.com.

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