Changes to TRICARE urgent care referral requirements

MCCONNELL AIR FORCE BASE, Kan.— TRICARE’s urgent care referral requirements recently changed.

Non-active duty beneficiaries, including retirees and dependents, no longer need a referral or authorization for urgent care. However, in order to avoid claims issues during the transition, it’s recommended that all Prime patients continue to receive a referral for urgent care through Jan. 19.

TRICARE Prime active-duty service members, not including those with TRICARE prime Remote, must continue to contact their primary care manager or the nurse advice line to schedule an appointment or obtain a referral for urgent care services.

Point of services charges no longer apply for urgent care, but prime retirees and their family members will pay a $30 co-payment for urgent care. The Urgent Care Pilot previously limited to two yearly self-referred visits per patient is no longer in effect.

Please call 316-759-5944 or visit the 22nd Medical Group TRICARE Office, which is open Monday-Friday from 7:30 a.m. to 4:30 p.m. with any medical billing issues. For more information on the TRICARE changes, visit www.tricare.mil.