How Do I Know What Tricare Region I Am in

Locating Providers

How do I locate a provider in the TRICARE West Region or in another TRICARE region?

Below is a list of regions and the states that are included. Be sure you are following your plan option rules for authorization and referral requirements when seeking care.

West Region
To locate providers in the TRICARE West Region, use our Provider Directory.

States included in the West Region: Alaska, Arizona, California, Colorado, Hawaii, Idaho, Iowa (except the Rock Island Arsenal area), Kansas, Minnesota, Missouri (except the St. Louis area), Montana, Nebraska, Nevada, New Mexico, North Dakota, Oregon, South Dakota, Texas (the western region including Amarillo, Lubbock and El Paso), Utah, Washington, and Wyoming.

East Region
The contractor for the East Region is Humana Military. You can locate providers in the states below using Humana Military's provider locator.

States included in the East Region: Alabama, Arkansas, Connecticut, Delaware, the District of Columbia, Florida, Georgia, Illinois, Indiana, Kentucky (except Ft Campbell), Louisiana, Maine, Maryland, Massachusetts, Michigan, Mississippi, Missouri (St. Louis area), New Hampshire, New Jersey, New York, North Carolina, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, Tennessee, a major portion of Texas (except for the extreme southwestern El Paso area), Vermont, Virginia, West Virginia and Wisconsin.

How do I locate a military hospital or clinic?

Locate a military hospital or clinic using TRICARE's Military Hospital or Clinic Locator.

How do I locate a pharmacy?

Visit TRICARE's Prescriptions page to locate a military treatment facility pharmacy and learn more about the pharmacy benefit.

In addition you can visit Express Scripts to find a local retail pharmacy or switch to TRICARE Pharmacy Home Delivery.

How do I locate a dentist?

Learn more about the dental benefit on TRICARE's My Dental Coverage page. Find your beneficiary category and click on the link to your dental plan. This page provides a summary of your dental benefits and includes a link to locate dental providers.

What is the difference between a network and non-network provider?

A network provider is a civilian provider who has completed the credentialing process and signed a contracted agreement to be part of the network of providers who participate in the TRICARE program. A network provider accepts the negotiated rate as payment in full for services rendered.

A non-network provider is a civilian provider who is authorized to provide care to TRICARE beneficiaries, but has not signed a network agreement. Non-network providers meet TRICARE licensing and certification requirements, and are certified by TRICARE to provide care to TRICARE beneficiaries. There are two types of non-network providers – participating and nonparticipating.

• Nonparticipating Provider: An authorized hospital, institutional provider, physician, or other provider that furnishes medical services (or supplies) to TRICARE beneficiaries, but has not signed an agreement and does not agree to accept assignment. A nonparticipating provider may balance bill up to 115 percent of the TRICARE allowable charge.
• Participating Provider: Providers who participate in TRICARE or accept assignment agree to file claims for TRICARE beneficiaries, accept payment directly from TRICARE and accept the TRICARE-allowable charge as payment in full for their services. Non-network individual providers may participate on a case-by-case basis. Providers must seek applicable copayments, cost-shares and deductibles from the beneficiary. Hospitals that participate in Medicare must, by law, also participate in TRICARE for inpatient care. For outpatient care, they may or may not participate.

How Do I Know What Tricare Region I Am in

Source: https://www.hnfs.com/content/hnfs/home/tw/bene/res/faqs/beneficiary/locating_providers.html

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