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Medical Reimbursement -- Question & Answer Listing  
Viewing 1-4 of 4 Knowledge Entries
Question / Answer

Question:
Are there any discounts associated with using a provider who is part of the TRICARE Extra Network?

Answer:
If you seek care from a provider who is part of the TRICARE Extra Network, you get a discount on services and have reduced cost-shares.

Question:
Do I need a non-availability statement (NAS) from a military hospital stating that it cannot provide the care I need before I seek care from a civilian source if I have TRICARE Standard?

Answer:
A Non-Availability Statement (NAS) is a certification by a uniformed services medical facility that a specific type of non-emergency care is not available at that facility, at a specific time, to a patient who needs that care, and who lives within a certain radius of the Military Treatment Facility (MTF). Until December 28, 2003, TRICARE Standard beneficiaries were required to obtain an NAS prior to seeking non-emergency treatment at a civilian source as opposed to an MTF. Under the 2002 National Defense Authorization Act, the Department of Defense military health system eliminated the requirement for TRICARE Standard beneficiaries to obtain an NAS on Dec. 28, 2003. An exception in the law continues the requirement for an NAS for non-emergency inpatient mental healthcare services.

Question:
If I am enrolled in TRICARE Prime, can I get medical attention from a civilian resource outside my TRICARE Prime service area?

Answer:
TRICARE Prime will only pay for emergency services unless a civilian resource is authorized in advance.

Question:
Where do my medical expense claims go for care I received outside the country?

Answer:
If you live in an area where TRICARE is in full operation, your claims for care received outside the country will go to the TRICARE contractor for the area in which you live.
Viewing 1-4 of 4 Knowledge Entries

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