| | A PUBLICATION FOR TRICARE® BENEFICIARIES | Issue 1 | 2024 | | |  Knowing what TRICARE covers can help you make the most of your benefit and avoid unexpected costs. Learn more about your medical and pharmacy coverage. | | | Are you preparing for a trip to the doctor's office or the pharmacy? If so, make sure you have proof of your TRICARE coverage. Keep reading to ensure you have everything you need before your next provider appointment. | | Starting March 1, Accredo will provide specialty drugs and enhanced clinical services if you fill specialty prescriptions with TRICARE Home Delivery. Accredo will also stay in the TRICARE network as an in-network retail pharmacy. | | West Region Do you know the difference between referrals and pre-authorizations? Depending on your TRICARE plan's requirements, you may need a referral or a pre-authorization to get the care you need. Learn more about how and where to get care. | East Region Did you know the average life expectancy for men is almost six years less than it is for women? If you're a man, you can prioritize and improve your health by using your TRICARE preventive care benefits. | |  Health care fraud and abuse occur when a person or organization deliberately lies or misleads to gain a benefit they shouldn't receive. You can play an important role in identifying and reporting practices that don't seem appropriate. |  In some emergencies, an ambulance could be the difference between life and death. Fortunately, your TRICARE plan covers ambulance services in these situations. | | | Yes, if enrolled in one of the plans below, you must ask your primary care manager for a referral to get a second opinion. - TRICARE Prime
- TRICARE Prime Overseas
- TRICARE Prime Remote
- TRICARE Prime Remote Overseas
- TRICARE Young Adult-Prime
- US Family Health Plan
For all other TRICARE plans, you may get a second opinion without a referral. If you have TRICARE For Life coverage and live in the U.S. or a U.S. Territory, you must follow Medicare's rules. | | Filing TRICARE Claims Usually, your provider will file your medical claims for you. But sometimes, you may need to submit a claim for care in the U.S. and U.S. territories. You may need to file your own claim if you: - Get care when traveling
- Get care from a non-participating provider
- Use TRICARE For Life and see Medicare non-participating provider
For care you get in the U.S. and U.S. territories, you must file a claim within a year of service. Visit Filing Claims to learn more. | | | |
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