FORT LEE, Va. (June 23, 2016) -- Summer vacation season is underway, and the Kenner Army Health Clinic team at Fort Lee wishes everyone heading out of town a safe and enjoyable trip. Also, here are a few things to keep in mind when traveling with TRICARE Prime:
• Plan ahead for routine care – Remember, TRICARE Prime enrollees are required to obtain all routine medical checkups from their primary care manager. Routine care includes management of chronic health conditions, standard physicals and requests for prescription refills. If the medical need can be handled before leaving or can be delayed until the return home, it is considered “routine care.”
• Prescriptions on the road – It’s smart to get routine prescriptions filled before travel, but if beneficiaries need a refill while away from home they can visit a military pharmacy if one is nearby. It’s a good idea to call first to see if they have the medication on hand.
Find the closest network pharmacy available in the U.S. and its territories. If a network pharmacy isn’t available, visit a non-network pharmacy; however, this will result in a point of service deductible and 50-percent cost share after the deductible is met.
• Emergencies – An emergency is a serious medical condition that could result in the loss of life, limb or eyesight. If experiencing an emergency, call 911 or visit the nearest hospital emergency room. Emergency care does not require prior authorization before treatment. If follow-up or specialty treatment resulting from an emergency room visit is needed, contact the PCM for an authorization.
• Out-of-area urgent care – For urgent care while traveling, call the Nurse Advice Line at (800) 874-2273 and choose option 1 to speak to a registered nurse who can provide medical advice and, if necessary, authorize urgent care at a local clinic. Failure to obtain an authorization prior to receiving care will cause TRICARE to deny payment for the visit and will result in being billed directly for services.
• Non-emergency care for active duty service members – Patients must receive all non-emergency care at a military treatment facility if one is available. If an MTF is not available or unable to provide an appointment, beneficiaries must obtain prior authorization from their PCM or from the Nurse Advice Line before receiving non-emergency care.
For further information and assistance while traveling, call the KAHC Patient Appointment Line at 1-866-LEE-KAHC or (866) 533-5242 and DEERS at (800) 363-2273.