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TRICARE Health Plan

The TRICARE Health Plan (THP) manages and oversees an integrated health care delivery system in the East and West U.S. TRICARE regions. The THP Director reports to and operates under the authority, direction, and control of the Director, Defense Health Agency (DHA). The THP Director has visibility of both the contract and Direct CareDirect care refers to military hospitals and clinics, also known as “military treatment facilities” and “MTFs.”direct care assets, and coordinates with the Services to develop an integrated health plan. THP includes:

Objectives

  • Deliver more comprehensive primary care and integrated health services using advanced patient-centered medical home
  • Coordinate care over time and across treatment settings to improve outcomes in the management of chronic illness, particularly for patients with complex medical and social problems.
  • Match personnel, infrastructure and funding to current missions, future missions and population demand
  • Establish more inter-Service standards / metrics, and standardize processes to promote learning and continuous improvement.
  • Create enhanced value in military medical markets using an integrated approach specified in five-year business performance plans.
  • Align incentives with health and readiness outcomes to reward value creation
 

TRICARE Health Plan Functions

We deliver health care to 9.6 million TRICARE beneficiaries through an integrated network comprised of military hospitals and clinics and civilian providers, and ensure consistency of care in accordance with statute via policy and regulations, benefit determination, and benefit design.

Manage the TRICARE Contracts

 

Support the MTF Commanders

 

Develop Business Plans Supporting Beneficiary Care

Customer Service

If you’re looking for details about your TRICARE plan, visit the TRICARE website. There, you can:

In most cases, you'll call your regional contractor first:

TRICARE East TRICARE West

Humana Military

1-800-444-5445

Health Net

1-844-866-9378

But there are times when you may need to call the DHA THP: 1-844-204-9351

Forms & Downloads

File  Description 
Guard/Reserve Briefing Request Form  Guard/Reserve units can submit this form to request a briefing from their regional contractor each year.
Supplemental Health Care Program Worksheet Use this worksheet when referring a service member under the Supplemental Health Care Program.
TRICARE Prime Remote Determination of Enrollment Eligibility Submit this form if you believe that one or more of the exceptions to the eligibility criteria for TRICARE Prime Remote enrollment are met. Only service members or unit commanders can submit this form.

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