Back to Top Skip to main content

How to choose or change your TRICARE provider

Take Command of your health Take Command of your health

Recommended Content:

TRICARE Health Program | TRICARE Changes and You

Whether you’re looking to change your primary care manager (PCM) or find a specialty care provider, you have options with TRICARE. With directories at your fingertips, you can take command of your health and your TRICARE benefit.   

TRICARE PrimeA managed care option available in Prime Service Areas in the United States; you have an assigned primary care manager who provides most of your care.TRICARE Prime: Getting Your PCM

When you enroll in TRICARE Prime, you either choose or get assigned a PCM who will manage all of your routine, non-emergency, and urgent health care. You may choose a military or network provider as your PCM, depending on your location and availability. In most cases, when you live near a military hospital or clinic, you’ll be required to have a PCM at that facility. If you don’t list a PCM on your enrollment form, TRICARE will choose one for you. Active duty service members (ADSMs) will be assigned a PCM at their military hospital or clinic.

TRICARE Prime Remote ADSMs and family members will be assigned a TRICARE network provider to serve as their PCM when available. If no network providers are available, then you may choose a TRICARE-authorized non-network provider. You’ll see that provider for most of your care and must seek a referral for specialty care.

You can use the TRICARE East Region and TRICARE West Region online directories to find a provider. Call first to confirm the provider is accepting new patients. Remember that your PCM will refer you to a specialist for specialty care.

TRICARE Overseas Program (TOP) Prime: Getting Your PCM

When you enroll in TOP Prime, you’re assigned a PCM and get most of your care from that PCM at a military hospital or clinic, or in the TRICARE civilian provider network. If you don’t have an assigned PCM, your TOP Regional Call Center will coordinate your care.

If you’re enrolled in TOP Prime Remote and don’t have an assigned PCM, then International SOS Government Services, Inc. will assist you with your health care needs. Referrals and prior authorizations are required for certain services.

TRICARE Prime: Changing Your PCM

If you already have a PCM, depending on the capacity of your military hospital, you may choose a new PCM. This may not apply to ADSMs because duty station and military unit affects PCM assignments. All other beneficiaries should check to make sure the PCM you choose is accepting new patients. If choosing a civilian PCM is an option for you, or you wish to change to another PCM at your military hospital, there are three ways to submit your change.

1. By Phone

2. Online

  • Go to the Beneficiary Web Enrollment website. (Not available overseas).
  • Click on the red “Log On” button at the top of the page.
  • Lastly, click on the “Change Primary Care Manager” button in the Actions Menu.

3. By Mail

  • Print, fill out, and mail a TRICARE Prime Enrollment, Disenrollment and PCM Change Form to your regional contractor with the new PCM’s name and address (mailing address is found on the form).
  • You only need to complete the part of the form related to the PCM change.
  • Find the forms on the TRICARE EastTRICARE West, and TRICARE Overseas websites. For USFHP, select the form for your USFHP provider.

The change is effective the date you submit the change, or a date you specify up to 90 days in the future.

TRICARE SelectStarting on January 1, 2018, TRICARE Select replaces TRICARE Standard and Extra. TRICARE Select is a self-managed, preferred provider network plan. TRICARE Select is a fee-for-service option in the United States that allows you to get care from any TRICARE-authorized provider.  Enrollment is required to participate. TRICARE Select: Finding a Provider

TRICARE Select enrollees can seek care from any TRICARE-authorized providerAn authorized provider is any individual, institution/organization, or supplier that is licensed by a state, accredited by national organization, or meets other standards of the medical community, and is certified to provide benefits under TRICARE. There are two types of TRICARE-authorized providers: Network and Non-Network.. You may choose any TRICARE-authorized provider as a primary care provider. You'll make your own specialty appointments without a referral, but will have lower out-of-pocket costs with TRICARE network providers. Use the search directory to find providers who accept TRICARE.

TOP Select enrollees may also choose from any TRICARE-authorized network provider. Some care may require a referral, so you must coordinate care with your TRICARE overseas contractor. To find a provider near you, use the overseas Provider Search tool. To confirm the type of provider listed in the provider directory, contact your TOP Regional Call Center. Press option 6 to speak with a member of the TOP Select Customer Service Team. 

Use these TRICARE resources to make finding or changing providers simpler for you and your family. And check out the TRICARE website for more help on finding a provider or changing a primary care manager.

You also may be interested in...

TRICARE Prime and TRICARE Select Out-of-Pocket Expenses for Calendar Year 2020

Policy

Memo outlining the TRICARE Prime and TRICARE Select beneficiary out-of-pocket expenses for calendar year 2020. These rates will be effective January l, 2020.

MHS Minute January 2020

Video
1/21/2020
MHS Minute January 2020

Thanks for tuning in to the *NEW* MHS Minute! Check back each month to learn about more exciting events and achievements by organizations and partners across the Military Health System!

Recommended Content:

MHS Transformation | TRICARE Health Program

Changes in TRICARE Plan Enrollment (July 2019)

Report
1/9/2020

To assess the impact of plan changing in TRICARE, we examined data from the first quarter of the 2019 Health Care Survey of Department of Defense Beneficiaries (HCSDB), which was fielded during open enrollment.

Recommended Content:

Health Care Survey of DoD Beneficiaries | TRICARE Health Program

Achievements in 2019 provide strong foundation for year ahead

Article
12/23/2019
A Year in Review: Year of Military Health 2019

Dedication, commitment to mission praised as changes continue

Recommended Content:

TRICARE Health Program | MHS GENESIS | Research and Innovation | Preventive Health | MHS Transformation | Year in Review - A Look Forward

New 3-D mammogram option the next step in diagnosis, treatment

Article
12/19/2019
Chief Hospital Corpsman Naomi Perez, a certified mammogram technician (left), conducts a mammogram for a patient at Naval Hospital Pensacola. A mammogram is a low-dose X-ray procedure used to detect the early stages of breast cancer. A policy change effective Jan. 1, 2020, will allow digital breast tomosynthesis, or 3-D mammography, to be used to screen for breast cancer. The procedure – known technically as Digital Breast Tomosynthesis (DBT) – will be offered primarily to women age 40 and older, and women age 30 and older who are considered high-risk for breast cancer.  The procedure’s 3-D images provide a more thorough means of detecting the disease. (U.S. Navy Photo by Mass Communication Specialist 1st Class Brannon Deugan)

Procedure would enhance effectiveness of breast cancer screening

Recommended Content:

TRICARE Health Program | Women's Health

3D Mammography Toolkit

Publication
12/19/2019

Recommended Content:

3-D Mammography | TRICARE Health Program | Women's Health

3D Mammogram Screensaver

Photo
12/17/2019
This graphic states information about 3-D Mammography

Share this screensaver to spread the word about 3-D Mammography coverage

Recommended Content:

3-D Mammography | Access to Health Care | TRICARE Health Program

3D Mammogram Facebook Post

Photo
12/17/2019
This graphic states information about 3-D Mammography

Share this graphic to spread the word about 3-D Mammography coverage

Recommended Content:

3-D Mammography | TRICARE Health Program

3D Mammography Infographic 1

Publication
12/16/2019

Share this infographic to spread the word about 3-D Mammography coverage

Recommended Content:

TRICARE Health Program | Women's Health | 3-D Mammography

3D Mammography Infographic 2

Publication
12/16/2019

Share this infographic to spread the word about 3-D Mammography coverage

Recommended Content:

TRICARE Health Program | Women's Health | 3-D Mammography

Talking_Points_3D_Mammography

Publication
12/16/2019

These talking points share information about 3-D mammography

Recommended Content:

TRICARE Health Program | Women's Health | 3-D Mammography

TRICARE Specialty Drug Network Accessibility

Congressional Testimony
12/13/2019

H.R. 2500, HASC Report for FY 2020, 116-120, Pg. 167

Recommended Content:

TRICARE Health Program

Open Season and BWE Issue Annex

Publication
11/23/2019

This Open Season and BWE Issue Annex contains products with additional information about how to enroll during Open Season

Recommended Content:

Open Season 2019 | TRICARE Health Program

Open Season Logo ANNEX Secondary Logo

Photo
11/22/2019
This logo is a reminder that Open Season is Nov 11 to Dec 9, 2019

Share this on social media!

Recommended Content:

TRICARE Health Program | Open Season 2019

Open Season Logo ANNEX Primary Logo

Photo
11/22/2019
This logo is a reminder that Open Season is Nov 11 to Dec 9, 2019

Share this on social media!

Recommended Content:

TRICARE Health Program | Open Season 2019
<< < 1 2 3 4 5  ... > >> 
Showing results 1 - 15 Page 1 of 17

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

Some documents are presented in Portable Document Format (PDF). A PDF reader is required for viewing: Download a PDF Reader or learn more about PDFs.