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Military Health System

Important Notice about Pharmacy Operations

Change Healthcare Cyberattack Impact on MHS Pharmacy Operations. Read the statement to learn more. 

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MTF Care

Military Hospital and Clinic Care

Q1:

Why do I have to go to a military hospital or clinic? Why won’t DHA-GL help with my follow up care or pay my bills?

A:

If you live within 50 miles of a military hospital or clinic, Defense Health Agency, Great Lakes can only assist with emergent/urgent care ONLY while you are on orders under 30 days. Any care after the orders ends falls under the jurisdiction of the military hospital or clinic.

Q2:

The military hospital or clinic is refusing to see me. What do I do?

A:

Military hospitals and clinics are mandated by law to assist and render care to members within catchment of their facility. Ensure you give your approved Line of Duty to the Patient Administrator within the facility. Please refer to HA POLICY: 11-005 for more information.

Q3:

If the military hospital or clinic is unable to render care, what do I do?

A:

Speak with Patient Administrator/Referral Management at the military hospital or clinic. They should refer you out to a civilian provider.

Q4:

I was referred out by a military hospital or clinic, but my claims haven’t been paid.

A:

Contact the Beneficiary Counseling and Assistance Coordinator for assistance. To find the closest Beneficiary Counseling and Assistance Coordinator to you, click on link https://tricare.mil/bcacdcao. If the Beneficiary Counseling and Assistance Coordinator is not on the site, call the military hospital or clinic directly for the information.

Q5:

How can I track the status of my claims(s) or Line of Duty care authorizations?

A:

If you have questions or need more information about these portals, please contact your regional contractor

Unit representatives may also sign up for access to the government portal at the web address above. Claims can only be paid if you have eligibility/Line of Duty on file AND claims have been sent to the regional contractor.

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Last Updated: January 30, 2024
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