TRICARE

TRICARE Enrollment

Beginning Jan. 1, 2018, TRICARE beneficiaries will automatically be enrolled in their current TRICARE plan. Military beneficiaries seeking a new enrollment (excluding active duty and active duty family members) must enroll in a TRICARE plan. Those who do not enroll will only have access to space available care in military facilities.

Upon enrollment, you will be assigned to a primary care manager. Patients enrolled to TRICARE Prime must use their PCM to coordinate all primary and specialty care. You may switch your PCM by contacting your primary care clinic.

We will make every effort to accommodate your request; however, assignment to a specific PCM will be based on that PCM’s current capacity and the severity of your illness.

TRICARE Select

TRICARE Select replaced TRICARE Standard and TRICARE Extra on Jan. 1, 2018 and now requires enrollment. The Annual Open Enrollment period runs from November through December, or within 90 days of a qualifying life event (change in zip code, marriage, divorce, birth, etc.). Under the Select plan, you may obtain care from any TRICARE authorized provider without a referral or authorization. If you go to a TRICARE network provider for care, you will pay lower cost sharing amounts.

Registration

All new active duty and active duty family member patients at the 86th Medical Group must register in our automated patient database, called the Composite Health Care System, to make appointments. To register in CHCS, stop by building 2114 and talk with the Enrollments team. Telephone: 314-479-2557, or Local Line: 06371-46-2273. The main phone line is open from 7 a.m. to 4:30 p.m., Monday through Friday.

Appointments

TRICARE Prime beneficiaries enrolled at the 86 MDG may schedule an appointment by calling the main phone line and selecting the appropriate phone tree option. Appointments may also be scheduled online at TRICARE Online.

We adhere to the following Access to Care Standards when booking primary care appointments:

• Future: Appointments up to four months into the future
• 24 Hour: Not to exceed 24 hours
• Wellness: Not to exceed 28 days

TOL PATIENT Portal Secure Messaging

TOL Patient Portal Secure Messaging is an online service that enables patients to communicate securely and privately with their health care team. It allows for a more secure exchange of health information compared to using a personal e-mail account.

The Secure Messaging feature of the TOL Patient Portal allows patients to:

• Request their next appointment
• Request medication renewals
• Receive test and lab results
• Communicate online with the health care team about non-urgent symptoms
• Request a copy of their immunization records
• Access a large library of patient education materials
• Receive upcoming notices of closures and events

Secure Messaging participation is limited to those beneficiaries enrolled to a PCM at the military treatment facility. To learn more about secure messaging visit the TOL Patient Portal at TRICARE Online.

TRICARE Claims

For information about claims processing or to check the status of your claims submission, please contact International SOS at 1 877-678-1207. Claim forms and information may also be obtained at TRICARE.

Beneficiary Counseling and Assistance Coordinator

For more information on TRICARE benefits, please contact the Beneficiary Counseling and Assistance Coordinator. If you have a concern, contact a Beneficiary Counselor and Assistance Coordinator. Telephone: 314-479-2621 or DSN: 25562611/2632

TRICARE Overseas beneficiaries should submit their claims online.