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To increase access to care, the Department of Defense is launching an
Urgent Care Pilot Program for TRICARE Prime beneficiaries.
This program allows Prime enrollees two visits to a network or
TRICARE authorized provider without a referral or prior authorization.
The Urgent Care Pilot Program, scheduled to begin spring 2016, is for:
• Active Duty Family Members (ADFMs) enrolled in TRICARE Prime or
TRICARE Prime Remote
• Retirees and their family members who are enrolled in Prime within
the 50 United States or the District of Columbia
• ADSMs enrolled in TRICARE Prime Remote and stationed overseas
but traveling stateside
Active Duty Service Members (ADSMs) enrolled in TRICARE Prime are
not eligible for this program as their care is managed by their Service.
This pilot also excludes Uniformed Services Family Health Plan
(USFHP) enrollees.
TRICARE Overseas Program (TOP) enrollees can receive an unlimited
number of urgent care visits, but only when they are traveling stateside
and seeking care.