Disclaimer


TRICARE Extra

About TRICARE Extra

Members eligible for TRICARE are allowed to take advantage of the benefits offered through the TRICARE Extra plan. TRICARE Extra is not available to members on active duty. Under this program, you can choose you own doctor if do not have one, and these doctors are approved and also recommended by TRICARE. There are no claims filed through TRICARE so the paperwork is very minimal.

Changing to TRICARE Extra is a simple process.  Members just need to stop into one of the military offices, talk to any network providers, and they will help you make the switch. If you are already using DEERS (Defense Enrollment Eligibility Reporting System), you are eligible without applying for TRICARE Extra. TRICARE does not have any designated primary care managers, it’s not available in all the areas, and the list of the providers is very limited. Providers are TRICARE network-authorized and you can schedule an appointment with any of those care providers.

TRICARE Extra does not require any annual payment fees specifically for TRICARE Extra, but you must be enrolled specifically in this program to take advantage of its benefits. TRICARE Standard and TRICARE Extra have the same method of determining deductibles and cost-sharing. After the deductible has been reached, the cost share for TRICARE Extra a network provider is 15% for an active-duty family member. Some other TRICARE Extra participants pay a 20% cost-share of the contracted amount.

TRICARE EXTRA DETAILS

Advantages:

  • You have an option of using TRICARE Standard
  • No forms to file
  • No balance billing
  • No enrollment fee
  • Co-payment for an officer who is on active duty or members of the family pays less than 5% than TRICARE Standard copayment

Limitations:

  • You have co-payments
  • You pay a deductible
  • Limited health care provider choices
  • Not available overseas
  • No Primary Care Manager

You can get a list of TRICARE Extra providers by contacting your local TRICARE Service Center at http://www.tricare.mil/ContactUs/CallUs/TSC.aspx.

2 comments

  1. Could you please help me navigate your website to find the fee schedule for PCPs? Thank you.

Leave a Reply

Your email address will not be published. Required fields are marked *