Read on to find out how the most basic health care plan that TRICARE has to offer works. With all basic medical services covered and almost zero out-of-pocket costs, this is a popular plan amongst beneficiaries.
TRICARE Prime health care plan
The TRICARE Prime health care plan is available in certain areas across the United States; in order to find out whether it caters to a certain region or not, you can simply check online by using your ZIP code. The TRICARE Prime health care plan is known for being the most easily affordable health care plan, which also provides all the minimum essential benefits that need to be provided to any individual according to the Affordable Care Act.
As soon as someone is enrolled into the TRICARE Prime health care plan, a primary care manager is assigned to him or her. This primary care manager can be chosen by the person himself or herself; this means you have the advantage of choosing a military provider or a network provider. In case you cannot do this for yourself, TRICARE can do it for you. The main benefit of having this primary care manager is that this provider will be solely responsible for managing all your health care needs. This means that you do not even need to call a doctor in order to make an appointment for yourself if the need ever arises, because the primary care manager will do it for you.
In addition to this, the primary care manager will also maintain a health record for each beneficiary assigned. Furthermore, in case you ever have to pay up front to a non-network provider, you will not have to worry about filing claims for the reimbursement because this will also be done by the primary care provider. In essence, this relieves you from a lot of hassle and paperwork.
Most of your basic and primary health care needs will be catered for by the primary care manager. However, in case the situation is such that you need to consult a specialist doctor, the primary care manager will also provide you with a referral to the specialist you need to see, as well as provide authorization for any additional services that you may require. Thus, this makes the TRICARE Prime plan a very comprehensive plan, which provides all users with a great deal of convenience.
What makes this plan extremely cost effective is that there is very little that you will have to pay out of your own pocket. If you are currently serving in the military forces, you will not even have to pay any enrollment fee. Your family members will not have to pay anything out of their own pockets either, until and unless they make use of a point-of-service option.
With all basic benefits being covered by the TRICARE Prime health care plan for almost zero payments out of your own pocket, many users are simply willing to overlook the fact that there is little choice available as far as providers of health care services are concerned. This is also because TRICARE is a system that has integrated the best health facilities of all the uniformed forces, which makes for a strong and easily accessible system.