45th Medical Group Patrick SFB: TRICARE Guide

## Quick answer The 45th Medical Group at Patrick Space Force Base (PSFB) serves as the primary outpatient healthcare facility for Space Force Guardians, Air Force Airmen, and their families in the Cocoa Beach/Melbourne, Florida area. While it does not have an emergency room or inpatient beds, it provides primary care, pediatrics, and flight medicine to TRICARE Prime enrollees.

## In detail The 45th Medical Group (45 MDG) is an outpatient-only clinic located on Patrick Space Force Base. It operates as a Patient Centered Medical Home (PCMH), meaning most beneficiaries must be enrolled in TRICARE Prime or TRICARE Plus to receive care here.

Note: *TRICARE.Com is an independent reference site and is not the official TRICARE program or a government entity. For official policies, visit TRICARE.mil.*

### Available Services Because the facility lacks an ER and surgical suites, it focuses on readiness and family health: * **Family Health & Pediatrics:** Routine checkups, immunizations, and chronic disease management. * **Flight Medicine:** Specialized care for aircrews and those on flight status. * **Dental:** Limited primarily to active duty personnel. * **Pharmacy:** Full-service pharmacy for new prescriptions and refills. * **Ancillary Services:** Laboratory services and basic Radiology (X-ray).

### Regional Management As of 2026, the 45th Medical Group operates within the **TRICARE East Region**. * **Regional Contractor:** Humana Military. * **Referrals:** If you require specialty care (like cardiology or surgery), your 45 MDG primary care manager (PCM) will submit a referral through Humana Military to a network provider in the Melbourne/Viera/Merritt Island area.

### Pharmacy Services The Patrick SFB pharmacy is a high-volume site. * **Main Pharmacy:** Located inside the clinic for new prescriptions. * **Satellite Pharmacy:** Located at the Base Exchange (BX) for refills. * **Mandatory Call-In:** Refills must typically be requested via the automated phone line or the MHS GENESIS Patient Portal before pickup.

### 2026 TRICARE Costs at 45 MDG Care received directly *inside* the 45 MDG clinic follows the standard Military Treatment Facility (MTF) fee schedule:

## Who this applies to * **Active Duty Guardians/Airmen:** Must receive primary care at 45 MDG unless a waiver is granted. * **Active Duty Family Members (ADFM):** Eligible to enroll in TRICARE Prime with 45 MDG as their PCM for $0 out-of-pocket costs for clinic visits. * **Retirees and their Families:** May enroll at 45 MDG if space is available. If the clinic is at "max capacity," retirees must use the TRICARE Select network or TRICARE Prime with a civilian PCM. * **TRICARE For Life (TFL) Beneficiaries:** Primarily use 45 MDG for pharmacy services; clinical care is usually handled by Medicare providers off-base.

Common scenarios

### 1. Active Duty Wellness Check A Space Force Captain at Patrick SFB needs their annual Physical Health Assessment (PHA). They book through Flight Medicine at 45 MDG. There is **$0 cost**, and all laboratory work is done on-site.

### 2. Family Member Sick Visit An Active Duty spouse enrolled in TRICARE Prime at 45 MDG brings their child in for an ear infection. Because the 45 MDG is their assigned MTF, the visit and the resulting antibiotics from the base pharmacy cost **$0 (2026 rates)**.

### 3. Retiree Specialist Referral A retired Master Sergeant enrolled in TRICARE Prime at 45 MDG needs a dermatology consult. The 45 MDG PCM issues a referral. The retiree sees a specialist in Viera. Under 2026 TRICARE Prime retiree rates, the specialist copay is approximately **$38–$42 per visit** (Active Duty families would pay $0).

## Related terms * **MTF:** Military Treatment Facility (the clinic itself). * **PCM:** Primary Care Manager; your main doctor who coordinates all your care. * **MHS GENESIS:** The electronic health record system used for booking appointments and messaging doctors at Patrick SFB. * **Humana Military:** The contractor managing the TRICARE East region. * **Space-Available Care:** Care provided to those not enrolled at the clinic, only if there are open appointments (rare at Patrick).

## Sources * **TRICARE.mil - Patrick Space Force Base:** https://www.tricare.mil/mtf/Patrick * **45th Medical Group Official Site:** https://patrick.tricare.mil/ * **Humana Military (East Region):** https://www.humanamilitary.com/ * **Defense Health Agency (DHA):** https://health.mil/