Do I need to notify TRICARE after emergency care?
Quick Answer
Notify your regional contractor within 24-72 hours of emergency care, especially for hospital admissions requiring continued authorization.
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Key Takeaways
- Notify within 24-72 hours
- Required for hospital stays
- Ensures continued coverage
- Use number on ID card
Detailed Answer
Notification requirements depend on your plan and situation.
When to Notify
- Hospital admission
- Emergency surgery
- Continued inpatient care
- Within 24-72 hours
Why Notification Matters
- Authorizes continued care
- Ensures coverage
- Coordinates transfer if needed
- Avoids claims issues
Who to Contact
- Regional contractor
- 24/7 emergency line available
- MTF if enrolled there
- Number on ID card
What to Provide
- Patient information
- Hospital and location
- Diagnosis
- Treatment plan
- Estimated length of stay
What Happens
- TRICARE authorizes stay
- May arrange transfer
- Case management if needed
- Discharge planning
Related Questions
How do I appeal a TRICARE decision?
Appeal denied claims or coverage decisions within 90 days by submitting a written appeal with supporting documentation to your regional contractor.
How does TRICARE cover emergency room visits?
TRICARE covers emergency room visits for true emergencies regardless of network status. Copays and cost shares apply but are waived if admitted.
What do most military families add to their TRICARE coverage?
Supplemental health insurance is the most common addition — it covers dental, vision, and out-of-pocket costs that TRICARE leaves uncovered. Life insurance and a legal will are also highly recommended.
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