How to use TRICARE at urgent care?
Quick Answer
Use TRICARE at urgent care centers for non-emergency needs without a referral or pre-authorization. Standard outpatient copays apply. Use network urgent care for lower costs.
Detailed Answer
TRICARE covers urgent care visits at authorized urgent care centers for medical conditions that require prompt attention but are not life-threatening emergencies. No referral or pre-authorization is needed for urgent care visits under any TRICARE plan, including Prime. When visiting urgent care, bring your military ID card and TRICARE plan information. Using a TRICARE network urgent care center will result in lower out-of-pocket costs, as network providers accept TRICARE-negotiated rates and file claims on your behalf. Appropriate conditions for urgent care include minor injuries (sprains, cuts, minor burns), ear infections and sore throats, urinary tract infections, mild allergic reactions, fever without other serious symptoms, and minor rashes. For true medical emergencies (chest pain, severe bleeding, difficulty breathing, stroke symptoms), go to the nearest emergency room instead. After an urgent care visit, follow up with your PCM or regular provider as recommended. TRICARE Prime enrollees should notify their PCM about urgent care visits within 24 hours or on the next business day. Standard outpatient visit copays apply for urgent care, and costs vary based on your plan type and provider network status.
Related TRICARE Terms
Related Questions
How do I find a TRICARE provider?
Use the online provider directory on your regional contractor's website or call them directly for assistance.
What is the TRICARE Nurse Advice Line?
The TRICARE Nurse Advice Line is a 24/7 telephone service where registered nurses provide health advice, help assess symptoms, and direct beneficiaries to appropriate care.