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mental-health
Do I need a referral for mental health care under TRICARE?
Verified by TRICARE.com Editorial Team
Updated 2024-12-01
AI-assisted (gemini, gpt-4o)
Quick Answer
No referral needed for first 8 mental health visits yearly. TRICARE Prime requires referral after 8 visits; TRICARE Select never requires referrals for mental health.
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Key Takeaways
- First 8 visits: no referral
- Prime: referral after 8
- Select: never needs referral
- Crisis care always covered
Detailed Answer
TRICARE has specific referral rules for mental health:
First 8 Outpatient Visits (All Plans)
- No referral required
- No authorization required
- Per beneficiary per year
- Applies to outpatient care only
After 8 Visits
- TRICARE Prime: Referral from PCM required
- TRICARE Select: No referral needed
- Authorization may be required
Exceptions (No Referral Needed)
- Crisis situations
- Emergency mental health
- Inpatient admission (crisis)
- Substance use evaluations
Prime Referral Process
- Contact PCM for referral
- PCM may refer to MTF or civilian provider
- Referral good for specified visits
- Can request extension if needed
Finding Providers
- Use TRICARE provider directory
- Filter for mental health specialty
- Check if accepting new patients
- Verify network status
Helpful Tips
- Track your annual visits
- Request referral before running out
- Crisis care never needs referral