How does urgent care work with TRICARE?
Quick Answer
TRICARE covers urgent care at network urgent care centers or MTF urgent care clinics without prior authorization for immediate health needs.
Related Video
Key Takeaways
- For same-day non-emergency needs
- No prior authorization needed
- Network centers cost less
- Follow up with PCM after visit
Detailed Answer
Urgent care is for medical problems that need same-day attention but aren't emergencies.
When to Use Urgent Care
- Minor injuries (sprains, cuts)
- Fever or flu symptoms
- Minor infections
- Allergic reactions
- PCM not available
Where to Go
- Network urgent care centers
- MTF urgent care clinics
- After-hours clinics
- Retail health clinics
Cost Shares
- TRICARE Prime: Low copay
- TRICARE Select: Deductible + cost share
- Network: Lower cost
- Non-network: Higher cost
No Prior Authorization
- Urgent care doesn't need referral
- Go when you need care
- Follow up with PCM if needed
- Non-emergency only
Finding Urgent Care
- Use TRICARE provider search
- Filter for urgent care
- Check hours of operation
- Call before going if unsure
Related TRICARE Terms
Related Questions
What are the cost shares for TRICARE Select?
TRICARE Select has annual deductibles, percentage-based cost shares for most services, and a catastrophic cap that limits yearly out-of-pocket costs.
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.
See What's AvailableShare this page
Was this FAQ helpful?
Need personalized help with this?
Most military families leave benefits on the table. Our free 2-minute coverage check identifies gaps, finds potential savings, and gives you personalized recommendations.
Check My Coverage