Urgent Care
Quick Definition
Immediate medical care for non-life-threatening conditions that need attention within 24 hours.
Full Definition
Urgent care provides medical treatment for conditions that require immediate attention but are not life-threatening emergencies. TRICARE covers urgent care services, providing beneficiaries with access to timely care when their primary care provider is unavailable.
When to use urgent care: • Minor fractures and sprains • Cuts requiring stitches • Minor burns • Fever or flu symptoms • Ear infections • Urinary tract infections • Allergic reactions (non-severe) • Minor injuries and accidents
Urgent care vs. emergency care: • Urgent care: Non-life-threatening conditions needing prompt treatment • Emergency care: Life-threatening conditions requiring immediate intervention • Using urgent care for non-emergencies can save significant costs
TRICARE urgent care costs: • TRICARE Prime: Copay per visit (generally lower than ER copay) • TRICARE Select: Cost-share after deductible • No prior authorization or referral needed for urgent care • Available at urgent care centers, MTFs, and some retail clinics
Accessing urgent care: • Use TRICARE network urgent care centers for lower costs • Call the Nurse Advice Line for guidance on appropriate care level • Notify your PCM within 24 hours of receiving urgent care • Keep documentation for your records
Using urgent care appropriately instead of the emergency room can save you money and help ensure emergency departments are available for true emergencies.
Related Questions
How does TRICARE cover emergency room visits and urgent care?
TRICARE covers emergency care worldwide without prior authorization. Visit nearest ER for emergencies; urgent care for non-emergencies.
How do I find a TRICARE provider?
Use the online provider directory on your regional contractor's website or call them directly for assistance.
How does urgent care work with TRICARE?
TRICARE covers urgent care at network urgent care centers or MTF urgent care clinics without prior authorization for immediate health needs.
How does TRICARE cover urgent care visits?
TRICARE covers urgent care for non-emergency situations needing same-day care. Network urgent care centers are preferred with lower copays.
Related Terms
Copayment
Fixed amount you pay for covered services.
Network Provider
Healthcare provider contracted with TRICARE.
Primary Care Manager(PCM)
Your main doctor who coordinates your healthcare.
Nurse Advice Line(NAL)
24/7 telephone service where registered nurses provide health advice to TRICARE beneficiaries.
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