What is the difference between TRICARE East and West?

Asked by: Alvah Nader  |  Last update: February 11, 2022
Score: 4.7/5 (37 votes)

TRICARE partners with regional contractors to help deliver the TRICARE benefit. ... TRICARE East is managed by Humana Military; TRICARE West is managed by Healthnet Federal Services. These arrangements are governed by contracts.

What states are covered by TRICARE East?

Tricare Regional Office East
  • Covers: Alabama, Arkansas, Connecticut, Delaware, the District of Columbia, Florida, Georgia, Illinois, Indiana, Iowa (Rock Island Arsenal area only), Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Mississippi, Missouri (St. ...
  • Phone: 800-444-5445.

What region does TRICARE East cover?

East Region. Louis area), New Hampshire, New Jersey, New York, North Carolina, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas (excluding El Paso area), Vermont, Virginia, West Virginia, and Wisconsin.

Is TRICARE Select East or West?

The TRICARE West Region includes the states of Alaska, Arizona, California, Colorado, Hawaii, Idaho, Iowa (except the Rock Island Arsenal area), Kansas, Minnesota, Missouri (except the St. Louis area), Montana, Nebraska, Nevada, New Mexico, North Dakota, Oregon, South Dakota, Texas (Amarillo, Lubbock and El Paso areas ...

What is TRICARE Select East?

TRICARE Select is a self-managed, preferred provider organization (PPO) plan available in the United States. You must show eligible for TRICARE in the Defense Enrollment Eligibility Reporting System. You need to register in DEERS to get TRICARE.. Enrollment is required, learn more on the Select Enrollment Page.

The Differences between West & East

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How do I switch from TRICARE east to west?

Transfer Your Enrollment

Make necessary enrollment changes with Health Net Federal Services, LLC (HNFS) online, by mail or by phone. If you are already enrolled in the TRICARE West Region and move within the TRICARE West Region, update your address in DEERS and request a PCM change, if necessary.

Is Tricare West a PPO or HMO?

TRICARE Prime health plans are similar to a health maintenance organization (HMO) program. It generally features the use of military hospitals and clinics and substantially reduces out-of-pocket costs for authorized care provided outside military hospitals and clinics by TRICARE network providers.

Is Tricare West and TriWest the same?

Health Insurance Plans: TRICARE and TriWest

TRICARE is a health care program of the U.S. Department of Defense Military Health Care System. ... This plan is typically referred to as HNFS, TRICARE West, or Health Net TRICARE.

Who is eligible for Tricare West?

You must be registered in the Defense Enrollment Eligibility Reporting System (DEERS) to be eligible for TRICARE. If you have a change in status or a change in your orders, make sure you update DEERS through your local RAPIDS site. Once updated, follow up with TRICARE about the potential changes to your coverage.

Which TRICARE plan is best?

TRICARE Select is a good option for those military family members and other eligible enrollees who need a care provider not in in the TRICARE network and don't want to change their existing services.

What are the 3 regions of TRICARE?

❖ TRICARE regions consolidate from three (North, South, West) to two (East, West). Health Net Federal Services, LLC (HNFS) will be the managed care support contractor for the TRICARE West Region and Humana Military will be the managed care support contractor for the TRICARE East Region.

Is TRICARE East and Humana the same?

Currently, Humana Military is responsible for the 32-state TRICARE East Region, serving more than 6 million beneficiaries.

Is Fort Riley TRICARE east or west?

Tricare Region is West. Call 785-239-3627 for all your healthcare needs: Option #1 - Make an appointment.

Does TRICARE cover out of state?

TRICARE beneficiaries can access medical care while traveling on business, vacation or when moving. However, all routine care should be obtained prior to travel, as this type of care may not be covered while away.

What doesn't TRICARE cover?

In general, TRICARE excludes services and supplies that are not medically or psychologically necessary for the diagnosis or treatment of a covered illness (including mental disorder), injury, or for the diagnosis and treatment of pregnancy or well-child care.

Is TRICARE only for military?

TRICARE is a health program for: Uniformed Service members and their families, National Guard/Reserve members. Army National Guard.

Do all veterans get TRICARE?

Tricare is a health insurance program available to veterans, and it comes in four varieties: Tricare Prime, Tricare Extra, Tricare Standard, and Tricare for Life. Tricare, the military's health insurance plan, actually covers everyone — active-duty members, retirees, and their families.

Are spouses automatically enrolled in TRICARE?

Spouses of active duty, reserve and retired members are eligible for TRICARE coverage. Dependents of active and retired members are automatically covered as soon as they are enrolled to DEERs, spouses of reserve members must purchase TRICARE Reserve Select if they want TRICARE coverage.

What is TriWest for veterans?

TriWest Serves Community Care Network Regions 4 and 5

VA purchases care in the community to ensure Veterans receive the health care services they need. ... VA relies on the third party administrators to develop and administer regional networks of high-performing, licensed, and contracted health care providers.

Is TRICARE part of TriWest?

Since our founding in 1996, TriWest Healthcare Alliance has been On a Mission to Serve® our nation's Veteran and military communities. For 17 years, we administered the Department of Defense TRICARE program.

Who handles Tricare West?

Health Net Federal Services, LLC (HNFS) manages the TRICARE West Region, which includes: Alaska, Arizona, California, Colorado, Hawaii, Idaho, Iowa (except the Rock Island Arsenal area), Kansas, Minnesota, Missouri (except the St.

Is TriWest and VA the same?

TriWest is On a Mission to Serve® our nation's Veterans and military community in partnership with the Department of Veterans Affairs (VA) in administering the Community Care programs.

Is TRICARE East primary or secondary?

TRICARE is the secondary payer to all health benefits and insurance plans, except for Medicaid, TRICARE supplements, the Indian Health Service and other programs or plans as identified by the Defense Health Agency (DHA). ... Beneficiaries may not waive benefits from their primary plan.

Is TriWest always primary?

TriWest will always pay PRIMARY on service-related or service-connected treatments, regardless of a Veteran's OHI. ... TriWest will notify the provider through a secondary notification.

Is there a deductible with TRICARE?

There is no annual deductible. When you see a TRICARE-authorized provider other than your primary care manager for any nonemergency services without a referral, you pay: A yearly deductible before TRICARE cost-sharing will begin: $300 per individual/$600 per family. ... See www.tricare.mil/costs for more information.