423d Medical Squadron
Unit 5610 Box 223
APO, AE 09470
Phone (DSN) 314-268-4503
Moving with TRICARE
When you move, TRICARE moves with you. It's there before, during and when you get to your next duty station. It's available worldwide. There are steps you need to take to make sure changes to your TRICARE coverage go smoothly. With your move, you may have to use a different TRICARE option.
Prime options in the United States
If you live in a Prime Service Area, then TRICARE Prime is an option for you. A Prime Service Area is usually within a 40-mile area of a military clinic or hospital. With Prime, you have a primary care manager, who may be a military or civilian doctor or a team of doctors, who manages your health care needs.
Some active-duty family members may enroll in the U.S. Family Health Plan, or USFHP. The USFHP offers a TRICARE Prime-like option in six areas of the United States. You'll get all care (including prescription drug coverage) from a network provider. With the USFHP, you can't get care at military hospitals and clinics or from TRICARE network providers (emergency exceptions). You have to work with USFHP when get care overseas. Visit the U.S. Family Health Plan page for more information.
If you don't live in a Prime Service Area, TRICARE Prime Remote is your other option. Eligible family members have to live with their active-duty sponsor (with some exceptions) to enroll in TRICARE Prime Remote. In most cases, your primary care manager is a network provider. If there's no local network provider, you can choose any TRICARE-authorized provider to act as your primary care manager.
Prime options overseas (including U.S. territories)
In overseas locations, you have two options for care:
Note: Active-duty service members must enroll in a Prime option.
When you know you're going to move, call your current TRICARE stateside overseas contractor. Find out if your new location is in a new region and talk about your TRICARE options.
Transferring your TRICARE Prime/Prime Remote coverage
When you move, your Prime options may change. You have to transfer your enrollment if you move to a different region. Some family members may have to disenroll and use TRICARE Standard. Options may vary for each family member. Remember, to enroll in a Prime option overseas, family members must be command-sponsored.
If you move within your current region, you still need to find out if your Prime option changes. You may only need to get a new primary care manager. Again, call your current TRICARE regional or USFHP contractor to talk about your move and your TRICARE options. Follow these steps to transfer your enrollment by phone:
Note: Don't disenroll from Prime before you move.
Other ways to transfer your enrollment include:
To learn more, visit the TRICARE Moving page.
TRICARE Standard and Extra
TRICARE Standard and Extra is an option for active-duty family members. You don't have to enroll—coverage is automatic as long as you show as TRICARE eligible in DEERS. With TRICARE Standard or Extra you can see any TRICARE-authorized provider, non-network or network. You pay a deductible and costs shares.
If you're a family member and don't want to enroll in TRICARE Overseas Program-Prime, or can't enroll because you're not command-sponsored, you have TRICARE Overseas Program-Standard. You can see any civilian provider (except in the Philippines).
If you want or have to use TRICARE Standard when you move, call the new regional contractor to disenroll from Prime when you get to your new location.
If you already using TRICARE Standard and Extra:
If you're in a new region, the claims address changes. Check the TRICARE Filing Claims page for your new mailing address.
TRICARE For Life
TRICARE For Life is for those who have Medicare and TRICARE. You don't have to enroll - coverage is automatic as long as you show in DEERS as TRICARE-eligible and have Medicare Part A and Part B if needed. When you go to a Medicare doctor, show your Medicare and uniformed service identification cards. Your provider files your claims with Medicare. Medicare pays first and sends the claim to the TRICARE For Life claims processor. TRICARE then pays second for TRICARE-covered services.
If you're an active-duty family member, you don't have to have Medicare Part B to keep your TRICARE benefits. You must have Part B to keep TRICARE once your sponsor retires.
When you move, update your personal information in DEERS as soon as possible. To find a new provider:
Getting care along the way
Before you move, take care of any routine medical needs, including immunizations. Fill your prescriptions so you have enough while traveling. TRICARE defines emergency care as "medical services provided for a sudden or unexpected medical or psychiatric condition or the sudden worsening of a chronic condition that is threatening to life, limb or sight and needs immediate medical treatment or a condition which has painful symptoms that need immediate relief to stop suffering." TRICARE defines urgent care as "medical care for a condition that will not result in disability or death if not treated immediately but should be treated within 24 hours to avoid further complications."
If you're using TRICARE Standard or TRICARE For Life, you may get urgent care from any TRICARE-authorized provider. If it's after clinic hours or you're not sure if you need to see a doctor, call TRICARE's Nurse Advice Line at 800-874-2273.
Filling prescriptions while traveling
If you run out of a prescription drug while traveling, contact your military or civilian provider. If you have refills on a military clinic prescription, check to see if your prescription can be moved to and filled by another military treatment facility. If you have refills on your prescription with a major retail pharmacy chain, check with the chain to see if they can transfer your prescription to a local chain pharmacy. If you have refills on a drug you get through TRICARE home delivery, call the TRICARE pharmacy contractor to see what can be done.
Getting dental care while traveling
Getting dental care while traveling depends on your location and whether you are a service member of family member.
Permanent change of station for active-duty service members
With permanent change of station orders, ask for a copy of your medical and dental records from your personnel office, providers/dentists, and medical or dental clinics. Do this at least one month before your permanent change of station date. This way you may be able to carry records to your new duty station.
You may ask providers or the military clinic to transfer your family's medical records to the military hospital or clinic nearest to your new duty station. You may ask to have copies of their records to carry with you or them as well. (You may have to pay to get their records copied.) If you want someone else to be able to get medical or dental information on you or your family while you are moving, you need to complete a DD Form 2870, "Authorization for Disclosure of Medical or Dental Information."
Installation Specific Information
Overseas Medical Clearance
Family members are screened for medical and dental conditions which require continued or special treatment before being cleared for accompanied status overseas. This is accomplished via the AF Force Form 1466. Denial of accompanied status means that the best interest of the family member cannot be met in the overseas location. Educational needs are also screened on the AF Form 1466 and it is important that the overseas school system be able to provide an adequate education for children, especially for those with special needs.
Once Exceptional Family Member Program (EFMP) clearance has been granted, it is up to the service member to decide whether a move to the UK is appropriate for his/her special needs family. The above information is not meant to discourage anyone from accepting an assignment to RAF Lakenheath, but rather to give a realistic picture and allow one to make a more informed assignment decision.
Installation Hospital - RAF Upwood Clinic
The 423rd Medical Squadron is a modern clinic staffed with medical and dental professionals whose charter is to keep you and your family physically and mentally fit during your tour here. The facility is located at RAF Upwood, 16 miles from RAF Alconbury. It is a beautiful drive through the English countryside and the base provides shuttle service all day.
The 423rd Medical Squadron is an outpatient facility. Their role is to provide routine medical and dental services within the capability of their resources. Specialty services are limited and require referral to either military or civilian facilities. The British system of health care is built around the General Practitioner (GP) or family doctor. Subscribers to the National Health Service are assigned to, or choose their own GP. They consult him/her first before seeking any other medical advice or treatment.
The British equivalent to an emergency room is called the Accident and Emergency department (A&E), or Casualty. A&E is for emergencies only! In true emergencies, any British emergency room will treat patients who arrive there for care. You are entitled to emergency care under the Status of Forces Agreement between the UK and US. In non-emergencies, you may be referred back to the 423rd Medical Squadron for a routine appointment. Please note that even though you may perceive your case as an emergency, the civilian medical facility may advise you to seek care at the clinic. You will be briefed about the new Tri-Care medical system upon your arrival.
The Dental Services available at RAF Upwood should meet the needs of most service members and their families. There are two dental officers assigned for all branches of the military and their family member beneficiaries.
Routine care including an annual dental examination and cleaning for active duty and family member is provided at the clinic. The annual examination for family members is scheduled during their sponsor's birth month.
Emergency dental care for any family member (regardless of age) or active duty member who is experiencing dental pain/injury or has a dental concern may call the clinic and schedule an acute appointment to address their special need. These appointments are available on a daily basis.
Specialty care (dental crowns, root canals, and teeth extractions) for family members is limited depending on the active duty workload. Despite this, these services have historically been provided to meet most family members, needs.
Orthodontics is extremely limited, there are no orthodontists assigned at RAF Upwood. An Orthodontist from RAF Lakenheath visits the clinic monthly. Priority for care is based on several factors but, those patients in active treatment (fixed braces) started prior to notification of assignment overseas receive the highest priority and utilize most of the limited available appointments. Another option for orthodontic care is through the TRICARE Active Duty Family Dental Plan.
National Health Service (NHS)
Under the NATO Status of Forces Agreement (SOFA), all US military or DoD members and family members residing in the UK are entitled to care through the National Health Service, free of charge. In general, if services cannot be provided to you through the resources of the Upwood Clinic then you may be referred to NHS resources.
Active personnel are reminded that if civilian health care (care obtained without a referral from your PCM) is provided, they are to inform their PCM of the care provided within three duty days. Although services are generally provided free of charge under the NHS, for purely elective evaluations or procedures you may be placed on a long waiting list for services. If you desire to be seen privately for healthcare, and you wish the cost to be covered by TRICARE, you will have to be referred by your PCM.
Getting Care Along the Way
Emergency or Urgent care Overseas—Contact International SOS (ISOS)
For emergency or urgent care call International SOS at 00-44-20-8762-8133 to help you find the best care available in the overseas area in which you are traveling.
Call your relocation manager »
Or, for 24/7 assistance, call Military OneSource. »