Branch Medical Clinic NBSD
San Diego, CA 92136
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
Naval Medical Center San Diego (NMCSD) is located at 34800 Bob Wilson Drive, San Diego, CA. NMCSD is the largest military medical facility in the world, providing medical and pharmacy services to active duty, retirees, and Page 2 dependents. Emergency Room (ER) services are available at NMCSD 24 hours a day, 7 days a week.
NMCSD is a major teaching center and operates a network of clinics located at area military installations. Through these clinics, emergency and ambulatory care is provided to the active duty populations of all San Diego ship and shore commands. In addition, TRICARE outpatient clinics are located throughout the community for military families. San Diego is a large area comprised of many smaller communities. Various hospitals are spread throughout the city; your nearest ER would depend upon your location.
While many TRICARE beneficiaries pay no out-of pocket costs for emergency room services, the average cost for an emergency room visit is 10 times more than an urgent care visit. In many cases, using the emergency room is not necessary, and a patient's condition can be treated through urgent care. TRICARE's explanation of urgent care and emergency care can help you seek the most appropriate service.
TRICARE defines an emergency as a medical, maternity or psychiatric condition that would lead a "prudent layperson" (someone with average knowledge of health and medicine) to believe that a serious medical condition exists; that the absence of immediate medical attention would result in a threat to life, limb or sight; when a person has severe, painful symptoms requiring immediate attention to relieve suffering; or when a person is at immediate risk to self or others.
Examples of emergencies include:
You do not need to call your primary care manager (PCM) or United HealthCare before receiving emergency medical care. However, in all emergency situations, you must notify your PCM (or United HealthCare if you do not have an assigned PCM) within 24 hours of or on the business day following admission to coordinate ongoing care and to ensure you receive proper authorization.
TRICARE defines urgent care as medically necessary treatment for an illness or injury that would not result in further disability or death if not treated immediately but that requires professional attention within 24 hours.
Examples of urgent care situations include:
In most cases, you can receive urgent care from your primary care manager (PCM) by making a same-day appointment. However, if your PCM is unable to provide this care in a timely manner, you may be referred to a network urgent care provider. It is important that you obtain a referral from your PCM before you receive urgent care from anyone other than your PCM. If you do not coordinate urgent care with your PCM or TRIWEST, the care will be covered under the point-of-service option at greater out-of-pocket cost to you. If you are away from home and cannot wait until you see your PCM for treatment, you must contact your PCM for a referral or call TRIWEST for assistance before receiving services.
Branch Medical Clinics
The military member has first priority in obtaining care from the military medical facilities, followed by the family members of active duty personnel, with retired military and family members of retired military following in the eligibility chain. Due to the fact that there are many military families in this area, there are seven TRICARE Clinics established for your use. These clinics are operated by Navy and civilian staff. Hours vary. For more information and hours, call 1-877-988-9378.
CNRSW Fleet & Family Support Center
If you feel you need counseling, the NRSW Fleet & Family Support Center (FFSC) offers short-term, confidential counseling. To make a clinical counseling appointment at any NRSW FFSC San Diego location, call CNRSW Centralized Scheduling at 866-923-6478.
Installation dental clinics provide comprehensive dental care services for active duty military only. Dental insurance is available for all DEERS enrollees through the TRICARE Dental Program. A monthly premium applies. For more information on eligibility and services, call 855-638-8371 or visit the TRICARE Dental website.
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