![Tricare Select Urgent Care Copay Tricare Select Urgent Care Copay](/uploads/1/1/9/3/119372604/364816317.jpg)
Urgent medical care should be considered for health care concerns that do not threaten life, limb or eyesight, but need attention to prevent serious risks to your health. Your primary care manager (PCM) is your best resource for deciding where and when to get care.
Steps to take to obtain this care:
Testing copayment waiver: Retroactive to March 18, 2020, TRICARE will waive copayments/cost-shares for medically necessary COVID-19 diagnostic and antibody testing and related services, and office visits, urgent care or emergency room visits during which tests are ordered or administered. See How They Stack Up for a comparison of coverage under US Family Health Plan (a TRICARE Prime option), TRICARE Select, and TRICARE Prime. Leila Green-Williams “I felt like I had known the doctors and nurses and the receptionist for a long time.
- Call your PCM or family doctor.
- If your PCM or family doctor cannot provide care on the day you call, you will be directed to use a local network urgent care provider, if medically appropriate.
- Visit our Network Provider Directory to locate an urgent care provider. When using the directory, type in your ZIP code and under Specialty select Urgent Care Center or Convenient Care Clinic.
Approval Requirements
TRICARE Prime plans
TRICARE Prime beneficiaries, except for active duty service members (ADSMs) enrolled in TRICARE Prime, do not need a referral for urgent care and Point of Service will not apply when seeking urgent care from the following:
- any network or non-network urgent care center (must be TRICARE-authorized)
- any network primary care type provider (family practice, general practice, internal medicine, pediatrics, OB/GYN, physician assistant, nurse practitioner, or certified nurse midwife)
Active duty service members enrolled in TRICARE Prime still require a referral for urgent care; however, ADSMs enrolled in TRICARE Prime Remote do not require a referral due to their remote location.
Beneficiaries assigned to a military or civilian PCM should seek all non-emergency follow-up care with their PCM.
All other plans
- There is no referral requirement for urgent care, and care may be rendered by any network or non-network provider.
Note: TRICARE Overseas Program enrollees who are traveling and seeking stateside urgent care do not require a referral.
Tricare Select Urgent Care Cost
Nurse Advice Line
TRICARE beneficiaries are eligible to call the Military Health System (MHS) Nurse Advice Line to get help making decisions regarding acute health problems. This advice line is available 24/7, by phone, web chat or video chat. It's staffed with professional registered nurses who will assist you in answering questions and provide help with decisions regarding self-care at home or when it is best to see a health care provider.
To access the Nurse Advice Line, dial 1-800-TRICARE (1-800-874-2273) and choose option 1 or visit MHSNurseAdviceLine.com.
![Tricare select urgent care copay Tricare select urgent care copay](/uploads/1/1/9/3/119372604/426644428.jpg)
Tricare Approved Urgent Care
If overseas, visit MHSNurseAdviceLine.com to find country-specific numbers.
- Copayments and cost-shares are subject to change at the beginning of each calendar year.
- Copayments are per occurrence or per visit.
- Cost-shares are a percentage of the contracted rate for network providers and the maximum TRICARE allowable for non-network providers on certain types of services.
- Beneficiaries have an out-of-pocket maximum for covered medical expenses; this is known as the catastrophic cap.
- Point of Service cost-shares and deductibles may apply to TRICARE Prime and TRICARE Prime Remote beneficiaries (excluding active duty service members).
Important Note: Active duty service members do not have any out-of-pocket costs for care.
Tricare Reserve Select Urgent Care Copay
2021 Costs
Active Duty Family Members | Retirees and Their Family Members | TRICARE Reserve Select (TRS) | TRICARE Retired Reserve (TRR) | TRICARE Young Adult (TYA) |
---|---|---|---|---|
Enlisted before 01/01/18 | Enlisted before 01/01/18 | All | All | All |
Enlisted on or after 01/01/18 | Enlisted on or after 01/01/18 |
2021 Cost Information by Benefit
Detailed information on copayments and cost-shares is listed below by benefit. You can also view this information using the cost links in our Benefits A-Z list.
Pharmacy
Mental Health
Active Duty Family Members | Retirees and Their Family Members | TRICARE Reserve Select (TRS) | TRICARE Retired Reserve (TRR) | TRICARE Young Adult (TYA) |
---|---|---|---|---|
Enlisted before 01/01/18 | Enlisted before 01/01/18 | All | All | All |
Enlisted on or after 01/01/18 | Enlisted on or after 01/01/18 |