Supplemental Health Care Program (SHCP)

SHCP provides coverage for services provided by civilian doctors. Active Duty Service Members (ADSM) whose duty assignment is within 50 miles of a military hospital or clinic may be eligible for care under SHCP.

Who's eligible?

  • Active Duty Service Members (ADSM)
  • National Guard and Reserve members on active duty or who are authorized for Line of Duty (LoD) care
  • Beneficiaries on the Temporary Disability Retirement List are eligible to obtain required periodic physical examinations through SHCP
  • Medically retired former members of the armed services enrolled in the Federal Recovery Coordination Program
  • Eligible foreign military personnel (for outpatient care only)
  • National Oceanic and Atmospheric Administration personnel, U.S. Public Health Service personnel, and Reserve Officer Training Core (ROTC) students, cadets and midshipmen
  • Any non-TRICARE eligible person who receives approval from a military hospital or clinic to receive civilian services under SHCP (those with Medicare are not eligible for SHCP except if they are inpatient at a military hospital or clinic, and while remaining inpatient at the military hospital or clinic, require civilian diagnostic services that cannot be performed at the military hospital or clinic)

What's covered?

SHCP covers any healthcare service as long as the military hospital or clinic refers the patient or the military Service Point-of-Contact (SPOC) authorizes the care. For covered services, ADSMs do not pay cost-shares, copayments or annual deductibles. The SPOC also acts as a liaison between the ADSM and all members of the healthcare process, from the civilian healthcare professional to the claims processor.

Authorization process

The civilian healthcare provider will submit a request to Humana Military for review. The request is then reviewed for services NOT excluded by TRICARE against TRICARE coverage guidelines and approved or denied based on those findings. If ADSMs receive a denial letter for non-covered services, a waiver from DHA may be required to proceed. Instructions for the waiver will be included in the denial letter.