TRICARE Prime beneficiaries

In most cases, beneficiaries enrolled in TRICARE Prime will not need to file claims for healthcare services. There may be occasions, however, when you will need to pay for care and then file the claims yourself to receive payment. You will be reimbursed for TRICARE-covered services at the TRICARE-allowable amount, less any copayments, cost-shares or deductibles.

TRICARE Select beneficiaries

For beneficiaries enrolled in TRICARE Select, your provider may submit claims on your behalf, however, there may be occasions where you will be required to submit your own claims. Please check with your provider to find out if you need to submit a claim after receiving service.