If you have any health insurance other than TRICARE, it is called Other Health Insurance (OHI). It can be through your employer or a private insurance program. By law, TRICARE pays after all OHI, except for:

• Medicaid
• TRICARE supplements
• State victims of crime compensation programs
• Other federal government programs identified by the Defense Health Agency (DHA)

This means your OHI processes your claim first. Then, you or your provider files your claim with TRICARE. If you are on active duty, you can't use OHI. TRICARE is your only coverage. If you have Medicare, TRICARE will pay last after Medicare and your OHI for TRICARE-covered services.

If TRICARE receives your claim before your OHI processes it, TRICARE will deny it. If TRICARE pays first and later discovers you had OHI, TRICARE will take back any payments made and will reprocess the claim after your OHI has processed it.

Please note that while you may have other health insurance, ABA services require you to follow the referral and prior authorization requirements of the TRICARE Autism Care Demonstration, in addition to following the requirements of your OHI. View more information on ACD

If you have OHI, or would like to add or remove OHI, complete and submit OHI questionnaire