There are a variety of programs available to our beneficiaries who find themselves in special circumstances. Whether you're leaving the military, looking for disability assistance, need help with navigating the VA healthcare system or want to see a civilian provider, there's a program available to assist you in your journey.
ECHO supplements the basic TRICARE program by providing financial assistance for an integrated set of services and supplies. For those who qualify, ECHO provides benefits not available through the basic TRICARE program.
Who is eligible?
ECHO is only available to active duty family members with qualifying conditions, including:
What are the benefits?
ECHO provides benefits not available through the basic TRICARE program, including:
How do I enroll?
Qualified beneficiaries must enroll in the Exceptional Family Member Program (EFMP) through the sponsor's branch of service. To register for ECHO, the beneficiary may submit confirmation of EFMP enrollment and verification of a qualifying diagnosis. The required documents may be faxed to (877) 200-0401. For more information or case management assistance, please call (800) 881-9227 with medical inquiries or (866) 323-7155 for behavioral health inquiries.
Costs and coverage limits
There are no enrollment fees, but beneficiaries must pay part of the monthly expenses for authorized ECHO benefits. The monthly cost-share is only one fee per sponsor, not per ECHO beneficiary. You only pay the cost-share if you use ECHO benefits during that calendar month. The monthly cost-share is based on the sponsor's pay grade. Learn more about costs and coverage.
National Guard and Reserve refers to members of the Army National Guard, Army Reserve, Navy Reserve, Marine Corps Reserve, Air National Guard, Air Force Reserve and US Coast Guard Reserve. Members of the National Guard and Reserve (NGR) and their family members are eligible for different TRICARE benefits depending on their status.
For questions regarding your NGR benefits, please call (877) 298-3408.
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.
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.
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.
WNAP was created to help guide warriors and their families through the military and Veteran Affairs' healthcare systems, while helping connect them with community resources, non-medical services and civilian healthcare in order to return them to productive lives.
Our mission is to provide guidance and clinical support to military and civilian healthcare professionals with treatment, rehabilitation and reintegration of recovering warriors, enabling them to return to active duty or back to the community as productive veterans. We help guide recovering warriors and their families through the healthcare system and connect recovering warriors and their families with available resources that can help them resolve issues.
Returning warriors and their families can reach out for person-to-person support from a team that is specially trained to deal with the unique challenges they encounter. Guidance for the civilian healthcare sector caring for these service members is also available.
Caring for the caregiver
Caring for a wounded hero has many rewards, but it can also be demanding physically, emotionally and financially. Caregivers have many of their own responsibilities such as work, bills and taking care of children. As a caregiver, it's important to remember to make time for yourself. Do something for yourself each day. Join a support group where you can talk things over with other caregivers to help you realize that you are not alone. Hearing how others cope in similar circumstances can provide guidance for your specific situation.
Get in touch
TAMP provides 180 days of transitional healthcare benefits to certain uniformed service members and their families. Sponsors and eligible family members may be covered by TAMP if the sponsor is involuntarily separating from active duty under specific honorable conditions.