TRICARE urgent care

Beneficiaries have the option to seek urgent care treatment at an urgent care center or by seeing a TRICARE network provider with one of the following primary specialty designation:

  • Family practice
  • Internal medicine; general practice
  • Pediatrician
  • Urgent care center or convenience clinics
  • Obstetricians/Gynecologists (OB/GYN)
  • Physician Assistants (PA)
  • Nurse Practitioners (NP)
  • Certified Nurse Midwives (CNM)

Urgent care center

Beneficiaries can receive care at any TRICARE-authorized urgent care center or convenience clinic. Cost shares will apply, as shown below.

TRICARE Prime beneficiaries will not incur point-of-service deductibles and cost shares if the urgent care center or convenience clinic is TRICARE-authorized and either network or non-network.

TRICARE Prime cost-shares for urgent care center visits:

  • ADFM - Group A/Group B: $0
  • Retiree - Group A/Group B: $31

TRICARE Select cost-shares for urgent care center visits:

  • ADFM - Group A: $21 in-network / 20% of allowable for out-of-network
  • ADFM - Group B: $20 in-network / 20% of allowable for out-of-network
  • Retiree - Group A: $28 in-network / 25% of allowable for out-of-network
  • Retiree - Group A: $40 in-network / 25% of allowable for out-of-network

TRICARE network provider

Must be a network provider that is a specialty that could be a PCM, but does not have to be a PCM. Primary care cost shares apply.