The TRICARE East Region includes Alabama, Arkansas, Connecticut, Delaware, the District of Columbia, Florida, Georgia, Illinois, Indiana, Iowa (Rock Island Arsenal area only), Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Mississippi, Missouri (St. Louis area only), New Hampshire, New Jersey, New York, North Carolina, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas (excluding the El Paso area), Vermont, Virginia, West Virginia and Wisconsin.
Humana Military cares about the health of our TRICARE beneficiaries, and we offer several programs designed to help improve and sustain patients' health. These programs provide education and support, while encouraging members to adhere to their doctor's treatment plans. Learn more
If a necessary service is not available from the military hospitals and clinics or the patient’s Primary Care Manager (PCM), the PCM must request a referral from Humana Military. As the primary source of specialty care for TRICARE Prime beneficiaries, the military hospital or clinic has the Right of First Refusal (ROFR) to provide care for a TRICARE beneficiary. Learn more
Providers must verify TRICARE eligibility for beneficiaries at the time of service. Providers should ensure the patient has a valid Common Access Card (CAC), uniformed services ID card or eligibility authorization letter. A CAC or ID card alone does not prove TRICARE eligibility. Learn more
Effective October 2016, TRICARE expanded the list of Laboratory Developed Tests (LDTs). With an approved prior authorization, 25 new tests are now covered for eligible TRICARE beneficiaries. Recommendations for coverage have been added to some already covered tests and procedure codes have been updated. Learn more
The TRICARE pharmacy program offers comprehensive prescription drug coverage for eligible TRICARE beneficiaries. It is administered by Express Scripts. In order for a beneficiary to fill a prescription, a written or electronic prescription order is necessary. All TRICARE beneficiaries with the exception of Active Duty Service Members, must obtain select brand name maintenance drugs through either their military pharmacy or through the TRICARE pharmacy home delivery program. Learn more