TRICARE, Your Military Health Plan

In This Section:

• Cancer Clinical Trials
• Questions to ask Your Doctor
• Costs
• Chiropractic Care
• Designated Locations
• Combat-Related Special Compensation Travel Benefit
• Before Traveling for Specialty Care
• Requesting Reimbursement
• Computer and Electronic Accomodations Program (CAP)
• Continued Health Care Benefit Program (CHCBP)
• Purchasing CHCBP Coverage
• Getting Care Through the CHCBP
• Filing CHCBP Claims
• Extended Care Health Option (ECHO)
• Who May Qualify
• Benefits
• Costs and Coverage Limits
• ECHO Home Health Care
• Autism Services Demonstration
• Foreign Force Member Health Care Option
• Line of Duty/Notice of Eligibility
• Pre-activation Benefit for National Guard and Reserve
• Medical Benefits
• Dental Benefits
• Transitional Assistance Management Program (TAMP)
• TRICARE Prime Options
• TRICARE Standard Options
• Dental Options
• Transitional Care for Service Related Conditions
• TRICARE Philippine Demonstration
• Philippine Demonstration Designated Areas
• Getting Care under the Demonstration
• Submitting a Waiver Request
• Health Care Costs under the Demonstration
• Filing Health Care Claims under the Demonstration
• TRICARE Plus
• Women, Infants and Children (WIC) Overseas
• Offices

Requesting Reimbursement

You and your NMA must pay for travel expenses up front and then submit a claim for reimbursement. A separate claim must be submitted per trip, per qualified patient or NMA. Only one individual can be reimbursed for each expense. All reimbursements are made through electronic funds transfer (EFT). Claims should be submitted to your TRICARE Regional Office (TRO) via fax or mail. Each claim submission must include:

• Completed and signed claims forms
  • Travel Voucher or Subvoucher (DD Form 1351-2) is appropriate for all travel reimbursements and is mandatory for lodging.
  • Statement of Actual Expenses (DD Form 1351-3) is required in support of DD Form 1351-2 forms submitted by qualifying civilians (not employed by the U.S. government).
  • Travel Voucher or Subvoucher (Continuation Sheet) (DD Form 1351-2c) may be used for continuation of DD Form 1351-2 expenses.
  • Claim for Reimbursement for Expenditures on Official Business (SF Form 1164) may be used in place of
    DD Form 1351-2 if you are not filing for reimbursement of lodging expenses.
• Copy of the CRSC determination letter (if not provided prior to travel)
• Completed EFT authorization form (if not provided prior to travel)
• Documentation from the specialty care provider verifying he or she treated you for the specified combat-related disability and the date(s) of service. View sample documentation.
• Statement from the referring provider indicating the need for an NMA (if applicable and not provided prior to travel)
• Legible receipts (or comparable written documents) indicating the payment(s) made for reimbursable goods and services; receipts must include:
  • Name of the company or vendor
  • Date of transaction
  • Items or services purchased
  • Unit price
  • Total amount paid
    

Submitting a request for reimbursement does not guarantee payment. For more information about eligibility, claims, and reimbursements, contact your TRO or visit them online.

• TRO-North
  • 1-866-307-9749 or 1-703-588-1867/1869
  • tronorth@tma.osd.mil
• TRO-South
  • 1-800-554-2397 
  • trosouthcs@tros.tma.osd.mil
• TRO-West
  • 1-800-449-6408
  • trow-csrctravel@trow.tma.osd.mil

Last Modified:May 16, 2011