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Beneficiaries
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Beneficiaries
TRICARE Overseas Program
TRICARE Overseas Program
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Traveling in the
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Click here to learn how to submit claims via secure message transmission
TOP Beneficiaries Traveling in the United States
All TRICARE Overseas Program (TOP) beneficiaries traveling in the United States are encouraged to seek care from a U.S. Military Treatment Facility (MTF), if one is located nearby. If this is not possible, then TOP beneficiaries should seek care from a TRICARE Approved Provider in the United States.
Emergency care in the United States does not require a referral or authorization. In an emergency, call 911 or go to the nearest hospital emergency room. If you are admitted, you must notify your TOP Regional Call Center before leaving the facility, or within 24 hours or on the next business day to coordinate authorization, continued care, and payment.
Urgent care is medically necessary treatment for an illness or injury that requires professional attention within 24 hours. Examples of urgent care situations include sore throats, sprains, earaches and rising fevers.
If you are a TOP Prime beneficiary and urgent treatment cannot wait until you return home, you may contact your International SOS TOP Regional Call Center for assistance. TOP Prime enrollees may also contact their Primary Care Manager (PCM) for assistance.
If you are a TOP Prime Remote beneficiary and urgent treatment cannot wait until you return home, you contact your International SOS TOP Regional Call Center for assistance before receiving care.
For Active Duty Service Members (ADSMs), failure to receive an authorization for care that requires an authorization may result in the claim being denied. For Active Duty Family Members (ADFMs), failure to obtain an authorization may cause your care to be covered under the point-of-service (POS)* option resulting in higher out-of-pocket costs.
TOP Prime beneficiaries are required to obtain a referral from their Primary Care Manager (PCM) before they leave their host nation or the TOP Regional Area where they are enrolled. If already in the United States, the beneficiary should contact their PCM where they are enrolled to request the referral.
Note: Your PCM is required to provide a referral with justification for receiving routine care while in the United States. International SOS will then issue an Authorization for the TOP Prime beneficiary to receive routine care while in the United States.
TOP Prime Remote beneficiaries should call International SOS to obtain an Authorization before they leave their host nation or the TOP Regional Area where they are enrolled. If already in the United States, the beneficiary should contact their International SOS TOP Regional Call Center (for the area where they are enrolled), using the international direct dial or stateside toll-free numbers below. International SOS will then issue an Authorization for the TOP Prime Remote beneficiary to receive routine care while in the U.S., if appropriate care is not available at the remote location.
Note: TOP Prime and TOP Prime Remote beneficiaries are encouraged to seek care from a U.S. Military Treament Facility (MTF), if one is located nearby. If this is not possible, then the beneficiary should seek care from a TRICARE Approved Provider in the United States, to ensure quality access to care and that TRICARE reimbursement rates are accepted. Please visit the following regional managed care support contractors' websites to search for an MTF or approved TRICARE provider in the United States region where you are located:
In an emergency, call 911 or go to the nearest hospital emergency room. If you seek care from a stateside TRICARE network provider, the provider files the claim with International SOS for you. If you seek care from an authorized non-network provider, expect to pay up front and file a claim with International SOS.
Save your receipt as proof of payment, and be sure to put your overseas address on the claim. Always file claims with International SOS using the mailing addresses assigned for your home region (see 'Claims Submission, Tracking & Payment' information below), not with the stateside regional managed care support contractor in the area where you are traveling. Submitting your claim to a stateside regional managed care support contractor may result in your payment being delayed.
Note: When seeking care from an overseas host nation provider or a stateside non-network provider, be prepared to pay up front for services and file a claim with International SOS for reimbursement in the overseas region where you live.
Note: When you contact your TOP Regional Call Center, you will be prompted with the following menu of options:
Additional TOP contact information follows for Claims Submission, Tracking and Payment, Beneficiary Enrollment, and Grievances and Complaints:
Seeking Emergency Care While in the U.S.
Seeking Urgent Care While in the U.S.
Seeking Routine Care While in the U.S.
TOP Standard
TOP Regional Call Center Contact Information
Additional TOP Contact Information
Seeking Urgent Care While in the U.S.
Seeking Routine Care While in the U.S.
TOP Standard
TOP Regional Call Center Contact Information
Additional TOP Contact Information
All TRICARE Overseas Program (TOP) beneficiaries traveling in the United States are encouraged to seek care from a U.S. Military Treatment Facility (MTF), if one is located nearby. If this is not possible, then TOP beneficiaries should seek care from a TRICARE Approved Provider in the United States.
Emergency care in the United States does not require a referral or authorization. In an emergency, call 911 or go to the nearest hospital emergency room. If you are admitted, you must notify your TOP Regional Call Center before leaving the facility, or within 24 hours or on the next business day to coordinate authorization, continued care, and payment.
Urgent care is medically necessary treatment for an illness or injury that requires professional attention within 24 hours. Examples of urgent care situations include sore throats, sprains, earaches and rising fevers.
If you are a TOP Prime beneficiary and urgent treatment cannot wait until you return home, you may contact your International SOS TOP Regional Call Center for assistance. TOP Prime enrollees may also contact their Primary Care Manager (PCM) for assistance.
If you are a TOP Prime Remote beneficiary and urgent treatment cannot wait until you return home, you contact your International SOS TOP Regional Call Center for assistance before receiving care.
For Active Duty Service Members (ADSMs), failure to receive an authorization for care that requires an authorization may result in the claim being denied. For Active Duty Family Members (ADFMs), failure to obtain an authorization may cause your care to be covered under the point-of-service (POS)* option resulting in higher out-of-pocket costs.
*POS cost-sharing does not apply to ADSMs, newborns and adoptees during their first
120 days, the first eight outpatient behavioral health care visits per fiscal year
(October 1–September 30) to network providers, clinical preventive services from
network providers, emergency care, or beneficiaries with OHI.
TOP Prime beneficiaries are required to obtain a referral from their Primary Care Manager (PCM) before they leave their host nation or the TOP Regional Area where they are enrolled. If already in the United States, the beneficiary should contact their PCM where they are enrolled to request the referral.
Note: Your PCM is required to provide a referral with justification for receiving routine care while in the United States. International SOS will then issue an Authorization for the TOP Prime beneficiary to receive routine care while in the United States.
TOP Prime Remote beneficiaries should call International SOS to obtain an Authorization before they leave their host nation or the TOP Regional Area where they are enrolled. If already in the United States, the beneficiary should contact their International SOS TOP Regional Call Center (for the area where they are enrolled), using the international direct dial or stateside toll-free numbers below. International SOS will then issue an Authorization for the TOP Prime Remote beneficiary to receive routine care while in the U.S., if appropriate care is not available at the remote location.
Note: TOP Prime and TOP Prime Remote beneficiaries are encouraged to seek care from a U.S. Military Treament Facility (MTF), if one is located nearby. If this is not possible, then the beneficiary should seek care from a TRICARE Approved Provider in the United States, to ensure quality access to care and that TRICARE reimbursement rates are accepted. Please visit the following regional managed care support contractors' websites to search for an MTF or approved TRICARE provider in the United States region where you are located:
- North Region: Health Net Federal Services (1-877-TRICARE)
- South Region: Humana Military Healthcare Services (1-800-444-5445)
- West Region: TriWest Healthcare Alliance (1-888-TRIWEST)
In an emergency, call 911 or go to the nearest hospital emergency room. If you seek care from a stateside TRICARE network provider, the provider files the claim with International SOS for you. If you seek care from an authorized non-network provider, expect to pay up front and file a claim with International SOS.
Save your receipt as proof of payment, and be sure to put your overseas address on the claim. Always file claims with International SOS using the mailing addresses assigned for your home region (see 'Claims Submission, Tracking & Payment' information below), not with the stateside regional managed care support contractor in the area where you are traveling. Submitting your claim to a stateside regional managed care support contractor may result in your payment being delayed.
Note: When seeking care from an overseas host nation provider or a stateside non-network provider, be prepared to pay up front for services and file a claim with International SOS for reimbursement in the overseas region where you live.
TOP Regional Call Center Contact Information
| TRICARE Overseas Regional Area | TOP Regional Call Center | |
|---|---|---|
| Overseas | Stateside | |
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TRICARE Eurasia-Africa |
+44-20-8762-8384 | 1-877-678-1207 |
| TRICARE Latin America & Canada | + 1-215-942-8393 | 1-877-451-8659 |
| TRICARE Pacific |
Singapore:
+65-6339-2676 Sydney: +61-9273-2710 |
Singapore: 1-877-678-1208 Sydney: 1-877-678-1209 |
Note: When you contact your TOP Regional Call Center, you will be prompted with the following menu of options:
Option #1: Medical Assistance (directs you to the Medical Assistance
team at your TOP Regional Call Center; the Medical Assistance option should be used
to coordinate emergency care only)
Option #2: Claims support (connects you to a Claims Customer Service Specialist)
Option #3: Health care finder/authorization assistance (helps you find health care at an MTF overseas or find a local host nation provider in your surrounding community)
Option #4: Global TRICARE Service Center (connects you to the customer service assistance center 24 hours a day, seven days a week)
Option #5: Provider support (this option is for TOP Providers only and should not be used by beneficiaries)
Option #6: TOP Prime Remote Wellness Program (designed to help TOP Prime Remote beneficiaries manage chronic health conditions and improve overall health and well-being)
Option #7 (TRICARE Pacific Only): Philippine Demonstration information.
Or,click here to contact Global 24 Network Services.
Option #2: Claims support (connects you to a Claims Customer Service Specialist)
Option #3: Health care finder/authorization assistance (helps you find health care at an MTF overseas or find a local host nation provider in your surrounding community)
Option #4: Global TRICARE Service Center (connects you to the customer service assistance center 24 hours a day, seven days a week)
Option #5: Provider support (this option is for TOP Providers only and should not be used by beneficiaries)
Option #6: TOP Prime Remote Wellness Program (designed to help TOP Prime Remote beneficiaries manage chronic health conditions and improve overall health and well-being)
Option #7 (TRICARE Pacific Only): Philippine Demonstration information.
Or,
Additional TOP Contact Information
Additional TOP contact information follows for Claims Submission, Tracking and Payment, Beneficiary Enrollment, and Grievances and Complaints:
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Claims Submission, Tracking & Payment International SOS provides 24/7 Claims Submission, Tracking and Payment support for TRICARE Overseas Beneficiaries and Providers. Use the contact information listed below for all Claims-related inquiries. |
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|---|---|
| Active Duty Service Members | |
| All Overseas Areas |
Send claims to: TRICARE Overseas program PO Box 7968 Madison, WI 53707-7968 USA |
| Non-Active Duty Service Members | |
| TRICARE Eurasia-Africa |
Send claims to: TRICARE Overseas Program P.O. Box 8976 Madison, WI 53708-8976 USA |
| TRICARE Latin America & Canada |
Send claims to: TRICARE Overseas Program P.O. Box 7985 Madison, WI 53707-7985 USA |
| TRICARE Pacific |
Send claims to: TRICARE Overseas Program P.O. Box 7985 Madison, WI 53707-7985 USA |
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Enrollment & Beneficiary Education TRICARE Overseas Beneficiaries can use the mailing address listed below for all TRICARE Overseas Program (TOP) correspondence. |
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| Mailing address for TRICARE Reserve Select and TRICARE Retired Reserve enrollments |
International SOS Assistance, Inc. TOP TRS/TRR Enrollments PO Box 11689 Philadelphia, PA 19116 USA |
| Mailing address for TOP Prime, TOP Prime Remote and TRICARE Young Adult enrollments |
International SOS Assistance, Inc. TOP Prime, TOP Prime Remote and TYA Enrollments PO Box 11520 Philadelphia, PA 19116 USA |
| Enrollment Email address | TRICAREOverseasGTSC@internationalsos.com |
| Enrollment Fax | + 1-215-354-5015 |
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Grievances & Complaints TRICARE Overseas Beneficiaries and Providers can use the mailing address listed below to submit grievances and complaints regarding any perceived TOP health care delivery failures or concerns |
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| Mailing address grievances |
International SOS Assistance, Inc. Reconsiderational Grievances Department PO Box 11570 Philadelphia, PA 19116 USA |