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  Frequently Asked Questions
Date of Last Update: 10/19/2012 12:26:49 PM
Will there be any out-of-pocket cost during my Transitional Care For Service-Related Conditions (TCSRC) benefit period?
During your authorized Transitional Care For Service-Related Conditions benefit, your care is handled as if you were on active duty. Ideally, you shouldn’t have out-of-pocket expenses.

However, if you receive non-authorized care or use a provider that isn't TRICARE-authorized you will have to pay out of pocket—TRICARE can’t pay on those claims.

There are some cases where you may have to pay up front and fill a claim for reimbursement:
  • If you get prescriptions filled at retail pharmacies. For information on filing stateside and overseas pharmacy claims, go to http://www.tricare.mil/mybenefit/home/Prescriptions/Claims.

  • If you use a non-participating, TRICARE-authorized provider who doesn’t file claims or if you live overseas and use a host nation provider. For claim forms, information, and mailing addresses go to http://www.tricare.mil/claims. You will be reimbursed 100% of your out-of-pocket costs.

Be sure to include a copy of your Transitional Care For Service-Related Conditions approval letter with any claims you file.

For claims questions, contact your regional contractor; contact information is at http://www.tricare.mil/contactus.

If you have claims issues, be sure to contact your regional contractor immediately to avoid potential collection actions.

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http://www.tricare.mil is the official web site of the TRICARE Management Activity a component of the Military Health System 7700 Arlington Boulevard, Suite 5101, Falls Church, VA 22042-5101