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
Contact
TRICARE Regional Office-North
Phone: 1-866-307-9749 or 1-703-588-1867/1869
E-mail: tronorth@tma.osd.mil
TRICARE Regional Office-South
Phone: 1-800-554-2397
E-mail: trosouthcs@tros.tma.osd.mil
TRICARE Regional Office-West
Phone: 1-800-449-6408
E-mail: trow-csrctravel@trow.tma.osd.mil