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PRIME TRAVEL REQUEST FORM TRICARE Regional Office - West 401 West A Street, Suite 2100 San Diego, CA 92101-7908 Phone: (800) 449-6408 Fax: (619) 231-4246 e-Mail: TROW-PrimeTravel trow.tma.osd.mil.

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The Prime Travel Benefit reimburses reasonable travel expenses. This includes mileage, meals, tolls, parking, lodging, local transportation, and tickets for public transportation. for a qualified trip by a TRICARE Prime enrollee.

Army National Guard Service members on Federal Active duty must enroll in TRICARE Prime and are not eligible for TRICARE Select, however their Families are eligible when the Service member is activated for more than 30 days in a row.

Step 1: Choose a Primary Care Manager. If there are network providers in your area, you will list a network provider as your primary care manager (PCM). ... Step 2: Complete the Enrollment Application. Enroll all family members on one enrollment form. ... Step 3: Get Started with TRICARE Prime Remote.

Medical Claims Fill out the TRICARE Claim Form. Download the Patient's Request for Medical Payment (DD Form 2642). ... Include a Copy of the Provider's Bill. Attach a readable copy of the provider's bill to the claim form, making sure it contains the following: ... Submit the Claim. ... Check the Status of Your Claims.

TRICARE Prime is available in certain stateside areas, called Prime Service Areas. Depending on where you live and your sponsor's status, other TRICARE Prime options include: TRICARE Prime Remote, an option for ADSMs and their family members who live and work in remote locations (outside of a Prime Service Area)

As noted in the TRICARE Plans Overview Fact Sheet, your PCM may be a military or civilian provider. You may be required to enroll with your local military hospital or clinic. US Family Health Plan enrollees need their own primary care provider within their plan's network.

Only reasonable, “actual-cost” travel expenses associated with receiving specialty care can be reimbursed. These expenses may include mileage, meals, lodging, parking, tolls, airfare, baggage fees, taxicab/shuttle, and/or “authorized” rental car.

TPR is only available to active duty service members (including activated Guard/Reserve members) and their families who live and work in designated remote locations. If you're on active duty, you have to enroll if you live and work in a remote area. Family members can choose to enroll in TRICARE Select.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232