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Need Help Logging in? Your opinion is important to us! Let us know how we're doing.	Home » Beneficiary Services » Beneficiary News Articles Access to Care: Located More Than 30 Minutes from PCM TRICARE Prime Access to Care standards help ensure that enrollees have convenient access to medical care. The standards require that Prime beneficiaries live less than 30 minutes away from their primary care manager (PCM). Beneficiaries living more than a 30-minute drive from their PCM must waive their TRICARE Prime access standards. First, make sure your DEERS address is updated. You can verify and update your DEERS information in a number of ways: Online through the Beneficiary Web Enrollment (BWE) site or the DEERS Web site Over the phone; update your address by calling DEERS at 1-800-538-9552. In person at the nearest military ID card-issuing office or TRICARE Service Center (TSC) If you live more than 30 minutes from your PCM, you may be able to remain enrolled. You have to submit your access to care waiver by: Updating your residential address or requesting a new PCM online through the BWE site Filling out the TRICARE Prime Enrollment Application & PCM Change Form, signing Sections V and VI for the access to care waiver, and submitting the form by mail or at a local TRICARE Service Center (TSC). Your other TRICARE options may include: Use TriWest’s online Provider Directory to find local PCMs (be sure to check the “PCMs only” box). If an available PCM is within a 30-minute drive of where you live, you can request (online or by mail) a new PCM. If you do not request a new PCM, you may be assigned a new network PCM effective October 1, 2009. TriWest will send you a letter listing your new PCM. If a civilian network PCM is not available within 30 minutes of where you live and you do not submit an access to care waiver (see above), you will be disenrolled from TRICARE Prime (effective October 1, 2009). You and your family members will be eligible to use TRICARE Standard and Extra. You will be notified of your disenrollment by mail. Please note that your PCM request is subject to provider availability and the local military treatment facility’s enrollment guidelines. If your request is approved, you will be notified by mail. Disenrollment actions will be considered voluntary disenrollments and those beneficiaries will be locked out of TRICARE Prime enrollment for 12 months. Published Date: 07/16/2009

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Everything to Know About Your TRICARE Benefits

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Access to Care: Located More Than 30 Minutes from PCM

TRICARE Prime Access to Care standards help ensure that enrollees have convenient access to medical care. The standards require that Prime beneficiaries live less than 30 minutes away from their primary care manager (PCM). Beneficiaries living more than a 30-minute drive from their PCM must waive their TRICARE Prime access standards.

First, make sure your DEERS address is updated. You can verify and update your DEERS information in a number of ways:

Online through the Beneficiary Web Enrollment (BWE) site or the DEERS Web site
Over the phone; update your address by calling DEERS at 1-800-538-9552.

In person at the nearest military ID card-issuing office or TRICARE Service Center (TSC)

If you live more than 30 minutes from your PCM, you may be able to remain enrolled. You have to submit your access to care waiver by:

Updating your residential address or requesting a new PCM online through the BWE site
Filling out the TRICARE Prime Enrollment Application & PCM Change Form, signing Sections V and VI for the access to care waiver, and submitting the form by mail or at a local TRICARE Service Center (TSC).

Your other TRICARE options may include:

Use TriWest’s online Provider Directory to find local PCMs (be sure to check the “PCMs only” box). If an available PCM is within a 30-minute drive of where you live, you can request (online or by mail) a new PCM. If you do not request a new PCM, you may be assigned a new network PCM effective October 1, 2009. TriWest will send you a letter listing your new PCM.
If a civilian network PCM is not available within 30 minutes of where you live and you do not submit an access to care waiver (see above), you will be disenrolled from TRICARE Prime (effective October 1, 2009). You and your family members will be eligible to use TRICARE Standard and Extra. You will be notified of your disenrollment by mail.

Please note that your PCM request is subject to provider availability and the local military treatment facility’s enrollment guidelines. If your request is approved, you will be notified by mail.

Disenrollment actions will be considered voluntary disenrollments and those beneficiaries will be locked out of TRICARE Prime enrollment for 12 months.

Published Date: 07/16/2009