TRICARE West for Beneficiaries

Five Things to Know

  1. Effective July 1, 2018, TRICARE Prime enrollees must use their assigned PCM. Referral guidelines and Point of Service charges will be enforced. 

  2. HNFS has begun efforts to re-enroll beneficiaries to previous UnitedHealthcare PCMs who recently joined the HNFS network. 

  3. We are adding new primary care managers (PCMs) and updating our network directory daily. Check back soon if your PCM is not listed yet. 

  4. Care under the TRICARE Prime Referral Waiver was valid through June 30, 2018. In most cases, specialty care after June 30 requires a PCM referral approved by HNFS. Check our Prior Authorization, Referral and Benefit Tool to see if approval is required.

  5. Log in to view/print referral and authorization notices, and claims Explanations of Benefits (EOBs). Check your secure inbox.