Changing Your Primary Care Manager
There are three steps to changing your primary care manager (PCM):
- Determine if you live in a Prime Service Area.
- Select a new PCM.
- Request a PCM change.
Determine if You Live in a Prime Service Area
Use the TRICARE Prime and PCM Selection Guide to determine if you reside within access to care standards of a TRICARE Prime Service Area. If your state does not appear in the TRICARE Prime and PCM Selection Guide, your address is outside of the TRICARE West Region. However, you may still be eligible to select a PCM in the West region if you find a PCM within 100 miles from your residential ZIP code. Otherwise, contact Humana Military if you are located in the TRICARE East Region.
Please Note: TRICARE Select, TRICARE Reserve Select, TRICARE Retired Reserve, and TRICARE Young Adult Select beneficiaries do not have a PCM and may use the Network Provider Directory for a list of network doctors. Active duty family members who do not live in a Prime Service Area may qualify to enroll in TRICARE Prime Remote for Active Duty Family Members. Only active duty service members and active duty family members enrolled in TRICARE Prime Remote may have a civilian PCM in a non-Prime Service Area.
Selecting a PCM if You
Live in a Prime Service Area
The TRICARE Prime and PCM Selection guide will tell you if you must have a PCM at your local military hospital or clinic. Based on the beneficiary category and your address, only military hospitals and clinics currently accepting new enrollees in your area will be displayed. If there are no mandatory military hospitals or clinics listed and you are not currently enrolled to a military hospital or clinic, you may select a civilian PCM. Use the Network Provider Directory to locate a civilian PCM. If you are currently enrolled to a military hospital or clinic, you may not change to a civilian PCM.
You must waive your drive time standards if you want a PCM who is located more than a 30-minute drive from your home.
Selecting a PCM If You
Do Not Live in a Prime Service Area
You may still enroll in TRICARE Prime if you do not travel more than 99.9 miles to a civilian PCM in a Prime Service Area. Use the Network Provider Directory to find a PCM in a Prime Service Area in your area.
Every time you want to change your PCM, you must waive your drive time standards.
TRICARE Select is available if you live too far from or do not wish to travel to a Prime Service Area.
Request a PCM Change
Now that you have chosen your new PCM, you must update the information with TRICARE for the change to be effective. You may request a PCM change online, by submitting a form or by phone.
You will receive notification from TRICARE to view your PCM information at milConnect approximately 7–10 business days after the request is processed. This notification will be sent via email or postcard, depending on whether you have an email address on file with DEERS. It's important to confirm your new PCM assignment before seeing the new PCM, as you may receive Point of Service charges if you go to the new PCM before the change is effective.
Online PCM Changes
Beneficiary Web Enrollment (BWE) is the easiest way to request a PCM change if you live in a Prime Service Area. Your change will be effective the date of the request. Or, you may request a future effective date. Note: Enrollment rules exist in certain areas that affect your selection. Changes to your selection may be made by the regional contractor.
Using the PCM Change Form
For TRICARE Prime beneficiaries, mail or fax your completed TRICARE Prime Enrollment, Disenrollment, and Primary Care Manager (PCM) Change Form (DD2876) to:
Health Net Federal Services, LLC
PO Box 8458
Virginia Beach, VA 23450-8458
Make sure to sign* the access waiver if you are required to waive your drive time. The access waiver is Section V on the DD2876. Your change will be effective the date the form is received.
For TRICARE Young Adult Prime beneficiaries, mail your completed TRICARE Young Adult application to:
Health Net Federal Services, LLC
PO Box 9028
Virginia Beach, VA 23450-9028
Make sure to sign the application and check the appropriate box in section 17 if you are required to waive your drive time. Your change will be effective the date the form is received.
*Note: A signed application includes those with a signature or an electronic signature.
You may call us at 1-844-866-WEST (9378), Monday through Friday, 5:00 a.m.–9:00 p.m. (PT) for assistance with PCM changes.