Urgent care is a covered benefit when related to an illness or injury that requires medically necessary treatment within 24 hours. Urgent care visits are typically at a primary care manager's office or an urgent care facility.
- TRICARE Prime beneficiaries, excluding active duty service members (ADSMs) enrolled in Prime, do not need a referral for urgent care and Point of Service will not apply when seeking urgent care from a network or non-network urgent care center or a network primary care type provider.
- Active duty service members enrolled in TRICARE Prime still require a referral for urgent care; however, ADSMs enrolled in TRICARE Prime Remote do not require a referral due to their remote location.
- All other beneficiaries do not require a referral for urgent care, and care may be rendered by network or non-network providers.
Beneficiaries assigned to a military or civilian primary care manager (PCM) should seek all non-emergency follow-up care with their PCM.