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Tricare
Prime & Standard
(Dependents and Retirees Only*)
Tricare Prime: A referral is required from your Primary
Care Manager (PCM) and HealthNet must approve services prior to
your initial visit. Doctor visits, and
Lab services are filed to Tricare by TWB; Tricare Prime patients
pay a copay based on Tricare’s policy.
Tricare Standard: No referral is necessary. Doctor visits,
and Lab services are filed to Tricare
as a courtesy by TWB; Tricare Standard patients pay TWB up front
for services and Tricare will reimburse the patient for covered
services.
*Currently, Tricare does not cover services rendered to Active
Duty Members.
Other major Commercial Insurance Carriers (Aetna,
BC/BS, Optima, etc)
TWB currently does not file claims
with other Insurance carriers. Receipts can be provided with all
the necessary diagnosis and service codes in order for patients
to file their own claims.
The Insurance specialist is available to answer your questions on Tuesday and Thursday between the hours of 4:30 – 7:00 pm. Please call 644-6819 if you require additional information.
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