Failure to coordinate civilian "Urgent Care" could cost you money

  • Published
Starting Oct. 1, the 17th Medical Group will no longer submit retroactive urgent care referrals to TRICARE for authorization and payment. TRICARE will charge a Point of Service fee for urgent care received outside the military medical clinic without a prior approved referral.

The fees range from $300-$600 dollars per visit and up to $1,000 annually, per family. This fee will only pertain to family members/dependents; the fee does not apply to active duty members. If an active duty member is seen without an approved referral, the matter will be addressed through their chain of command.

Urgent Care is required for medical conditions that do not threaten life, limb or eyesight, but need attention (usually within 24 hours) to prevent it from becoming a serious risk to health.

For all urgent conditions, enrolled beneficiaries must schedule an appointment with their Primary Care Manager at the 17th MDG. If your PCM is not available on the day you call the appointment line, you will be given a referral to use one of three approved urgent care centers in San Angelo.

Emergency care never requires a referral. In the event of an injury or illness that threatens life, limb or eyesight, please go directly to the nearest emergency room or call 911. Contact your PCM the following day to coordinate additional/follow up care.

If you have any questions regarding this policy contact the TRICARE Service Center personnel at the Medical Clinic, TRICARE South Region 1-800-444-5445 number or 1st Lt. Michael Tesfay at 325-654-3088.