TRICARE is a health care program for active duty service members, National Guard and Reserve members, retirees, family members, young adults, survivors and certain form spouses worldwide. Hawaii is a part of the TRICARE West Region and United Healthcare Military and Veterans! There are two types of TRICARE providers, network and non-network. Network providers have a signed agreement with the regional contractor to provide care and to file the claims for you. Oahu Spine & Rehab is a network provider for TRICARE in Kailua.
People that are eligible for TRICARE insurance:
Active Duty Service Members and their family
Retired service members and dependents
Young adults up to age 26
Activated National Guard/Reserves (age 60+) and family
Medal of Honor Recipients and family
Other eligible beneficiaries
Eligible former spouses
There are multiple programs within TRICARE in Hawaii that are available for members. Within these programs are TRICARE Prime, TRICARE Standard, and TRICARE Extra. TRICARE Prime is a managed care option that is offered in prime service areas within a 40 miles radius of a Military Treatment Facility (MTF).
Through TRICARE Prime, you will be seen by a military Primary Care Manager at the MTF or at a network provider. When you see your Primary Care Manager they will refer you out to network specialty providers if need be. If you are a TRICARE Prime member at Oahu Spine & Rehab here in Kailua you will need referral from your PCM on base. TRICARE Prime has the lowest out-of-pocket expenses because most of the care will take place on base or at a military hospital. For TRICARE Prime, you must enroll and contact TRICARE. OSR is a TRICARE provider on Oahu with no referrals needed!
TRICARE Standard is the normal fee-for-fee service option. With Tricare Standard you can go to a provider of your choosing and it does not have to be a military hospital. TRICARE Standard gives you more options for providers but is the most expensive out-of-pocket with deductibles and cost shares. You don’t have to enroll with a PCM on MCBH or get any referrals from the doctors at a military hospital with this program. With Tricare Standard there is no enrollment required and no enrollment fee. TRICARE Extra is similar to standard but you can only see preferred providers and receive care from a network provider.
TRICARE also offers pharmacy benefits for its members in order to make pharmacy out of pocket expenses less than normal. The cheapest option is to pick up your prescriptions at the nearest MTF location. Another great option is the TRICARE pharmacy Home delivery where you are able to get express scripts from www.express-scripts.com/TRICARE. There are over 60,000 retail pharmacies that are in the Tricare network as well. Lastly, non-network retail pharmacies, which will be the most expensive option.
Oahu Spine & Rehab is a TRICARE Provider in Kailua, we are located conveniently out the back gate of MCBH for all of your chiropractic, massage therapy, physical therapy and physical medicine needs. At our integrated health center, we are a point of service provider so that active duty military members as well as retirees and their families are able to come see us.