FORT LEE, Va. (March 12, 2016) -- The Department of Defense will implement a new urgent care pilot program May 23 that will include Kenner Army Health Clinic beneficiaries.
Essentially, the pilot will allow two appropriate urgent care visits, without referrals, per fiscal year (Oct. 1 - Sept. 31), per individual. Beneficiaries included are TRICARE Prime active duty family members, TRICARE young adult enrollees, and TRICARE Prime retirees and retiree family members. TRICARE Prime active duty service members are not eligible for urgent care under this pilot program.
Beneficiaries who are eligible under this Urgent Care Pilot Program will be able to go to a network urgent care facility twice a fiscal year without a referral from their primary care manager. However, it is the patient's responsibility to ensure they do not go over their two-visit limit or they will incur point of service charges.
In addition, if the patient utilizes a non-network urgent care facility, POS charges will apply. Beneficiaries are to contact TRICARE at 1-877-TRICARE before utilizing urgent care to ensure the facility is in the network.
Beneficiaries enrolled to KAHC still have the ability to contact the Nurse Advice Line at 1-800-874-2273 (press option one). They also may use the KAHC on-call provider program by contacting the administrative officer of the day at (804) 734-9000. These services are available 24 hours a day, seven days a week.
After utilizing urgent care with or without a referral, enrollees are encouraged to notify their PCM and/or team nurse within 24 hours after their urgent care visit to schedule follow-up care, if needed.
For questions regarding the new pilot program, contact the KAHC Health Benefits Advisors Joyce Harris or Belinda Perkins at (804) 734-9447 or 734-9448.
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