Urgent Care clinics are best suited to treat non-emergency health concerns. You, your family or other dependents have the option to use the services and care available to diagnose and treat acute injuries and illnesses. Talk to your VA facility about your VA options, including how VA claims are processed if you are entitled to Medicare or have other health insurance Health insurance you have in addition to TRICARE, such as Medicare or an employer-sponsored health insurance. Yes, TRICARE Prime Members can seek care at urgent care clinics without a referral. If you use your TRICARE For Life benefit at a VA facility and have no other VA benefit to cover those costs, you'll be required to pay the remaining balance after TRICARE pays its 20% of the TRICARE-allowable charge. When using Medicare providers, you typically have no out-of-pocket costs for services covered by both Medicare and TRICARE. You should get care for your service-connected disability at a VA facility, but for all other care, consider all of your options, including using a Medicare-certified provider. This is tied by law to Medicare's allowable charges. You're responsible for the remaining balance. TRICARE can pay only up to 20% of the TRICARE allowable charge The maximum amount TRICARE pays for each procedure or service.When you use TRICARE For Life to get care for a non-service-connected condition from a VA facility, the VA can't bill Medicare.Examples, according to the DHA, include a sprain, a rising temperature, or a sore throat. Medicare can't pay for care at a government facility. Urgent care is for non-emergency illnesses or injuries requiring treatment within 24 hours.VA facilities, even if they are in the TRICARE network, are not Medicare-authorized providers. You will see the VA for service-connected conditions and use TRICARE for everything else. If you retire and qualify for VA benefits, you can use your TRICARE and VA benefits together. Learn more about Transitioning to the VA.After TRICARE coverage is lost, you can get care through the VA when you qualify. If you separate or 'get out' before you retire, you qualify for transitional coverage but will eventually lose all TRICARE benefits. Separated and retired service members may qualify for VA benefits upon separation or retirement.

The VA may see you without a referral, but to follow TRICARE’s rules, you must have a referral to get care from any provider other than your PCM.You can get urgent and routine care if you have a valid referral and authorization from your PCM or regional contractor.Call your primary care manager (PCM) or regional contractor within the first 24 hours or next business day so the care can be authorized.You can get emergency care without a referral or authorization.In the following scenarios, you can get limited health care services at VA facilities. When and how you get care at a VA facility depends on your military status and your health care needs. Most Veterans Affairs (VA) facilities are network providers, but check with your regional contractor before making an appointment.

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