What happens if a TRICARE beneficiary does not notify the regional contractor after receiving emergency care?

If a TRICARE beneficiary does not inform the regional contractor after receiving emergency care, they may be denied coverage for that care. This requirement is in place because TRICARE needs to assess whether the emergency care received is a covered service under their plan. Not notifying the contractor can complicate the claims process and may lead the claims to be rejected, resulting in the beneficiary being responsible for the full costs of the treatment received. It’s crucial for beneficiaries to understand the importance of communication with the regional contractor to ensure proper reimbursement and continuity of care within the TRICARE system.