What is a key feature of TRICARE Prime that distinguishes it from other plans?

A key feature of TRICARE Prime that sets it apart from other TRICARE plans is that enrollees must have a primary care manager (PCM). The PCM serves as the first point of contact for all medical needs, guiding patients through their healthcare journey. This approach ensures that all care is coordinated, including referrals to specialty services when necessary. By assigning a PCM, TRICARE Prime emphasizes a managed care structure that improves patient outcomes through continuous oversight and management of the patient's healthcare services.

This requirement helps streamline care and ensures that beneficiaries receive appropriate referrals and follow-up care, fostering better communication and continuity of service. In contrast to other TRICARE options, which may allow greater flexibility in provider choice without a designated PCM, TRICARE Prime prioritizes managed care and oversight by a primary physician.