Active Duty family members on TRICARE Select will use civilian providers as their Primary Care Managers. TRICARE Select families can choose In Network or Out of Network providers but Out of Network providers have a higher cost share. Families on TRICARE Select do not need referrals for specialty care through a specialty MD. Families on TRICARE Select still need a referral and authorization for therapy services (this includes physical, occupational, speech and ABA therapy). The program does have deductibles, cost shares, and copays. For Active Duty and Retired family members, there is a catastrophic cap of how much a family has to pay in a year. Once the family hits that cap, their care (including prescription drugs) is free for the remainder of the calendar year. The cap is currently set at $1,000 a year for AD family members and $3,000 a year for most retired families, but is subject to change from year to year. TRICARE Select families do not need a referral to use an approved urgent care clinic.
The current TRICARE Cost sheet can be found here.
You may occasionally need to find other, non-military, service providers for your child. Finding Other Providers. This appendix from OAR’s Life Journey Through Autism: A Guide for Military Families serves as a starting point in searching for providers.