Update Your Other Health Insurance Info for TRICARE > TRICARE Newsroom > Articles
FALLS CHURCH, Va. – 
The new year is listed here, so it’s important to take stock of your family’s in general overall health strategy coverage. This is particularly correct when it arrives to other wellbeing insurance plan (OHI). You may have had OHI last 12 months, but now no lengthier. Or probably you have just lately attained or improved OHI. In any of these circumstances, make certain your OHI details is present with TRICARE, so your wellness care promises are processed accurately.
“It’s significant to notify your medical doctor and other well being care companies if you have protection in addition to TRICARE,” said Shane Pham, TRICARE Wellness Plan coverage and programs analyst at the Protection Overall health Agency. “This will support them mail your bills to the appropriate payer and avoid delays.”

Have OHI? Find out what’s essential of you and how your two programs perform collectively. Here are a couple Q&As to help.
Q: What variety of health insurance is OHI?
A: OHI is any insurance policies you have other than TRICARE. It can be by way of your employer, a spouse’s employer, or a private insurance coverage system. But TRICARE supplemental ideas don’t count as OHI.
Q: Do you have to report your OHI?
A: Sure. You ought to disclose other health and fitness coverage coverage you carry in addition to TRICARE. Updating your OHI information and facts with your TRICARE contractors and vendors will assure promises approach immediately and precisely. You can report your OHI working with any of the possibilities beneath:
Q: Does OHI or TRICARE shell out initial?
A: By law, TRICARE pays following all OHI. The exceptions to this are:
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- Medicaid
- TRICARE supplemental strategies
- Point out victims of crime payment courses
- Other federal federal government packages determined by Defense Health Agency




After your OHI processes your assert, you or your medical doctor documents a declare with TRICARE. Preserve in intellect that if TRICARE receives your assert just before your OHI, TRICARE will deny the declare. If TRICARE pays first and afterwards learns that you experienced OHI, TRICARE will choose again any payments it built and will reprocess the assert after your OHI procedures it.
Q: How does other dental insurance policies function with the TRICARE Dental System?
A: If you are an lively responsibility household member with dental protection by way of the TRICARE Dental Method (TDP) and have other dental coverage, be confident to finish and post the Other Dental Coverage Protection Questionnaire to United Concordia, the TDP contractor. This will make sure your claims procedure correctly. United Concordia will get the job done with your other insurance coverage firm to establish the coordination of benefits. Dependent on the condition, TDP may act as main or secondary payer.
If you have dental coverage through the Federal Workers Dental and Eyesight Insurance System (FEDVIP) and have other dental insurance coverage, make contact with your FEDVIP dental provider, or other insurance policies company, if you have questions about the coordination of your gains.
Q: What if you have OHI with pharmacy rewards?
A: If you have OHI with prescription drug protection, be confident to convey to the pharmacy contractor, Categorical Scripts. Total a TRICARE Other Health Insurance policy (OHI) Variety and mail it to Express Scripts. Explain to Express Scripts if you have missing or adjusted OHI, as perfectly. When you have OHI with pharmacy added benefits, your OHI pays first and TRICARE pays second. Browse How to Use TRICARE and OHI at the Pharmacy to learn more about OHI and your pharmacy benefit.
Q: How does TRICARE For Existence and OHI coordinate positive aspects?
A: How Medicare coordinates with your OHI depends on no matter whether you have OHI based mostly on your present employment. Irrespective, TRICARE often pays previous. You can glance up a lot more data about OHI in the TRICARE For Existence Handbook and Medicare internet site.
Q: What else is vital to know about OHI?
A: When you have OHI, maintain in head:
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- If you’re lively duty, you can’t use OHI TRICARE is your only coverage.
- Dropping or getting OHI is a Qualifying Lifetime Event.
- If you reduce OHI, TRICARE will become your primary payer.
- You have to comply with all necessities of your OHI program.
- Solutions you acquire will have to be from a TRICARE-approved service provider, regardless of whether they’re network or non-community.
- The OHI have to procedure the declare prior to TRICARE can look at the rates.






Get started 2023 off proper by notifying your TRICARE contractors and companies that you have OHI. Also notify them if your OHI standing has modified. Next this critical step will make running your well being treatment much easier all over the calendar year.
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