Networks change. We verify your specific TRICARE East (Humana Military) plan before your first visit; call with your member ID and we will confirm benefits, copay and any referral or authorization requirements.
Also appears on cards as: Tricare, TRICARE, Tricare East, Humana Military, Tricare Prime, Tricare Select, Tricare for Life.
TRICARE is the health program for active duty service members, retirees, National Guard and Reserve members, and their families. Florida and South Carolina fall in the TRICARE East Region, administered by Humana Military. Both states have large military communities, including Naval Air Station Jacksonville, Patrick Space Force Base near Melbourne, Joint Base Charleston near Goose Creek, Fort Jackson in Columbia and Marine Corps Recruit Depot Parris Island near Beaufort and Bluffton. TRICARE covers outpatient psychiatry, medication management and psychotherapy. Since 2018, TRICARE Prime enrollees do not need a referral for outpatient mental health visits with network providers, and TRICARE Select enrollees can see any network provider directly. Active duty members still need a referral from their military clinic. Telehealth is covered at the same cost share as office visits.
Cost sharing depends on your plan. Active duty family members on Prime pay nothing for network care. Retirees on Prime pay a modest copay, and Select enrollees pay copays or cost shares that depend on sponsor group. TRICARE covers transcranial magnetic stimulation for major depressive disorder after failure of antidepressant trials, with prior authorization through Humana Military. Spravato is covered with prior authorization through the TRICARE pharmacy benefit administered by Express Scripts, with medical necessity documentation and REMS-certified administration required.
What we check before your visit
- Whether your plan is in network at the office you chose and for telehealth
- Your copay or coinsurance for an evaluation and for follow-ups
- Whether a primary-care referral is required (common with HMO plans)
- Prior-authorization criteria for Deep TMS and Spravato, if those are being considered
Frequently asked questions
Does Stedfast Psychiatry accept TRICARE?
Stedfast Psychiatry accepts TRICARE East plans administered by Humana Military at our Florida and South Carolina offices, including locations near Jacksonville, Melbourne, Goose Creek, Lexington, Bluffton and Hilton Head Island. Confirm that your specific provider is a TRICARE network provider by checking the Humana Military directory or asking our front desk.
Do I need a referral to see a psychiatrist with TRICARE?
If you are a family member or retiree enrolled in TRICARE Prime or TRICARE Select, you can schedule outpatient mental health visits with a network provider without a referral. Active duty service members need a referral from their military treatment facility or primary care manager before seeing a civilian psychiatrist.
What will I pay for a psychiatry visit with TRICARE?
Active duty family members on TRICARE Prime pay $0 for network mental health visits. Retirees on Prime pay a small copay. TRICARE Select enrollees pay a copay or cost share that depends on whether the sponsor joined before or after 2018. Humana Military's website lists current amounts, and our staff can verify your cost.
Does TRICARE cover telehealth psychiatry?
Yes. TRICARE covers video mental health visits with network providers at the same cost share as in-person visits for beneficiaries located in Florida or South Carolina during the appointment. This is helpful for families who move between duty stations within the region. TMS and Spravato must be delivered in person.
Will TRICARE pay for Deep TMS or Spravato?
TRICARE covers TMS for major depressive disorder when you have failed antidepressant treatment and meet medical necessity criteria, with prior authorization through Humana Military. Spravato is covered with prior authorization through Express Scripts and requires a concurrent oral antidepressant and REMS-certified administration. Our staff submit both requests and coordinate the drug supply.