Other Health Insurance (OHI)

When you have OHI, claims must be coordinated with both your primary OHI and TRICARE.

Here's how:

Step 1: Your provider should submit claims to your primary insurer first. Most providers will submit the claim for you. Once the claim has been processed, both you and the provider will receive an explanation of benefits (EOB) indicating the amount paid by your primary insurer.

Step 2: If TRICARE is the second payer, send a copy of the EOB from the OHI together with your claim to TRICARE for processing.

If you have Medicare and TRICARE, send your claim to Medicare, which will then send the claim to TRICARE on your behalf for secondary processing.