How can TRICARE and a Mission Direct Primary Care membership work together?

by | Aug 15, 2019 | Direct Primary Care | 0 comments

TRICARE is an incredible benefit for members of the armed services and retirees, and a couple of its versions work exceptionally well with a Mission Direct Primary Care membership. The ability to get lab and imaging tests as well as some specialty care directly from the base means you can get the best of both worlds.

TRICARE Select

TRICARE Select (formerly TRICARE Standard) is a version that has no premium with a 20% cost-sharing (also known as co-insurance) for charges incurred outside of the “direct” system.  Direct means you’re getting care, tests, or prescriptions directly from the military clinic. Pairing your Select plan with a direct primary care membership means you get fantastic, easy-to-access primary care for an affordable cost. No worries about getting in to be seen the day you call, and you’ll see your doctor when you do. Labs, imaging tests, and prescriptions can still be done at the base at no cost.  If you need care that neither the membership nor the military clinic can provide, we work to make sure you know what something is going to cost before you go. 

TRICARE for Life

TRICARE for Life is essentially second-payer coverage for Medicare for people 65+ or otherwise eligible for Medicare. It also works great with a Mission Direct Primary Care membership for the same reasons is works for TRICARE Select — affordable access to your doctor when you need it AND the ability to get tests and prescriptions from the base. Oh, and I am a veteran who you might have already seen once or twice on base because I was stationed at Offutt for the last 8 years of my Air Force career. I appreciate your service and know how best to coordinate care with Offutt.  

TRICARE Prime

Unfortunately, Prime doesn’t work quite so well with a Mission Direct Primary Care membership.  Prime functions like a “health maintenance organization” (whatever that is), which limits Mission Direct Primary Care’s ability to do referrals. It’s still an option, but you’d basically just have to operate outside the system.  

The bottom line is that TRICARE Select and TRICARE for Life work great with a Mission Direct Primary Care membership — the relationship, access, and value we provide in our clinic combined with the ability to still get tests, medications, and specialty care at the base at no additional cost!  Mission Direct Primary Care is proud to offer a 10% discount to your monthly membership for all active duty and veterans.

However, it is important to note that because I am fully opted-out of Medicare I can accept Tricare patients. Other direct primary care providers who are not opted out may be restricted from offer memberships to Tricare beneficiaries. So if you are interviewing other practices please be aware and ask about their medicare enrollment status.

About Mission Direct Primary Care:

Mission Direct Primary Care is a membership-based family medicine clinic in Omaha, NE. We do not take or bill insurance, or charge per-visit or co-pays because our members pay a reasonable monthly fee.

Our founder, Dr. John Hallgren, believes that you deserve a personal relationship with your doctor who has the time to practice full-scope family medicine to keep you from unnecessary and expensive referrals.  Someone you know and can rely on to always call you back on the same day and have readily available appointments for your urgent needs. Dr. Hallgren also believes that you deserve to understand the costs in order to best budget for your healthcare expenses. 

Dr. Hallgren created Mission Direct Primary Care to provide patients in Omaha exactly that. Relationship. Access. Value.

Stay in the loop about what Mission Direct Primary Care is up to by following us on Facebook, Instagram, or LinkedIn.


John Hallgren, M.D.

John Hallgren, M.D. is the co-founder of Mission Direct Primary Care in Omaha, Nebraska. He graduated from the Uniformed Services University of the Health Sciences medical school in 1995 and has been a board-certified family physician since completing residency in 1998. He is a 26-year veteran of the U.S. Air Force and has been an assistant professor of family medicine for the University of Nebraska Medical Center and Uniformed Services University. He has several publications in such journals as American Family Physician and The Journal of Family Practice.

0 Comments

Submit a Comment

Your email address will not be published. Required fields are marked *