Claims for Beneficiaries Assigned to US Family Health Plan Designated Providers
Designated providers are facilities specifically contracted with the Department of Defense to provide care to beneficiaries enrolled in the US Family Health Plan (USFHP). The USFHP is offered in six geographic regions in the United States. Although it provides the TRICARE Prime benefit, the USFHP is a separately funded program different from the TRICARE program administered by Humana Military. The designated provider is responsible for all medical care for a USFHP enrollee, including pharmacy services, primary care, and specialty care.
If you provide care to a USFHP enrollee outside the network or in an emergency situation, claims must be filed with the appropriate designated provider at one of the addresses listed in Figure 8.3. Do not file USFHP claims with Humana Military.
USFHP Designated Providers
| Martin’s Point Health Care P.O. Box 11410 Portland, ME 04104-7410 |
| Brighton Marine Health Center P.O. Box 9195 Watertown, MA 02471-9195 |
| St. Vincent Catholic Medical Centers of New YorkUS Family Health Plan at SVCMC P.O. Box 830745 Birmingham, AL 35283-0745 |
| Johns Hopkins Medical Services Corporation 6704 Curtis Court Glen Burnie, MD 21060 |
| CHRISTUS Health US Family Health Plan Attn: Claims P.O. Box 924708 Houston, TX 77292-4708 |
| Pacific Medical Clinics1200 12th Avenue South, Quarters 8 & 9 Seattle, WA 98144-2790 |
