Mayo will file your CHAMPUS/TRICARE primary claim and supplemental claim, if needed. Since Mayo Clinic participates with CHAMPUS/TRICARE, payments are made to us.
CHAMPUS/TRICARE will normally pay 80 percent of the approved charges for active-duty military/dependents and 75 percent for retired military/dependents. CHAMPUS/TRICARE has specific payment restrictions for certain diagnostic services, utilization limits on visits or consultations and procedures that CHAMPUS/TRICARE deems not proven effective. You will be responsible for the 20- or 25-percent copayments, deductibles and any noncovered services.
A Physician Written Referral is required for inpatient admissions and some outpatient procedures. It's your responsibility to check with your local health-benefits adviser at a military treatment facility near you to find out if you need a Physician Written Referral.
Pre-authorization is required for nonemergency hospital admissions and other outpatient procedures. Please refer to your TRICARE manual or call your military hospital's health-benefits adviser.
No, only TRICARE STANDARD. TRICARE PRIME is only accepted with prior authorization.
Yes, we will file claims with supplemental insurance companies.
No, the patient is required to get the Physician Written Referral. We help you in this process.
Yes, but only with a referral from the member's commanding officer. You must bring your uniform services ID card.
Yes, a valid ID card is required.