TRICARE for Life Fraud Alert!
The DHA Office of the Inspector General and TRICARE For Life contractor are aware of a text message phishing scam (also called “smishing”). Some beneficiaries report getting a text message from 888-763-0248, claiming to be WPS-TFL. The message states their health care is going to expire due to nonpayment and to call the toll-free number. TFL beneficiaries seem to be the target population. But scammers may target all TRICARE beneficiaries. 

TRICARE will never call to ask for payment, your personal identifying information, or your health information.
Never share personal or financial information with someone you don’t know.
To report any suspicious activity, visit: www.tricare.mil/ReportFraud 

 

Did you receive a referral or need to log into TRICARE West? Learn how to log into TRICARE West here

To make an appointment call 760 - 725 - HELP (4357) between the hours of 7:30 am and 4:00 pm weekdays. Select Option 3.

Did you know you can now order prescription refills from your GENESIS patient portal? Go to the Pharmacy page to learn more. 

To access a video with instructions on setting up an MHS GENESIS account, click
here

Health Services

Case Management

Why Would I Need Case Management?

The need for case management services is determined through a collaboration between you, your family or caregiver, your health care team, and your provider. This collaboration will include a comprehensive assessment of your health, psychosocial needs, and use of health care services and resources.

Case management can help by:
• Coordinating your care.
• Assessing, planning, and facilitating services for you.
• Evaluating your options.
• Advocating on your behalf.

You or your family member may need case management if you have:
• Instability with chronic health problems
• A serious terminal illness
• An increased need for different provider specialties due to multiple diseases or conditions
• A need for more support and education during a critical period

Who are Case Managers?

Case managers are usually nurses or social workers who can help you and your family figure out complex health care and support systems. They will work with you to coordinate the services and other community resources you need

They can help:
• Provide advocacy, support, and education
• Reduce burden and streamline appropriate utilization of care
• Partner with members of your healthcare team to assist in coordination of your healthcare needs
• Monitoring for progress and desired outcomes

Already have a Case Manager?

Please call to  inquire about the status of your  Specialty Care Referral. If your referral is appointed to the MTF, we will schedule your appointment.

If your referral was sent to Tricare, you will need to call Health Net Federal Service, 844 - 866 - 9378. Please reach out to us if you are having any issues or concerns about your Specialty Care.
 
Active Duty service members are required to have a prior authorization for Urgent and Specialty Care. Active Duty Service members must receive all local urgent care from their Primary Care Manager (PCM), or an MTF Emergency Room.

If traveling and you need urgent care, please contact the TRICARE Nurse Advice line 800 - TRICARE (874 - 2273), prior to obtaining Urgent Care.

Case Management Services

 

Naval Hospital Camp Pendleton Case Management

Phone:

760 - 725 - 4357 Option 3

Hours of Operation: 

Mon-Fri: 7:30 am - 4:00 pm
Closed Weekends and Federal Holidays

Location:

Main Hospital, 3rd floor South side

 

Need to Update Your Information in DEERS? Click Here