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Navy
TRICARE Patient Benefits
Naval Medical Center San Diego
34800 Bob Wilson Drive
Building 1 floor 1
San Diego, CA 92134-5000
619-532-6418
619-532-8328
312-522-6418
Contact information for key programs and services at this installation.
Health care and other services for families with special needs are available and accessible to military families across all installations. It’s important to know that programs and services may vary from installation to installation. Make sure to contact your health care provider(s) before your move. Also make sure you know how to reach them during and after your move in case of emergencies.
Whether this is your first move, or you’re a seasoned professional, moving can be a challenge. A little planning and preparation can help make your move as easy as possible. Try the following Defense Department resources to help you get organized:
Make sure your transition is as smooth as possible by visiting Moving on the TRICARE website. Talk to your medical case manager before you move. They can help you find a new doctor and other resources to avoid any interruptions in coverage.
On arrival at your new duty location, you or your sponsor can contact the Beneficiary Counseling and Assistance Coordinator at the military treatment facility. They can help if you have questions or need assistance with authorizations for TRICARE Extended Care Health Option, or ECHO, services.
All TRICARE regional offices and most military treatment facilities are staffed with beneficiary counseling and assistance coordinators who educate beneficiaries and help with TRICARE-related eligibility, enrollment, referrals/authorizations and claims processing questions. If you or your family has more complex needs, contact your TRICARE case manager.
TRICARE debt collection assistance officers are assigned to regional offices and military treatment facilities worldwide. DCAOs assist with confirmed debt collection due to unpaid TRICARE claims. Please note, the debt must be in collections or listed on your credit report.
Medicaid provides health coverage for eligible individuals and families with low incomes or with special needs. The department of social services or the department of medical assistance may administer the Medicaid program in your state. Supplemental Security Income is a cash assistance program intended to assist adults and children with special needs who have limited resources. Families must reapply after moving to a new state.
Medicaid waivers are state-specific Medicaid programs that provide funding for long-term care services to be provided in the community instead of in nursing homes or hospitals. There may be waitlists for waivers, however many states have agreed to the policy of allowing active-duty military families to enroll in their state of legal residence to get on the wait list.
Learn more about Benefits for Families With Special Needs, or review the Government Assistance Programs course on MilLife Learning.
The TRICARE Extended Care Health Option provides supplemental services to:
The qualifying family member’s disability must be entered properly in the Defense Eligibility Enrollment Reporting System to have access to TRICARE ECHO services.
For qualifying medical and/or educational special needs, TRICARE ECHO offers integrated services and supplies beyond those offered by your TRICARE program option (such as TRICARE Prime and TRICARE Select). See this TRICARE ECHO factsheet for more information, or listen to this TRICARE ECHO webinar on Military OneSource.
Military hospitals and clinics are found at military bases and posts around the world. They are also referred to as military treatment facilities. Before you move, find out your new military treatment facility and contact them for local information.
Medical case management involves a team of health care professionals who help you and your family find solutions to complex health problems. It is important to let your medical case manager know if you are moving. They can help you connect with a medical case manager at your new location. Learn more about TRICARE case management services.
If your family member has special transportation needs for the move, such as oxygen or a special bed or wheelchair, contact your TRICARE medical case manager. They can advise you on equipment and transportation.
You can also contact your current installation’s household goods/transportation office (outbound) for information on special procedures for transporting medical equipment.
Exceptional Family Member Program (EFMP)
The Navy's Exceptional Family Member Program (EFMP) serves military families with special, medical, educational, developmental, and/or emotional needs or concerns. The EFMP is a mandatory program and requires enrollment for sponsors with qualifying dependents (adults and children). Enrollment in the EFMP ensures maximum provision of services to the family throughout the sponsor’s career.
The EFMP includes identification of the family member's special needs, enrollment in the program, assignment coordination, and family support. A Case Liaison (CLs) is a Fleet & Family Support Center staff member who is assigned to each sponsor/family enrolled in the EFMP. CLs can provide assistance with navigation of systems; provide information/referral services, and non-medical case management. They also provide a connection between military, local, and national community resources and the EFMP families who utilize support services. The Program assists Sailors during the assignment process by addressing the special needs of their exceptional family members (EFM), and ensures they are assigned to areas where they can access necessary resources.
Qualifying conditions include medical (physical, mental, developmental), and/or educational requirements that are chronic (expected to last six months or longer); requirements for adaptive equipment, assistive technology devices and services, and/or wheelchair accessibility.
Active duty family and are enrolled in the EFM Program or need assistance with enrollment, please contact the Regional MTF Coordinator at Naval Medical Center San Diego (Balboa) at 619-532-8586.