Health Care

Naval Medical Center San Diego (NMCSD) is the largest and most technologically advanced military medical facility in the world. Services provided by NMCSD are available to nearly half a million people in the San Diego area. Contact the NMCSD at 619-532-6400 and the Naval Dental Center at 619-532-8600.

When you move, TRICARE moves with you. No matter where you go in the world, TRICARE is there before, during and when you get to your next duty station.

There are steps you need to take to make sure changes to your TRICARE coverage go smoothly. Understand that when you move, you may have to use a different TRICARE option. Visit TRICARE Moving to learn more.

Before you move, you should take care of any routine medical needs, including immunizations, and fill your prescriptions so you have enough while traveling. If you need care during your move, visit TRICARE Getting Care When Traveling to learn what to do.

Filling prescriptions while traveling

You should refill prescriptions before traveling. But if you run out of a prescription drug while traveling, visit TRICARE Filling Prescriptions When Traveling.

Getting dental care while traveling

Getting dental care while traveling depends on your location and whether you are a service member or family member.

• If you are an active-duty service member within the United States or in U.S. territories, and near a military installation, you may be able to get emergency dental care at the dental treatment facility, or DTF, if available. If not, contact the TRICARE Active Duty Dental Care Program before you see a dentist and tell the contractor about your move. You will need to get an authorization before you see a dentist. The Active Duty Dental Care Program will work with you, so you can get care from a local network dentist.
• If you are an active-duty service member at an overseas location, call the TRICARE overseas regional call center to get authorization before you see a civilian dentist.
• If you are an active-duty family member within the United States, in U.S. territories or at an overseas location, you can find out if any nearby military dental treatment facility treats active-duty family members. If you're enrolled in the TRICARE dental program, call the TRICARE dental program contractor or visit their website to find a provider. You will need to get an authorization before you see the dentist.

With permanent change of station orders, ask for a copy of your medical and dental records from your military treatment facility and the dental treatment facility. Do this at least one month before your PCS date. The MTF should also transfer a copy of your record and any family records to your new duty station or you may be able to hand carry them to your new duty station.

If you want someone else to be able to get medical or dental information on you or your family while you are moving, you need to complete a DD Form 2870, "Authorization for Disclosure of Medical or Dental Information."

For more information on getting copies of medical records, visit TRICARE Request Copies of Medical Records.

Installation Hospital

Naval Medical Center San Diego is located at 34800 Bob Wilson Drive, San Diego, California. NMCSD is the largest military medical facility in the world, providing medical and pharmacy services to active duty, retirees, and RED DA/Page 2 dependents. Emergency room services are available at NMCSD 24 hours a day, seven days a week.

NMCSD is a major teaching center and operates a network of clinics located at area military installations. Through these clinics, emergency and ambulatory care is provided to the active-duty populations of all San Diego ship and shore commands. In addition, TRICARE outpatient clinics are located throughout the community for military families. San Diego is a large area comprised of many smaller communities. Various hospitals are spread throughout the city; your nearest ER would depend upon your location.

While many TRICARE beneficiaries pay no out-of pocket costs for ER services, the average cost for an ER visit is 10 times more than an urgent care visit. In many cases, using the ER is not necessary, and a patient's condition can be treated through urgent care. TRICARE's explanation of urgent care and emergency care can help you seek the most appropriate service.

TRICARE defines an emergency as a medical, maternity or psychiatric condition that would lead a prudent layperson (someone with average knowledge of health and medicine) to believe that a serious medical condition exists, that the absence of immediate medical attention would result in a threat to life, limb or sight, when a person has severe, painful symptoms requiring immediate attention to relieve suffering, or when a person is at immediate risk to self or others.

Examples of emergencies include:

• No pulse
• Severe bleeding
• Spinal cord or back injury
• Chest pain
• Severe eye injury
• Broken bone
• Inability to breathe

You do not need to call your primary care manager or TRICARE provider before receiving emergency medical care. However, in all emergency situations, you must notify your PCM (or TRICARE if you do not have an assigned PCM) within 24 hours or on the business day following admission to coordinate ongoing care and to ensure you receive proper authorization.

TRICARE defines urgent care as medically necessary treatment for an illness or injury that would not result in further disability or death if not treated immediately but that requires professional attention within 24 hours.

Examples of urgent care situations include:

• Minor cuts
• Migraine headache
• Urinary tract infection
• Sprain
• Earache
• Rising fever

In some cases, you can receive urgent care from your PCM by making a same-day appointment. However, if your PCM is unable to provide this care in a timely manner, you may be referred to a network urgent care provider. It is important that you obtain a referral from your PCM before you receive urgent care from anyone other than your PCM. If you do not coordinate urgent care with your PCM or TRICARE, the care may be covered under the point-of-service option at greater out-of-pocket cost to you. If you are away from home and cannot wait until you see your PCM for treatment, you must contact your PCM for a referral or call TRICARE for assistance before receiving services. You can also call the Military Health System Nurse Advice Line at 800-874-2273.

Branch Medical Clinics

The military member has first priority in obtaining care from the military medical facilities, followed by the family members of active-duty personnel, with retired military and family members of retired military following in the eligibility chain. Due to the fact that there are many military families in this area, there are eight TRICARE Clinics established for your use. These clinics are operated by Navy and civilian staff. Hours vary. For more information and hours, call 844-866-9378 or visit the (https://sandiego.tricare.mil/Clinics) website.

Commander Navy Region Southwest Fleet and Family Support Center

If you feel you need counseling, the NRSW Fleet and Family Support Center offers short-term, confidential counseling. To make a clinical counseling appointment at any NRSW FFSC San Diego location, call CNRSW Centralized Scheduling at 866-923-6478.

Dental Care

Installation dental clinics provide comprehensive dental care services for active-duty military only. Dental insurance is available for all Defense Enrollment Eligibility Reporting System enrollees through the TRICARE Dental Program. A monthly premium applies. For more information on eligibility and services, call 844-653-4061 or visit the (https://tricare.mil/Plans/DentalPlans) Dental website.