travel reimbursement for specialty care over 100 miles...contact the coast guard via email or call....

Travel Reimbursement for Specialty Care Over 100 Miles

Introduction This guide provides the procedures for reimbursement of a specialty

medical care visit over 100 miles from the unit.

Before You Begin

You must be enrolled in TRICARE Prime to be eligible.

Procedures See below.

Step Action 1 Log into TRICARE’s website for up to date step-by-step information on

eligibility. Health Plans - Travel Reimbursement for Specialty Care | TRICARE

2 Contact the Coast Guard via email or call 1-510-637-1214 before you travel to find the Authorizing Approver for your area office. That Approver will tell you which forms are required.

Continued on next page

http://tricare.mil/Plans/HealthPlans/TPR/TravelReimb_TPR?sc_database=web

mailto:[email protected]?subject=Prime%20Travel%20Benefit

Travel Reimbursement for Specialty Care Over 100 Miles, Continued

Procedures, continued

Step Action

3 Follow the instructions on this guide before continuing.

PTB package Guide - Dec15.pdf

4 Log into TPAX and select Settlement Request from the Create New drop-down. Traveler should appear in the View box.

5 On the Description tab, select your rank from the Grade/Rank drop-down and check that the Type of Order reads Normal. Enter Purpose of Trip, Trip Name (optional), the Issue Date, Begin Date, and End Date (the rest of the boxes will auto populate. Click Next.




Step Action

6 The What’s Authorized tab will display. Check the appropriate Quarters, Messing, Mode of Transportation, and Miscellaneous items found on the orders. Click Next.




Step Action

7 The Remarks tab will display. Enter any Remarks in the Order Remarks box and click Save.

8 The Remit To tab appears. Click Next.




Step Action

9 The Transactions tab will display. If you received an advance for this trip, it will be shown here. Click Next.

10 The Entitlements tab will display. Click Add This Entitlement.




Step Action 11 The What’s Authorized tab will display. Check the Owner operator of POV and

select the appropriate Transportation Restrictions from the drop-down. Click Next.

12 The Itinerary tab will display. Select Greater than or equal to 24 hours from the Duration of travel drop-down.




Step Action 13 Enter in the Departure and Arrival information and select LDP – Lodging Plus

and enter in the Daily Ldg Cost and Lodging Tax. The Miles will auto populate. Click Accept Leg.

14 Enter in the returning information and make sure the last Reason for Stop is MC – Mission Complete. Click Accept Leg.




Step Action 15 The full Itinerary will display. Click Accept Changes.

16 Click Next.




Step Action 17 The Constructed Itinerary tab will display. Click Next.

18 The Reimbursables tab will display and this is where some of the specifics for Specialty Care travel come into play. Click Add/Edit Trip Expenses.




Step Action 19 Enter in all appropriate reimbursable expenses AND one of the two following

required options: DEPN PER DIEM 11 YRS AND YOUNGER or DEPN PER DIEM 12 YRS AND OLDER.




Step Action 20 For this example we are using DEPN PER DIEM 11 YRS AND YOUNGER to

claim the actual expenses of meals for the dependent child. Enter in the total cost of food eaten by the dependent in the Claimed box. Click Accept Expense.




Step Action 21 You MUST include DD Form 1351-3 Statement of Actual Expenses for all meal

information with your claim. Here is an example of the form:


http://www.dtic.mil/whs/directives/forms/eforms/dd1351-3.pdf



Step Action 22 The Reimbursable Expenses page displays. Click the Edit link to make any

changes to the expense or Delete link to remove the expense. Click Accept Changes.

23 Click Accept Changes.




Step Action 24 The Entitlements tab reappears. Click the Calcs link

25 The daily Entitlements are broken down per day. Click Done.




Step Action 26 Click Next.

27 The Computations tab will display. Verify the Totals and Total Entitlement are correct and click Next.




Step Action 28 The Financial tab will display. Click Add/Modify Accounting.

29 Enter in the Line of Accounting (LOA) for the claim from the orders. The Amount will auto populate when clicked. Click Accept Line.




Step Action 30 Click Save.

31 The Financial tab will reappear. Click Manage Images.




Step Action 32 Click Browse to find all required scanned documents. In the Image description

box enter a brief name. Click Upload Image.

33 Scanned documents to include in the package: • Original Orders on form CG-4251/TDY • DD Form 1351-3 • Confirmation of Specialty Care • Receipts shall be affixed on an 8.5 x 11” paper using tape with the name of the

traveler written in the top right hand corner. 34 Here is an example of scanned meal receipts.


http://tricare.mil/%7E/media/Files/TRICARE/Forms/West/W_ConfirmationSpecialtyCare.pdf



Step Action 35 The PDF icon will appear for viewing. Click Done.

36 The Financial tab will reappear. Click Next.




Step Action 37 The Remarks tab appears. Update or enter any pertinent remarks in the Voucher

Remarks box and Click Save.

38 Check the box and click Certify.




Step Action 39 Once everything is in order, select the TONO. Click Release For Approval.

40 Send to Authorizing Official specified by the HSWL office information provided to you in email. Enter Secondary Password and click OK.

travel reimbursement for specialty care over 100 miles...contact the coast guard via email or call....

Documents