TRICARE Prime
Ask your primary care manager (PCM) for a referral. Care at Healix needs the appropriate out-of-network approval before you begin.
Waiting too long for network care?PATIENT INFORMATION
TRICARE &
cash-pay options.
How to request care at Healix, address long network waits, and pay for treatment.
Request an appointmentUSING TRICARE
Prime or Select?
Start here.
Healix is a TRICARE-authorized, out-of-network provider and bills TRICARE directly for Prime and Select patients.
TRICARE Select
TRICARE Select does not require a referral. Contact Healix to schedule your visit.
After meeting your annual deductible, you pay a cost-share for covered out-of-network care. Once your family reaches its annual catastrophic cap, TRICARE pays the remaining covered costs for the rest of the calendar year. The deductible and catastrophic cap are different amounts.
Check your Select costs · Understand the catastrophic capTRICARE East referral and authorization requirements · How cost-shares work
FOR TRICARE PRIME PATIENTS
A long wait doesn’t have
to be your only option.
Healix advocates for patients who are struggling to get timely care. We’ll help you work with your PCM, referral management, and Humana Military to request a TRICARE-authorized non-network provider when network care cannot meet access standards—including a request for Healix.
TRICARE network access limitsYou should not have to accept specialty care beyond these network wait or travel limits. If the options offered exceed them, contact Healix for help requesting an alternative. These limits are not Healix wait times.
APPOINTMENT ACCESS
Offered a wait longer than 28 days?
A wait beyond 28 days exceeds TRICARE’s specialty appointment standard. When a referral is required, the clock starts on its approval date. Healix can help you request an authorized non-network provider so you can seek care sooner.
TRAVEL TO CARE
Asked to drive over 60 minutes?
The specialty-care driving standard is 60 minutes from home. Tell referral management if the available provider is farther away.
The access standards exclude TRICARE For Life; driving limits exclude active duty service members. Read TRICARE’s access standards.
An out-of-network referral must be approved before care; requesting Healix does not itself authorize visits. TRICARE East referral and authorization guidance.
How to request Healix
Healix has helped patients through the following steps. Your PCM and referral management team will confirm what your request needs.
Tell your PCM
Ask your PCM to document your request for Healix in your visit note. If you already received a referral and are facing a delay, explain the wait. If the offered appointment falls beyond the 28-day specialty standard, provide the referral approval date and the earliest appointment offered.
Request a referral review
Ask referral management to send your request for out-of-network care to Humana Military. Include the wait time or travel barrier and the documented request for Healix.
Connect with Healix
We can help you navigate the request. Once your referral is received and verified, we’ll contact you promptly to schedule your evaluation and treatment.
Already evaluated but unable to schedule regular treatment? Tell your PCM how the gaps affect your recommended care plan. The 28-day specialty appointment standard is not a rule for the interval between every PT session.
Get help requesting HealixCASH-PAY OPTIONS
Care without insurance
approval delays.
Paying directly lets you and Marisa plan treatment around your needs without insurer authorizations or insurance visit limits. Choose individual sessions or a treatment package.
TREATMENT OPTIONS AFTER YOUR EVALUATION
Treatment session
A single visit
Treatment sessions
A five-session package
Treatment sessions
A ten-session package
YOUR FIRST APPOINTMENT
What to expect.
Your evaluation typically lasts about an hour. Marisa brings the necessary equipment. You’ll discuss your symptoms, health history, and goals, followed by an assessment focused on your concerns.
Bring your questions about treatment or payment and let us know what you’d like help with.
~60 minTypical evaluation
1:1Every session
EquipmentProvided by Marisa
OFFICIAL RESOURCES
Current TRICARE guidance.
Reviewed October 1, 2026. Follow these official sources for updates and details specific to your plan.
Ready to schedule?
Contact Healix for availability and next steps.