Appointments & Referrals
You may schedule medical appointments at Lyster Army Health Clinic by calling the Lyster Central Appointment Line at 800-261-7193 between the hours of 0700 and 1600, Monday through Friday. You may also use the internet and schedule appointments 24/7 by logging onto www.tricareonline.com. A password is required, however, it only takes a few minutes to register and get a password if you do not already have one.
Tips for use when calling the Lyster Central Appointment Line. If possible, avoid calling at peak times, which are 0700 - 0900, Mon, Wed and Fri. Listen to the entire message before making a selection, and do not hang up the phone until you reach your destination.
After Hours Care
Emergencies, and after hours care: For life, limb, or eyesight Call 911 or go to the nearest Emergency Room. For Active Duty pre-authorization to Urgent Care Centers, please call the TRICARE Nurse Advice Line (NAL) at 800-874-2273.
Contact the MHS Nurse Advice Line for care advice at any hour or day of the week. We can assist you in finding local care services as necessary. The MHS Nurse Advice Line is available 24/7 by phone, web chat, and video chat. https://tricare.mil/ContactUs/CallUs/NAL
- Get evidence-based health care advice from a registered nurse
- Find an urgent care or emergency care facility
- Receive recommendations for the most appropriate level of care
- Schedule same or next day appointments when recommended by a registered nurse and enrolled to a military hospital or clinic
|Medical Center Enterprise:
||Dale Medical Center:
20 minutes · Enterprise, AL
Open 24 hours · (334) 347-0584
24 minutes · Ozark, AL
Open 24 hours · (334) 774-2601
30 minutes · Dothan, AL
Open 24 hours · (334) 793-5000
42 minutes· Dothan, AL
Open 24 hours · (334) 793-8111
All Active Duty Soldiers and Tricare Prime Beneficiaries require a referral prior to receiving medical care outside the Military Treatment Facility.
If after hours, on the weekend, or if you are traveling out of your local area, please call the Nurse Advice Line at 1-800-874-2273 to assist with urgent/emergency care needs.
Routine referrals are processed in 7-10 business. Check the status of your referral authorizations at: https://infocenter.humana-military.com/beneficiary/service/account/login
. Once you have an approved referral you can call 1-800-444-5445 for any questions regarding your referral.
For more information, check out the Tricare website at: https://tricare.mil/CoveredServices/BenefitUpdates/Archives/08_25_2020_TRICARE_QA_Referrals_Authorizations
If you’re enrolled in a TRICARE Prime plan, at some point you may need specialty care that your primary care manager (PCM) can’t provide. In that case, he or she may refer you to a specialty provider. You may need a referral and pre-authorization from your PCM to seek care from a specialty provider, depending on your TRICARE health plan.
“If you use TRICARE Prime, your PCM may refer to you a specialist, like a cardiologist, dermatologist, or obstetrician,” said Tonya Utterback, referral and authorization expert with the TRICARE Health Plan at the Defense Health Agency. “This specialty provider may be located at your military hospital or clinic, or at a civilian clinic. Before you seek care from this specialist—or anyone other than your PCM—make sure you’re familiar with the referral process.”
Q: How do I know if I need a referral?
A: If you’re an active duty service member (ADSM) or non-ADSM enrolled in a TRICARE Prime plan, then you need a referral from your PCM to seek most specialty care with another provider.
Referrals aren’t required for most health care services under TRICARE Select. As outlined in the TRICARE Plans Overview, TRICARE Select beneficiaries aren’t required to have a PCM and can choose to see any TRICARE-authorized provider.
An authorized provider is any individual, institution/organization, or supplier that is licensed by a state, accredited by national organization, or meets other standards of the medical community, and is certified to provide benefits under TRICARE. There are two types of TRICARE-authorized providers: Network and Non-Network. DS for services covered by TRICARE without a referral. However, certain services always require pre-authorization. ADSMs need a referral for all nonemergency care from a civilian provider. This includes specialty care, mental health care and substance use disorder services.
Q: How do I get a referral?
A: You can contact your PCM. Your PCM will then work with your TRICARE contractor for the referral and/or authorization. Your contractor will try to refer you to a military hospital or clinic first. If that option isn’t available, the contractor will refer you to a network provider in your region. A specialist you have an approved referral to see can also submit referrals for care related to their specialty.
Q: What happens if I seek care without seeing my PCM first?
A: You may be responsible to pay out of pocket for care. If you’re enrolled in a TRICARE Prime plan and you visit a specialist without an approved referral from your PCM when it’s required, you’re using the point-of-service (POS) option and will be subject to POS charges. The POS option isn’t available for ADSMs.
Q: How do I check the status of my referral or authorization?
A: You can view or check the status of your referral by logging into your account on your regional contractor’s website. If overseas, call your TOP Regional Call Center.
Q: What is pre-authorization?
A: Pre-authorization is when your TRICARE contractor reviews a requested health care service to see if it’s medically necessary To be medically necessary means it is appropriate, reasonable, and adequate for your condition. and a TRICARE covered benefit. Certain services require pre-authorization before you receive them regardless of your TRICARE plan. These include hospice care, Applied Behavior Analysis, home health care, adjunctive dental services, and more. In many cases, your provider will contact your TRICARE contractor to get pre-authorization. ADSMs need pre-authorization for all inpatient and outpatient specialty services.
Q: After I get authorization, what steps do I take?
A: Your regional contractor (TRICARE East or TRICARE West) will send you and your provider an electronic authorization letter with instructions. Schedule your appointment with the provider listed in the letter. Note the expiration date of the authorization, and be sure to get care before it expires. If you need to find another provider, contact your regional contractor.