Federal programs / TRICARE
TRICARE
Reconsideration by the regional contractor first (Humana Military in the East, TriWest in the West), then formal review by the Defense Health Agency, then a hearing above the amount-in-controversy threshold.
| Form | Use it to | Deadline | Issued by |
|---|---|---|---|
| TRICARE appeals (official page) | Which appeal type applies and where to send it | 90 days from the date of the notice for reconsideration (32 CFR 199.10) | Defense Health Agency |
Where it goes
The regional contractor named on the denial; the address differs for medical-necessity and factual appeals.
The rule
32 CFR 199.10. Links verified 2026-09-15; the notice you received controls over anything here.
Want the appeal itself written to the criteria, with the rule cited? Apellica's generator is free; a reviewer can also read the denial first.