TRICARE Nebraska: Regional Guide & 2026 Plan Info | TRICARE.com

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## TRICARE in Nebraska Nebraska is located in the **TRICARE West Region**. As of January 1, 2025, the regional contractor providing managed care and administrative support for Nebraska beneficiaries is **TriWest Healthcare Alliance** (replacing the former contractor, Health Net Federal Services). For members of the Nebraska National Guard and active duty families at Offutt AFB, this means all authorizations and provider networking are now managed through the TriWest portal.

## Major military installations While Nebraska has a smaller military footprint than some neighbors, it hosts critical strategic assets and a robust Guard presence:

* **Offutt Air Force Base** – (Air Force) – Bellevue/Omaha (Home to U.S. Strategic Command) * **Nebraska National Guard Headquarters** – (National Guard) – Lincoln (Joint Force Headquarters) * **Lincoln Air National Guard Base** – (Air National Guard) – Lincoln * **Mead Training Site** – (Army National Guard) – Mead

## Plans available in Nebraska TRICARE beneficiaries in Nebraska can choose from several plans depending on their duty status and location relative to Offutt AFB.

| Plan | Eligibility | Note | | :--- | :--- | :--- | | **TRICARE Prime** | Active Duty, Guard/Reserve on active orders, and families. | Best for those near Omaha/Bellevue; requires a Primary Care Manager (PCM). | | **TRICARE Select** | Active Duty families, Retirees. | Provides more flexibility to see any network provider without a referral. | | **TRICARE Reserve Select (TRS)** | Qualified National Guard and Reserve members. | Premium-based plan for "drilling" Guard members in Nebraska. | | **TRICARE Retired Reserve (TRR)** | Retired Reserve members under age 60. | Premium-based coverage for the "gray area" retirees. | | **TRICARE For Life (TFL)** | Dual-eligible TRICARE and Medicare beneficiaries. | Wraparound coverage for Medicare-eligible retirees in Nebraska. | | **TRICARE Young Adult** | Unmarried children (ages 21–26) of eligible sponsors. | Available in both Prime and Select formats. |

*Note: The US Family Health Plan (USFHP) is NOT currently available in Nebraska.*

## Finding care in Nebraska Because Nebraska is in the West Region, beneficiaries should use the **TriWest Healthcare Alliance Provider Directory** to find network doctors, specialists, and hospitals.

* **Network vs. Non-Network:** In the Omaha/Lincoln corridor, there is a dense network of providers. In rural Western Nebraska, you may need to see non-network providers; however, using network providers keeps your out-of-pocket 2026 rates lower. * **Offutt AFB Clinic:** Most Prime enrollees near Bellevue will be assigned to the 55th Medical Group at Offutt AFB. * **Telehealth:** TriWest offers expanded telehealth options for Nebraska residents, particularly useful for those serving at remote Guard armories in the western part of the state. These services cover primary care and behavioral health. * **Pharmacy:** Prescriptions can be filled at the Offutt AFB pharmacy, via Express Scripts Home Delivery, or at retail network pharmacies like Hy-Vee, Walgreens, or CVS.

Common questions for Nebraska beneficiaries

**I am a member of the Nebraska National Guard in Lincoln; which plan do I use?** If you are on drill status (not on active orders), you likely qualify for **TRICARE Reserve Select (TRS)**. This plan allows you to see civilian providers in the Lincoln area. If you are activated for more than 30 days, you and your family transition to TRICARE Prime or Select (Active Duty status).

**Does Nebraska Medicaid work with TRICARE?** Yes. If you qualify for both (often the case for some Guard families), TRICARE is the primary payer and Nebraska Medicaid is the payer of last resort.

**What happens if I PCS from Offutt AFB (West Region) to a base in the East Region?** Since the 2025 contract change, moving between regions still requires a "transfer of enrollment." You must contact the East Region contractor (Humana Military) to move your coverage, as your West Region (TriWest) enrollment does not follow you automatically across regional lines.

## Sources * **TriWest Healthcare Alliance (West Region):** [triwest.com](https://www.triwest.com/en/beneficiary/) * **TRICARE West Region Information:** [tricare.mil/west](https://www.tricare.mil/west) * **Offutt AFB 55th Medical Group:** [offutt.tricare.mil](https://offutt.tricare.mil/) * **Express Scripts Pharmacy:** [militaryrx.express-scripts.com](https://militaryrx.express-scripts.com/)