TRICARE Nebraska: Offutt AFB & West Region Guide | TRICARE.com

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## TRICARE in Nebraska Nebraska is part of the **TRICARE West Region**. As of January 1, 2025, the West regional contractor is **TriWest Healthcare Alliance**, which replaced the previous contractor, Health Net Federal Services (HNFS). Beneficiaries at Offutt Air Force Base and throughout the state manage their specialty care referrals and provider networks through the TriWest portal.

## Major military installations While Nebraska has a significant National Guard and Reserve presence across the state, the primary active-duty hub is located in the Omaha metropolitan area:

* **Offutt Air Force Base (AFB):** Located in Bellevue (near Omaha). Home to the 55th Wing and U.S. Strategic Command (USSTRATCOM). * **Nebraska National Guard (Joint Force Headquarters):** Located in Lincoln. * **Camp Ashland:** Army National Guard training site located in Ashland.

## Plans available in Nebraska Beneficiaries in Nebraska can choose from several plans depending on their status and proximity to Offutt AFB:

| Plan Type | Eligibility/Details | | :--- | :--- | | **TRICARE Prime** | Managed care option available near Offutt AFB. Most care is delivered at the 55th Medical Group (Ehrling Bergquist Clinic). | | **TRICARE Prime Remote** | Available to active duty members and families living in rural Nebraska, away from Offutt AFB. | | **TRICARE Select** | A PPO-style plan allowing you to see any TRICARE-authorized provider (enrollment fees apply for Group A retirees in 2026). | | **TRICARE Reserve Select (TRS)** | Premium-based plan for qualified National Guard and Reserve members. | | **TRICARE Retired Reserve (TRR)** | Premium-based plan for retired Reserve members under age 60. | | **TRICARE For Life (TFL)** | Wrap-around coverage for those with Medicare Part A and B. | | **TRICARE Young Adult (TYA)** | Option for adult children who have aged out of regular TRICARE (up to age 26). |

## Finding care in Nebraska The epicenter of military medicine in Nebraska is the **55th Medical Group at Offutt AFB**. Most Prime enrollees are assigned a Primary Care Manager (PCM) at the Ehrling Bergquist Clinic.

For those using TRICARE Select or requiring specialty care not available on-base (such as complex maternity or oncology), you must use the **TriWest Healthcare Alliance provider directory** to find network providers in the Omaha or Lincoln areas. * **Network Providers:** Choosing a network doctor in cities like Grand Island or Kearney will result in lower out-of-pocket costs (2026 rates vary by plan). * **Telehealth:** TriWest offers a robust telehealth network for Nebraska residents, particularly useful for those in Western Nebraska or the Panhandle where specialist access may be limited.

Common questions for Nebraska beneficiaries

**How does my coverage work if I am stationed at Offutt but live in Iowa?** Because both Nebraska and Iowa are in the TRICARE West Region managed by TriWest, your coverage remains seamless. You can live in Council Bluffs, IA, and be assigned to the 55th Medical Group at Offutt AFB as your primary clinic.

**What happens if I PCS from a TRICARE East state to Nebraska?** Because Nebraska is in the West Region, you must "transfer enrollment" rather than just update your address. You can do this via the Beneficiary Web Enrollment (BWE) portal or by contacting TriWest Healthcare Alliance directly after you arrive at your new Nebraska address.

**Does Nebraska Medicaid coordinate with TRICARE?** Yes. If you are eligible for both TRICARE and Nebraska Medicaid (Heritage Health), TRICARE pays first as the primary payer, and Medicaid is the payer of last resort.

## Sources * **TriWest Healthcare Alliance (West Region):** [triwest.com](https://www.triwest.com) * **TRICARE Official Site:** [tricare.mil](https://www.tricare.mil) * **Offutt AFB 55th Medical Group:** [offutt.tricare.mil](https://offutt.tricare.mil) * **Defense Health Agency (DHA):** [health.mil](https://health.mil)