If treatment is unavailable at an MTF and it becomes necessary for the individual to seek treatment in a civilian hospital,he or she sometimes must obtain a:

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A nonavailability statement is a document that confirms that the required medical treatment is not available at the MTF and that the individual must seek treatment in a civilian hospital. It is required in order for the individual to receive cost-sharing benefits under TRICARE, and is typically obtained from the MTF's referral management office or from another authorized source. A letter of intent may be required for other purposes, such as pre-authorization of medical procedures, but is not relevant in this context. A certificate of credible coverage and release of information are also not relevant for this scenario.

If Treatment Is Unavailable at an MTF and It Becomes