TRICARE · Guard and Reserve
Pelvic floor physical therapy for Hawaii National Guard and Reserve families, by video.
Hawaii Army and Air National Guard members, Reservists and their families see Dr. Elana Shalem by video from home, in-network with TRICARE West.
- TRICARE West in-network
- TRICARE Select: no referral needed
- Usually seen within a week

Who is covered
Guard and Reserve families on TRICARE.
Members of the Selected Reserve can purchase TRICARE Reserve Select, which works like TRICARE Select: no referral is needed for physical therapy with a network provider. When activated for more than 30 days, members and families move to active-duty TRICARE coverage.
Visits are one-on-one with Dr. Elana Shalem, PT, DPT, certified in obstetric physical therapy (CAPP-OB) and licensed in Hawaii. The first visit is a 60-minute video evaluation; follow-ups are 45 minutes, usually every one to two weeks, scheduled around duty hours.
Referral path
Getting from the PCM to a first visit.
On TRICARE Reserve Select or TRICARE Select, book directly. On TRICARE Prime during an activation, the family member's PCM places the referral; ask for pelvic floor physical therapy in the TRICARE West network and name EMS Therapy.
Primary care: No primary care manager referral needed on TRICARE Reserve Select.
For the referral: EMS Therapy, Dr. Elana Shalem, DPT · group NPI 1487545786 · fax 844-886-0285 · 808-330-7934. We call within one business day of an approved referral.
Where families live
Housing areas we see by video.
- Oahu
- Hawaii Island
- Maui
- Kauai
- Molokai and Lanai
Town pages: Honolulu · Hilo and the Hamakua Coast · Kahului and Wailuku · Lihue and South Kauai · TRICARE in Hawaii
Questions
Questions from Guard and Reserve families
Does TRICARE Reserve Select cover pelvic floor physical therapy?
Yes, when medically necessary, with no referral needed for a network provider like EMS Therapy.
Does coverage change during activation?
Yes. When activated for more than 30 days, the member and family move to active-duty TRICARE coverage. EMS Therapy remains in-network through TRICARE West.
Are Guard families on neighbor islands covered?
Yes. Visits are by video anywhere in Hawaii.
How soon can I be seen?
Usually within a week. Early morning, evening and weekend video visits are available.
Prefer to write? Send a message.
Questions about insurance, pricing, or whether physical therapy is the right next step? We reply within one business day.
Start with a free 15-minute call.
Tell us what is going on, hear how Dr. Shalem would approach it, and decide from there.