TRICARE, Your Military Health Plan

In This Section:

• Beneficiary Web Enrollment
• Moving Made Easy for Active Duty Families
• TRICARE Prime
• Enrollment Access Standards
• Tips for Completing Your Enrollment Application
• Enrollment Deadlines
• Enrollment Fees
• Split Enrollment
• Disenrolling
• TRICARE Prime Remote
• Tips for Completing Your Enrollment Application
• Enrollment Deadlines
• Split Enrollment
• Disenrolling
• TRICARE Prime Overseas
• Split Enrollment
• Disenrolling
• TRICARE Prime Remote Overseas
• Split Enrollment
• Disenrolling
• TRICARE Reserve Select
• Monthly Premiums
• Terminating Coverage
• TRICARE Retired Reserve
• Monthly Premiums
• Terminating Coverage
• TRICARE Young Adult
• Changing Your Coverage Option
• Monthly Premiums
• Terminating Coverage
• US Family Health Plan
• Tips for Completing Your Enrollment Application
• Enrollment Deadlines
• Enrollment Fees
• Split Enrollment
• Disenrolling

Tips for Completing the Enrollment Application

1.  Fill out the enrollment application completely.

2.  You only need one enrollment application for your whole family unless:

• You are using the split enrollment feature.
• You have more than three family members.  If so, you'll need more than one form.  Or, you can download just Section II (family member information page) of the TRICARE Prime Enrollment Application and PCM Change Form.

3.  When selecting your primary care manager (PCM):

• Contact your regional contractor to verify the military treatment facility guidelines for PCM assignment.
• If you are choosing a network PCM, contact the provider's office to make sure the provider is accepting new patients.
• Select a PCM for each family member listed on your enrollment form.
• If you do not indicate a PCM on the enrollment form or if your choice is not available, one will be assigned to you.

4.   If any family member is entitled to Medicare Part A:

• Fill out Section III.
• Include a copy of the Medicare card.

5.  Sign and date the application.

Last Modified:May 24, 2012