Beneficiary Standard Handbook

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Having a Baby or Adopting a Child
Going to College
         
Having a Baby or Adopting a Child

Register your newborn or adopted child in DEERS as soon as possible. To register your child, you need a certificate of live birth or adoption. Note: The document does not need to be a certified copy of the official birth certificate. It can be a certificate of live birth authenticated by either the attending physician or other responsible party from the hospital.

Children are covered as TRICARE Prime beneficiaries for 60 days after birth or adoption, when at least one other person in the family is enrolled in TRICARE Prime. Therefore, if the sponsor is on active duty (and active duty sponsors must be enrolled in TRICARE Prime or TRICARE Prime Remote), or another family member is enrolled in TRICARE Prime, the child is automatically covered by TRICARE Prime for the first 60 days. If you wish to keep your child in TRICARE Prime, you must submit a TRICARE Prime Enrollment Application to Humana Military within 60 days of birth for continuous TRICARE Prime coverage.

On the 61st day, if you have not enrolled your child in TRICARE Prime, he or she will automatically be covered under TRICARE Standard and TRICARE Extra until 365 days after his or her birth or adoption. On day 366, if you have not registered your child in DEERS, DEERS will show “loss of eligibility,” and he or she will no longer be able to receive TRICARE benefits until they are registered in DEERS. If you register your child in DEERS within the first 365 days, TRICARE Standard and TRICARE Extra coverage is continuous.

If no family member is enrolled in TRICARE Prime at the time of your child’s birth or adoption, he or she is automatically covered by TRICARE Standard and TRICARE Extra. Coverage will be continuous as long as you register your child in DEERS within 365 days of birth.


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Going to College

Your children remain eligible for TRICARE up to age 21 (or age 23 if enrolled in college full time and the sponsor provides at least 50 percent of the financial support) as long as their information is kept up to date in DEERS. To extend benefits for your college student beyond his or her 21st birthday, call the nearest uniformed services ID card-issuing facility for further assistance. Representatives there will be able to advise you about the documentation needed to update DEERS and extend coverage.

TRICARE Standard and TRICARE Extra provide continuous coverage when your child goes to college. Coverage remains the same, but your child will need to find a new provider. Advise your son or daughter to save any receipts they have in case you need to file a claim for reimbursement.

TRICARE benefits end when your college student reaches age 23 or when full-time student status ends, whichever comes first. For example, if your child turns 23 on January 3rd but doesn’t graduate until May, coverage ends at midnight on January 2nd. Note: Children with a disability may remain eligible for TRICARE beyond the normal limits.


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Last Update: February 15, 2008