TRICARE for National Guard and Reserve

           
Health Care Options When Activated in the United States

This section describes each of your health care options and briefly explains how to access care. When you are activated, you will enroll in one of the TRICARE Prime options described in this passport when you arrive at your final duty station. Your active duty orders and your family’s residence will determine which TRICARE health plan options your family may use.

To enroll in TRICARE Prime, submit a TRICARE Prime Enrollment Application and PCM Change Form (DD Form 2876) to Humana Military. As an activated National Guard or Reserve member, your TRICARE Prime enrollment is effective when Humana Military receives the enrollment form. If your family members choose to enroll in TRICARE Prime, their form must be received by the 20th of the month for coverage to begin on the first day of the next month. Family members remain covered by TRICARE Standard and TRICARE Extra until TRICARE Prime coverage begins.

The point of service (POS) option allows family members to receive nonemergency care from any TRICARE-authorized provider without first requesting a referral from their PCM. Using the POS option will result in higher out-of-pocket costs.

Note: Activated National Guard and Reserve members may not exercise the POS option.

Refer to your TRICARE Prime Handbook and the TRICARE: Summary of Beneficiary Costs brochure for more information about TRICARE Prime, including costs for covered services and POS fees.
  

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