Enrolling in TRICARE Prime, TRICARE Prime Remote (TPR), or TRICARE Prime Remote for Active Duty Family Members (TPRADFM), is easy and you have several options for completing the enrollment process.
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Via the Mail
Download a copy of the TRICARE Prime Enrollment Application and PCM Change Form. Complete the application and then follow the directions for returning the application to Humana Military through the mail.
The enrollment application provides instructions to help you complete the form. See “Tips for Completing Your Enrollment Application” later in this section for information about the enrollment application.
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Visit a TRICARE Service Center
You can visit any TRICARE Service Center (TSC), pick up a copy of the TRICARE Prime Enrollment Application and PCM Change Form, complete it, and submit the form to TSC representatives.
To locate a TSC near you, visit the TSC Locator. See “Tips for Completing Your Enrollment Application” later in this section for information about the enrollment application.
TRICARE Prime Enrollment Fees
Retired service members, their families, survivors, eligible former spouses, and others (e.g. Medal of Honor recipients) enrolled in TRICARE Prime are required to pay an annual enrollment fee. In most cases, the TRICARE Prime enrollment fees are not refundable. There are no enrollment fees for ADSMs and ADFMs (or for survivors during the transitional survivor period following the ADSM’s death) enrolled in TRICARE Prime, TPR, or TPRADFM.
Refer to the TRICARE: Summary of Beneficiary Costs flyer for TRICARE Prime enrollment fee amounts and payment options.
Figure 5.2 Tips for Completing the Enrollment Application
| Enrollment Application |
There is a single, 8-page enrollment application for TRICARE Prime, TPR, and TPRADFM— the TRICARE Prime Enrollment Application and PCM Change Form. The only thing that varies on the form in each region is the address to return your completed form. Humana Military’s name and address are found in the mailing instructions on page 4 of the enrollment application.
Remember, you only need one enrollment application for your entire family (unless utilizing the split enrollment option for TRICARE Prime). You may need a second form if you have more than three family members or at least copies of the family member information page (Section II). |
| Selecting a PCM |
- If you live in a TRICARE Prime service area, contact Humana Military to verify any MTF guidelines for PCM assignment.
- If you are choosing a network PCM, contact the PCM’s office to make sure the provider is accepting new patients.
- If you do not indicate a PCM on the enrollment form or if your choice is not available, one will be assigned to you.
- Remember to choose a PCM for each person enrolling.
- If enrolling in TPR or TPRADFM, you may not have an assigned PCM. Contact Humana Military for assistance.
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| Medicare Eligibility |
If any family member is entitled to Medicare Part A, regardless of age, fill out Section III of the form and include copies of each Medicare card. ADFMs and beneficiaries enrolling in the USFHP are not required to have Medicare Part B coverage to remain eligible to enroll in TRICARE Prime or USFHP, however, all others (e.g., retired service members, their families, and others) must have Medicare Part B coverage to remain eligible for TRICARE. TRICARE Prime enrollment fees will be waived if entitlement to Medicare Part A is based on disability or end-stage renal disease. |
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