Enrollment and Disenrollment Information
      

Enrollment in TRICARE Prime is continuous— you do not have to re-enroll every year to maintain coverage. Certain events will, however, cause you to be disenrolled from TRICARE Prime.

Any change in the sponsor’s status (e.g., retirement or National Guard and Reserve member deactivation) will cause you to be disenrolled automatically from TRICARE Prime. If you will remain eligible for TRICARE Prime (after the status change), you should submit a new enrollment application to Humana Military before the status change occurs to avoid a lapse in coverage.

If you are required to pay enrollment fees and you do not pay them when due, you will be disenrolled from TRICARE Prime. When disenrolled for non-payment, you are subject to a 12-month lockout during which you will not be permitted to re-enroll in TRICARE Prime. To avoid missing an appointment, learn about automatic payment options in the TRICARE: Summary of Beneficiary Costs flyer or contact Humana Military.

When you become entitled to premium-free Medicare Part A at age 65, you automatically lose eligibility for TRICARE Prime and become eligible for TRICARE For Life (TFL) if you have Medicare Part B coverage. Visit TRICARE's Web Site for more information about TFL.

Note: If you are not entitled to premium-free Medicare Part A when you become age 65, you remain eligible for TRICARE Prime, Standard, and Extra, and you are not required to have Medicare Part B coverage. You must present a Social Security Administration Letter of Disallowance to an ID card-issuing facility to retain TRICARE coverage.

If you choose to disenroll from TRICARE Prime before the annual enrollment renewal date, you are subject to a 12-month lockout,* during which you will not be permitted to re-enroll in TRICARE Prime. You must contact Humana Military to initiate a voluntary disenrollment.

Active duty service members must enroll in either TRICARE Prime or TRICARE Prime Remote. Voluntary disenrollment is not an option.

If you lose your TRICARE eligibility as shown in DEERS, your TRICARE Prime coverage will end automatically. If you believe you are still eligible for TRICARE, you will need to update your DEERS record to re-establish your eligibility. Once DEERS is updated, you must re-enroll in TRICARE Prime, or you will be covered under TRICARE Standard and TRICARE Extra.

If your DEERS record is correct and you have lost eligibility, you may qualify for transitional health care. See the Life Events, “Separating from the Service” section for details about transitional health care options. You will receive a certificate of creditable coverage when TRICARE eligibility is lost. See the Life Events, “Loss of Eligibility” section for more information about the certificate of creditable coverage.