Family members of ADSMs lose their eligibility at 12:00 a.m. on the day the active duty sponsor is discharged from service, unless they have extended benefits through TAMP.

ADSMs are normally enrolled in TRICARE Prime; however, TRICARE Prime enrollment is not the criteria for treating an ADSM. Once a member’s eligibility has been verified (as described previously in this section), care may be delivered and billed to Humana Military for payment. The service member’s branch of service provides for the care of ADSMs and is responsible for paying for any civilian emergency or referred health care required by ADSMs. ADSM claims should be mailed to Humana Military for processing. See the Claims Processing and Billing Information section of this handbook for additional details.

Members of the National Guard and Reserve not in a full-time active duty status may be shown as ineligible in DEERS. These members may be obtaining medical care as a result of a line-of-duty injury.