Transitional Health Care Benefits
TRICARE offers the following program options for beneficiaries separating from active duty.
Continued Health Care Benefit Program
CHCBP is a premium-based health care program administered by Humana Military. CHCBP offers temporary transitional health care coverage (18–36 months) after TRICARE eligibility ends.
CHCBP acts as a bridge between military health care benefits and the beneficiary’s new civilian health care plan. CHCBP benefits are comparable to TRICARE Standard, but differences do exist. The main difference is that beneficiaries must pay quarterly premiums. Additionally, under CHCBP, providers are not required to use or coordinate with MTFs, and MTF nonavailability statements are no longer required.
Providers must coordinate with Humana Military to obtain referrals and authorizations for CHCBP beneficiaries. Providers must seek authorization for care that is deemed medically necessary. Medical necessity rules for CHCBP beneficiaries follow TRICARE Standard guidelines. Call Humana Military at 1-800-444-5445 to coordinate CHCBP referrals and authorizations, or fax information to 1-877-270-9113.
Humana Military issues beneficiaries a CHCBP ID card (shown in Figures 4.7 and 4.8) after enrollment is completed. This card is different from a uniformed services ID card or a CAC, which may no longer be valid. All questions regarding CHCBP eligibility verification can be addressed through the CHCBP web portal.
For more information about CHCBP, call 1-800-444-5445. Figures 4.7 and 4.8 CHCBP ID cards (front and back)
Transitional Assistance Management Program
TAMP provides 180 days of transitional health care benefits to help certain uniformed services members and their families transition to civilian life after separating from active duty service.
Qualifying beneficiaries may enroll in TRICARE Prime if they reside in a PSA, or they are automatically covered under TRICARE Standard and TRICARE Extra. Rules and processes for these programs apply, and beneficiaries are responsible for ADFM costs.
TAMP beneficiaries must present valid uniformed services ID cards or CACs at the time of service. See the TRICARE Eligibility section of this handbook for information about verifying eligibility.
For more information about TAMP, visit www.tricare.mil/tamp.
Note: TAMP does not cover LOD care. See “Line-of-Duty Care for National Guard and Reserve Members” earlier in this section.
Transitional Care for Service-Related Conditions Program
The TCSRC program extends TRICARE coverage for qualified former ADSMs who are diagnosed with service-related conditions during their 180-day TAMP period.
To qualify for TCSRC, a TAMP-eligible member’s medical condition must be:
- Service-related
- Newly discovered or diagnosed during the 180-day TAMP period
- Able to be resolved within 180 days
- Validated by a DoD physician
The TCSRC benefit covers care only for the specific service-related condition. Preventive and health maintenance care is not covered. TCSRC beneficiaries may seek care at MTFs or from TRICARE-authorized civilian providers if MTF care is not available. There are no copayments or cost-shares under TCSRC, and providers must submit claims to Humana Military. The TCSRC benefit is available worldwide.
For more information on TCSRC, visit TRICARE's Transitional Care for Service-Related Conditions web page.
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