Survivor Outreach

Continued Health Care Benefit Program (CHCBP)

The Continued Health Care Benefit Program (CHCBP) is an optional, premium-based program administered by Humana Military Healthcare. Healthcare Services that offers temporary continued health care benefits when a Soldier and/or Family members are no longer entitled to military medical benefits. The CHCBP program acts as a temporary bridge between military health benefits and a new civilian health plan for 18 to 36 months. CHCBP is a health care program with benefits similar to TRICARE Standard.

Additional Information:

For additional information, please visit the following link:

Humana Military CHCBP

TriCare- Active Duty

TRICARE Prime is a managed-care health insurance option available to all eligible military beneficiaries that are not entitled to Medicare (are age 65 or older) in Prime Service Areas of the North, South, and West Regions of TRICARE.

Eligibility:

Active duty Soldiers and authorized Family members are eligible for TRICARE Prime coverage.

TRICARE benefits information changes frequently so be sure to check TRICARE Prime updates for updates.

Active duty Soldiers are required to enroll in one of the applicable TRICARE plans; the type of plan is dependent on where they live and work. Registration in DEERS (Defense Eligibility Enrollment System) is necessary to utilize TRICARE benefits. (NOTE: Anyone can change their information in DEERS but only the military sponsor can add or delete Family members.)

Newborn babies and newly adopted children are covered under Prime for the first 60 days. After 60 days, they must be properly registered in Defense Enrollment Eligibility Reporting System (DEERS) and formally enrolled in Prime in order to receive Prime coverage by submitting DD Form 2876. If on day 61 the child is not enrolled in TRICARE Prime, he or she will be covered under TRICARE Standard and TRICARE Extra.

TRICARE covers eligible children until age 21. For TRICARE coverage beyond the age of 21, college students must be enrolled full-time at an accredited institution of higher education and the sponsor must provide more than 50 percent of the student's financial support up to the age of 23.

The National Defense Authorization Act (NDAA) FY 2011 gave the DoD the authority to expand benefits to qualified dependents that lose TRICARE eligibility and are under the age of 26. Young adults can purchase TRICARE Young Adult and pay monthly premiums.

Un-remarried former spouses of eligible Soldiers may be eligible for Prime; however, the individual must first establish his/her eligibility for health care coverage by verifying registration in DEERS under his/her own social security number. Completing DD Form 2876 is required to enroll in TRICARE Prime under the former spouse's SSN; otherwise, the former spouse will be covered under TRICARE Standard and TRICARE Extra. The former spouse must have been married to the same member or former member for at least 20 years, and at least 20 of those years must have been creditable in determining the member's eligibility for retirement pay with coverage beginning after the date of divorce, dissolution or annulment OR the former spouse must have been married for at least 20 years, and at least 15 - but less than 20 - of those married years must have been creditable in determining the member's eligibility for retirement with coverage for only one year from the date of the divorce, dissolution, or annulment.

When an active duty sponsor dies, surviving spouses remain eligible for TRICARE health care benefits as active duty Family members for a three-year period. At the end of the three-year period, TRICARE eligibility continues, but the survivor's status changes to that of retiree Family member. It is important for the survivor to update personal information and to keep supporting documents current in DEERS. Surviving children whose sponsor died on or after October 7, 2001, remain eligible for TRICARE benefits. Unlike spouses, eligibility will not change after three years, and children remain covered until eligibility ends due to the age limits or another reason (e.g. marriage).

Benefit Highlights:

TRICARE Prime enrollees receive most of their health care at a military treatment facility (MTF) and their care is coordinated by a primary care manager (PCM). Prime enrollees agree to seek treatment first from their PCM (usually at the MTF) before seeking routine treatment elsewhere. (Emergency care should be sought at the nearest emergency room or health care facility.)

When a beneficiary enrolls in Prime at a MTF, he/she will be assigned a PCM who will coordinate care, maintain health records, and make referrals to specialists, if necessary. If specialty care is needed, or if the MTF cannot provide the treatment the beneficiary needs, the PCM may refer the patient to a " preferred" or " in-network" provider (doctor, nurse practitioner, lab, etc.) managed by the regional TRICARE contractor.

Active duty service members (including activated Guard/Reserve members) and their Families pay no enrollment fees and no out-of-pocket costs for any type of care as long as care is received from the primary care manager or with a referral. 

MTF Appointment Priorities: Active duty Soldiers and service members have first priority for making an appointment at the MTF. Next are active duty Family members who are enrolled in Prime, then all other Prime enrollees, followed by all other beneficiaries who are not enrolled in Prime.

TRICARE has access standards to help ensure timely health care. These include:

  • The wait time for urgent care appointments should not exceed 24 hours (one day).
  • The wait time for routine appointment should not exceed one week (seven days)
  • The wait time for a specialty care appointment or wellness visit should not exceed four weeks (28 days)

TRICARE Prime Remote: TRICARE Prime is not available in all locations. Active duty Soldiers and their Families who are on remote assignment, typically 50 miles from a MTF, may utilize the TRICARE Prime Remote (TPR) program. TPR is specific to geographic location, and eligibility is based on residence and/or work address Zip Code. Eligibility for TPR requires that the Service member both live and work 50 miles from the nearest MTF or one hour's drive from the nearest MTF. To determine if a Soldier or Family member is eligible for TPR, enter the ZIP Codes in the following link: TRICARE Prime Remote

TRICARE Overseas: TRICARE Prime is available for active duty and families overseas. The TRICARE Overseas Program delivers the Prime benefit to active duty Soldiers and Families in the three overseas areas: Europe, the Pacific, and Latin America/Canada. The TRICARE Prime Remote Overseas program delivers the Prime benefit to active duty Soldiers and Families stationed in designated " remote" locations overseas. More information regarding the TRICARE Overseas Program may found at: TRICARE Prime Overseas.

Enrolling in Prime: For active duty Soldiers, Prime coverage is automatic, however the active duty Soldier must fill out an enrollment form and submit it to the regional TRICARE contractor. For active duty Family members who desire to participate in Prime, enrollment is required. One enrollment form must be submitted per person. Enrollment forms may be downloaded from the following TRICARE website: TRICARE Enrollment Prime.

Disenrolling in Prime: Active duty Soldiers are required to be enrolled in Prime, however Family members may choose to disenroll from TRICARE Prime at any time. If they choose to disenroll before the annual enrollment renewal date, they may be subject to a one-year lockout. The lockout provision does not apply to Family members whose sponsor is E-1 through E-4.

Any change in status (e.g., from active duty to retired or a reservist demobilizing) will cause automatic disenrollment from TRICARE Prime. When the member changes status, and remains TRICARE eligible, he/she must re-enroll in Prime immediately to maintain coverage. Active duty Family members are required to disenroll from the TRICARE Overseas Program (TOP) Prime within 60 days of departure if they no longer live in a TOP Prime area.

Transferring Enrollment in Prime: Active duty Soldiers and Family members scheduled for a permanent change of station (PCS) move will remain enrolled in Prime for a maximum of 60 days from the date they leave their current TRICARE region (in the U.S. or overseas). To avoid Prime coverage interruptions, enrollees need to transfer their enrollment to the new regional contractor (U.S.) or MTF (overseas) and select a new PCM. Before the move, enrollees should let their current TRICARE Service Center (TSC) know they are moving. Upon arrival at the next duty station, enrollees should stop by a TSC in the new region or overseas area as soon as possible to fill out needed paperwork.

Additional Information:

For more information, please visit the official TRICARE webpages maintained by the Office of the Assistant Secretary of Defense (Health Affairs) and the TRICARE Management Activity:

TRICARE Home: TRICARE

TRICARE Prime: TRICARE Prime

TRICARE Young Adult: TRICARE Young Adult

 

TriCare

Dental Program

The TriCare Dental Program is a voluntary, premium-based dental insurance plan for:

  • Family members of active duty service members
  • Family members of National Guard/Reserve members
  • National Guard/Reserve Members who are not on active duty or covered by the Transitional Assistance Management Program (TAMP) after serving on active duty for more than 30 consecutive days in support of a contingency operation.

Note: National Guard/Reserve members who are on active duty or covered by TAMP use the TRICARE Active Duty Dental Program

TRICARE has partnered with the Metropolitan Life Insurance Company (MetLife) for enrollment, claims processing, and customer service for the TRICARE Dental Program. Register online with MetLife to create your own "Dental Benefits" account with secure features that allow you to:

  • View plan coverage details
  • Check a claim
  • View claims history
  • View explanation of benefits
  • Access tools and resources
  • Access the "Find a Dentist" feature
  • File a grievance online

Additionally, once signed in, you can view frequently asked questions and oral health information, download commonly used forms/documents, the TRICARE Dental Program Benefit Booklet and other materials. A Department of Defense Self-Service Logon is required to log in.

   Tricare Dental Brochure.pdf (see page 11 for Survivor benefits)

Additional Information:

For the most current information, please visit the following link:

TRICARE Dental Program

Army Reserve/ National Guard Retired

TRICARE Prime is a managed-care health insurance option available to all eligible military beneficiaries that are not entitled to Medicare (are age 65 or older) in Prime Service Areas of the North, South, and West Regions of TRICARE.

Eligibility:

Army Reserve Soldiers are eligible for TRICARE Prime while on federal active duty and while on travel to and from home and duty station. Authorized family members of Army National Guard Soldiers are eligible for TRICARE and may elect to utilize TRICARE Prime when:

  • The Reserve component Soldier is ordered to active duty for more than 30 consecutive days,
  • The Reserve component Soldier is medically retired due to service-connected injury, illness, or disease incurred or aggravated while on active duty,
  • The Reserve component Soldier completes 20 years of qualifying service, reaches age 60, and starts receiving retired pay, or
  • The Reserve component Soldier dies on active duty or as a result of a medical condition incurred or aggravated while on active duty.

Family members may choose TRICARE Prime, TRICARE Prime Remote, TRICARE Standard, or TRICARE Extra.

TRICARE benefits information changes frequently so be sure to check TRICARE Prime updates for updates.

Newborn babies and newly adopted children are covered under Prime for the first 60 days. After 60 days, they must be properly registered in Defense Enrollment Eligibility Reporting System (DEERS) and formally enrolled in Prime in order to receive Prime coverage.

TRICARE covers eligible children until age 21. For TRICARE coverage beyond the age of 21, college students must be enrolled full-time at an accredited institution of higher education and the sponsor must provide more than 50 percent of the student's financial support up to the age of 23.

The National Defense Authorization Act (NDAA) FY 2011 gave the DoD the authority to expand benefits to qualified dependents that lose TRICARE eligibility and are under the age of 26. Young adults can purchase TRICARE Young Adult and pay monthly premiums.

Un-remarried former spouses of eligible Soldiers may be eligible for Prime; however, the individual must first establish his/her eligibility for health care coverage by verifying registration in DEERS under his/her own social security number. Completing DD Form 2876 is required to enroll in TRICARE Prime under the former spouse's SSN; otherwise, the former spouse will be covered under TRICARE Standard and TRICARE Extra. The former spouse must have been married to the same member or former member for at least 20 years, and at least 20 of those years must have been creditable in determining the member's eligibility for retirement pay with coverage beginning after the date of divorce, dissolution or annulment OR the former spouse must have been married for at least 20 years, and at least 15 - but less than 20 - of those married years must have been creditable in determining the member's eligibility for retirement with coverage for only one year from the date of the divorce, dissolution, or annulment.

When an active duty sponsor dies, surviving spouses remain eligible for TRICARE health care benefits as active duty Family members for a three-year period. At the end of the three-year period, TRICARE eligibility continues, but the survivor's status changes to that of retiree Family member. It is important for the survivor to update personal information and to keep supporting documents current in DEERS. Surviving children whose sponsor died on or after October 7, 2001, remain eligible for TRICARE benefits. Unlike spouses, eligibility will not change after three years, and children remain covered until eligibility ends due to the age limits or another reason (e.g. marriage).

Benefit Highlights:

TRICARE Prime enrollees receive most of their health care at a military treatment facility (MTF) and their care is coordinated by a primary care manager (PCM). Prime enrollees agree to seek treatment first from their PCM (usually at the MTF) before seeking routine treatment elsewhere. (Emergency care should be sought at the nearest emergency room or health care facility.)

When a beneficiary enrolls in Prime at a MTF, he/she will be assigned a PCM who will coordinate care, maintain health records, and make referrals to specialists, if necessary. If specialty care is needed, or if the MTF cannot provide the treatment the beneficiary needs, the PCM may refer the patient to a "preferred" or "in-network" provider (doctor, nurse practitioner, lab, etc.) managed by the regional TRICARE contractor.

MTF Appointment Priorities: Active duty Soldiers and service members have first priority for making an appointment at the MTF. Next are active duty Family members who are enrolled in Prime, then all other Prime enrollees, followed by all other beneficiaries who are not enrolled in Prime.

TRICARE has access standards in place to help ensure timely health care. These include:

  • The wait time for an urgent care appointment should not exceed 24 hours (one day).
  • The wait time for routine appointment should not exceed one week (seven days)
  • The wait time for a specialty care appointment or wellness visit should not exceed four weeks (28 days).

TRICARE Prime Remote: TRICARE Prime is not available in all locations. Army Reserve Soldiers on active duty and eligible Family members, who are on remote assignment, typically 50 miles from a MTF, may utilize the TRICARE Prime Remote (TPR) program. TPR is specific to geographic location, and eligibility is based on residence and/or work address Zip Code. Eligibility for TPR requires that the Service member both live and work 50 miles from the nearest MTF or one hours drive from the nearest MTF. To determine if a Soldier or Family member is eligible for TPR, enter the ZIP Codes in the following link: TRICARE Prime Remote

TRICARE Overseas: TRICARE Prime is available for Army National Guard Soldiers on active duty and eligible Family members overseas. The TRICARE Overseas Program delivers the Prime benefit to active duty Soldiers and Families in the three overseas areas: Europe, the Pacific, and Latin America/Canada. The TRICARE Prime Remote Overseas program delivers the Prime benefit to Army National Guard Soldiers on active duty and Families stationed in designated "remote" locations overseas.

 

Enrolling in Prime: For Army National Guard Soldiers on active duty, Prime coverage is automatic, however the Soldier must fill out an enrollment form and submit it to the regional TRICARE contractor. For eligible Family members who desire to participate in Prime, enrollment is required. One enrollment form must be submitted per person.

Enrollment forms may be downloaded from the following TRICARE website: TRICARE Prime Enrollment

Disenrolling in Prime: Army National Guard Soldiers on active duty are required to be enrolled in Prime, however Family members may choose to disenroll from TRICARE Prime at any time. If they choose to disenroll before the annual enrollment renewal date, they may be subject to a one-year lockout. The lockout provision does not apply to Family members whose sponsor is E-1 through E-4.

Any change in status (e.g., from active duty to retired or a reservist demobilizing) will cause automatic disenrollment from TRICARE Prime. When the member changes status, and remains TRICARE eligible, he/she must re-enroll in Prime immediately to maintain coverage. Active duty Family members are required to disenroll from the TRICARE Overseas Program (TOP) Prime within 60 days of departure if they no longer live in a TOP Prime area.

Additional Information:

For more information, please visit the official TRICARE webpages maintained by the Office of the Assistant Secretary of Defense (Health Affairs) and the TRICARE Management Activity:

TRICARE Reserve/ NG Retired: TRICARE Reserve/ NG Retired

TRICARE Home: TRICARE

TRICARE Prime: TRICARE Prime

TRICARE Young Adult: TRICARE Young Adult

Reserve Select

TRICARE Reserve Select is a premium-based plan availalbe worldwide for qualified Selected Reserve members of the Ready Reserve and their families.

If purchased, TRICARE Reserve Select is minimum essential coverage under the Affordable Care Act.

Eligible Beneficiaries

Available to members of the Selected Reserve of the Ready Reserve (and their families) who meet the following qualifications:

  • Not on active duty orders
  • Not covered under the Transitional Assistance Management Program
  • Not eligible for or enrolled in the Federal Employees Health Benefits (FEHB) program (as defined in Chapter 89 of Title 5 U.S.C.) or currently covered under FEHB, either under their own eligibility or through a family member.

Note: Those members in the Individual Ready Reserve including Navy Reserve Voluntary Training Units do not qualify to purchase TRICARE Reserve Select.

Certain members of the Selected Reserve who are covered by TRICARE Reserve Select and involuntarily separated under other than adverse conditions, may have access to extended TRICARE Reserve Select coverage up to 180 days.  For more information, contact your service personnel department.

Coverage

TRICARE Reserve Select provides comprehensive health coverage.

Getting Care

Schedule an appointment with any TRICARE-authorized provider, network or non-network. Find a Doctor

  • If you visit a non-network provider, you'll pay higher cost shares and may have to file your own health care claims.
  • If you visit a network provider, you'll pay lower cost shares and the provider will file health care claims for you. 

Referrals are not required for any type of care, but you may need prior authorization from your regional contractor for some types of services.

TRICARE Reserve Select Costs

You are required to pay monthly premiums and cost shares if you decide to enroll in TRICARE Reserve Select. 

Is TRICARE Reserve Select Right for You?

TRICARE Reserve Select is a great option for you and your family if you are:

  • a member of the Selected Reserves of the Ready Reserve,
  • not on active duty orders or covered by the Transitional Assistance Management Program, and
  • not eligible for or enrolled in the FEHB.

The plan provides comprehensive health care coverage when you're not activated and covered by active duty TRICARE benefits. And, because you can see any provider, you don't have to change providers if you already have one.

Purchasing Coverage

Additional Information:

For more information, please visit the official TRICARE webpages maintained by the Office of the Assistant Secretary of Defense (Health Affairs) and the TRICARE Management Activity:

TRICARE Reserve/ NG Select: TRICARE Reserve/ NG Select

TRICARE Home: TRICARE

TRICARE Prime: TRICARE Prime

TRICARE Young Adult: TRICARE Young Adult