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MILITARY BRIEFING

Healthcare & TRICARE: Clarity for Your Care

Understanding your military healthcare benefits shouldn't be a battle. We provide plain-language guides to TRICARE options, eligibility, and costs for service members, veterans, and families.

TRICARE Plan Comparison

Find the plan that fits your status and your family's needs. Coverage varies based on your location and duty status.

Plan Name Primary Audience Key Features Enrollment Fee
TRICARE Prime Active Duty & Families HMO-style, managed care with a PCM $0 for Active Duty
TRICARE Select Active Duty Families & Retirees PPO-style, flexible provider choice Varies by Group
Reserve Select (TRS) Selected Reserve & Families Premium-based health plan Monthly Premiums
TRICARE For Life Medicare-Eligible Retirees Secondary payer to Medicare $0 (Must have Part B)

Navigating Enrollment & Costs

Follow these critical steps to secure your coverage and manage your out-of-pocket expenses effectively.

01

Verify DEERS Eligibility

Your eligibility for TRICARE is managed through the Defense Enrollment Eligibility Reporting System. Ensure your information is current.

02

Choose Your Plan

Select between Prime (managed care) or Select (preferred provider) based on your location and preference for flexibility.

03

Enroll via BENE Online

Use the Beneficiary Web Enrollment (BENE) portal to submit your application or change your plan during Open Season.

04

Monitor Catastrophic Caps

Understand your maximum out-of-pocket limit. Once reached, TRICARE pays 100% of covered services for the remainder of the year.

Healthcare During Life Events

Major life changes impact your coverage. Here is how to handle common transitions.

PCS Move

You must transfer your enrollment to your new region. Contact your new regional contractor within 90 days.

Deployment

Families may have more flexibility. Active duty members remain on Prime; families can switch plans if needed.

Retirement

Transition to TRICARE Select or Prime as a retiree. Enrollment fees apply. Dental coverage shifts to FEDVIP.

VA Transition

Learn how VA healthcare and TRICARE work together. Some services may overlap while others are distinct.

Guides & Checklists

Downloadable tools and official links to help you manage your healthcare status.

CHECKLIST

Newborn Enrollment Guide

A 5-step checklist for adding a child to DEERS and TRICARE coverage.

OFFICIAL LINK

Provider Search Tool

Find authorized network providers in your current or upcoming duty station.

EXPLAINER

Claims & Appeals

How to dispute a denied claim or find the status of an existing medical bill.

FORM

Medical Records Request

Standard forms for requesting or transferring your military health records.

GUIDE

Dental & Vision

Understanding your supplemental coverage options through FEDVIP.

Recent Policy Changes

Stay informed about the latest alerts and status changes affecting military healthcare.

JAN 2025 TRICARE Pharmacy Network Changes

New pharmacy network adjustments have taken effect. Some retail pharmacies may no longer be in-network. Check the updated list to avoid higher co-pays for prescriptions filled at non-network locations.

DEC 2024 2025 Enrollment Fees Update

Annual enrollment fees for TRICARE Select Group A and B retirees have been adjusted for the new calendar year. Ensure your allotments are updated to prevent coverage lapse.

OCT 2024 Mental Health Access Expansion

New pilot programs are expanding telehealth mental health services for Guard and Reserve members. No referral is required for the first eight sessions with a network provider.

Get in Touch

Have questions about a briefing or need to report a policy change? Our team is here to help.

Briefing Clarifications

Need more detail on a specific healthcare policy we covered? Reach out for a clearer explanation.

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Corrections & Tips

Help us keep our briefings accurate. Submit corrections or policy tips directly to our editors.

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Media & Partnerships

For press inquiries or partnership opportunities regarding military family health advocacy.

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