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Tricare humana east 2026
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- Click ‘Get Form’ to open the TRICARE Other Health Insurance Questionnaire in the editor.
- Begin by filling in the TRICARE Sponsor Name and either the Sponsor’s Social Security Number or Department of Defense Benefits Number. Ensure accuracy as this information is crucial for processing your claims.
- Indicate whether you or any family members currently have Other Health Insurance (OHI) coverage by selecting ‘Yes’ or ‘No’. If applicable, complete the remaining sections of the form.
- In the Primary OHI Status section, provide details such as Policy Holder Name, Policy Number, and Group/Plan Number. This information can typically be found on your insurance card.
- Continue filling out additional fields regarding pharmacy benefits, exclusions, and covered members' details including their names, IDs, dates of birth, and effective dates.
- If you have more than one OHI policy, replicate the process in the Additional OHI Status section. For prior OHI status within the last 12 months, follow similar instructions as above.
- Finally, read through the consent information carefully. Sign your name, indicate your relationship to the sponsor, and date the form before submission.
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tricare east address
EAST AVE K-4 LANCASTER CA 93535-4500 KIM LANE SBLO/SR. SUBCONTRACT ADMINISTR TRICARE MANAGED CARE SUPPORT HEALTH SANITATION SERVICE 1850 WRead more
TRICARE is administered in the East region by Humana Military. TRICARE is a registered trademark of the Department of Defense, Defense Health Agency. AllRead more
TRICARE is the uniformed services healthcare program for active duty service members, active duty family members, National Guard and Reserve members and