Tricare plus 2026

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The document is a TRICARE Plus Enrollment Application form, which is used by eligible beneficiaries to enroll in the TRICARE Plus program. This program allows beneficiaries to establish a primary care relationship with a provider at a Military Treatment Facility (MTF). The form includes instructions for completion, privacy notices, and information on the enrollment process, emphasizing that enrollment does not guarantee access to all services and may involve out-of-pocket expenses.

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Click ‘Get Form’ to open the TRICARE Plus Enrollment Application in the editor.
Begin with Section I, where you will enter the Sponsor Information. Fill in the Sponsor's Social Security Number or DoD Benefits Number, full name, and date of birth.
Proceed to Section II for Individual Enrollments. Here, provide your mailing address, residence address (if different), and contact numbers. Specify your preferred Military Treatment Facility (MTF) and provider's name if known.
List any enrolling family members by entering their names, dates of birth, addresses, and contact information. Indicate their preferred MTFs as well.
In Section III, read the acknowledgment statements regarding TRICARE Plus. Sign and date the application to confirm that all information is accurate.
Finally, submit your completed application to the designated Military Treatment Facility and keep a copy for your records.

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Versions	Form popularity	Fillable & printable
2018	4.8 Satisfied (82 Votes)
2010	4.9 Satisfied (40 Votes)

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What are the three types of TRICARE?

TRICARE Plus doesnt work with Medicare or TRICARE For Life (TFL). If youre a TRICARE Plus enrollee, you will get your primary care at the military hospital or clinic where you enrolled. You will use your Medicare and TFL coverage when you get care outside of the military hospital or clinic.

What is the TRICARE Plus?

TRICARE Plus is a Military Treatment Facility (MTF) based program designed to allow Military Health System (MHS) beneficiaries not enrolled in a TRICARE Prime option an opportunity to obtain a primary care coordinator within the MTF and to be assured access to MTF primary care appointments meeting TRICARE Prime primary

What does TRICARE plus mean?

Unpaid claims and coverage gaps: Changes to the militarys health care program are causing disruptions. Several thousand Tricare providers havent been paid for months, forcing many to drop patients, reduce hours or consider closing their clinics.