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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.
Start filling out your TRICARE Plus application today using our platform for free!
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DD Form 2853, TRICARE Plus Enrollment Application,
TRICARE Plus is an enrollment option for TRICARE beneficiaries who want an affiliation with a primary care provider at a Military Treatment Facility (MTF) andRead more
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