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TRICARE Other Health Insurance Coverage Questionnaire TRICARE Other Health Insurance (OHI) Coverage

TRICARE Other Health Insurance Coverage Questionnaire TRICARE Other Health Insurance (OHI) Coverage 2026

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The document is a TRICARE Other Health Insurance Coverage Questionnaire designed for eligible beneficiaries to report their current and past health insurance coverage. It includes sections for general information, current OHI status, and prior OHI status, requiring details such as policyholder information, coverage type, and pharmacy benefits. Beneficiaries must sign the questionnaire to confirm the accuracy of their statements and submit it to Humana Military Healthcare Services.

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Click ‘Get Form’ to open it in the editor.
Begin with the 'General Information' section. Fill in the TRICARE Sponsor Name and their Social Security Number or Department of Defense Benefits Number. Indicate whether you or any family members currently have OHI coverage by selecting 'Yes' or 'No'. If applicable, complete the rest of the questionnaire.
Proceed to 'Current OHI Status' if you have current OHI. Enter details such as Policyholder Name, Policy Number, Group/Plan Number, and Carrier information. Specify the type of coverage and indicate if it includes pharmacy benefits.
If applicable, fill out the 'Prior OHI Status' section for any OHI within the last 12 months. Repeat similar steps as in Current OHI Status.
Finally, review your entries for accuracy, sign at the bottom, and submit your completed questionnaire to the provided address or fax number.

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2012	4.8 Satisfied (165 Votes)

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Why is TRICARE saying I have other insurance?

If you have any health insurance other than TRICARE, it is called ``other health insuranceHealth insurance you have in addition to TRICARE, such as Medicare or an employer-sponsored health insurance.

How do I tell which TRICARE plan I have?

Are you enrolled in a plan but not sure which one? If so, you can find out which plan youre enrolled in: By logging into your account in Defense Enrollment Eligibility Reporting System via milConnect, or. By calling your regional contractor.

Who qualifies for TRICARE health insurance?

TRICARE is the uniformed services health care program for active duty service members, active duty family members, National Guard and Reserve members and their family members, retirees and retiree family members, survivors, and certain former spouses worldwide.

How does TRICARE work with OHI?

In most cases, TRICARE pays after OHI. This is true for employer-sponsored insurance and private insurance. If you buy travel health insurance, TRICARE also pays after travel insurance. You or your provider should only file a claim with TRICARE after your OHI processes your claim.

What are the three types of plans for TRICARE?

This fact sheet provides an overview of TRICARE health plans, including TRICARE Prime, TRICARE Select, TRICARE For Life, and TRICARE Plus.

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