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DD Form 2876, TRICARE Prime Enrollment Application and PCM Change Form, March 2004 2009 Deputy Regis

DD Form 2876, TRICARE Prime Enrollment Application and PCM Change Form, March 2004 2009 Deputy Regis-2025

DD Form 2876, TRICARE Prime Enrollment Application and PCM Change Form, March 2004 2009 Deputy Regis Preview on Page 1

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The document provides an overview of the Supplemental Security Income (SSI) program, which is a federal income supplement designed to assist individuals who are aged, blind, or disabled with limited income. It outlines eligibility criteria, the application process, required documents, and additional programs in New Jersey such as Medicaid for eligible individuals. The document also addresses common questions regarding Medicaid and SSI coverage, including what to do if benefits are denied or lost.

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

How do I change my TRICARE enrollment?

If youre enrolling or simply want to change your TRICARE health plan, you can call us at (800) 444-5445. You can choose between Prime and Select. We expect high call volumes during this time, so please avoid calling us on the first and last days of Open Season.

Is there a difference between TRICARE and TRICARE Prime?

If youre on active duty, you have to enroll in TRICARE Prime. All others can choose to enroll in TRICARE Prime or TRICARE Select. TRICARE Prime offers fewer out-of-pocket costs than TRICARE Select, but less freedom of choice for providers.

How do I change my PCM for TRICARE Prime?

You can mail a TRICARE Prime Enrollment, Disenrollment, and PCM Change Form with the new PCMs name and address to your regional contractor. You only need to complete the part of the form related to the PCM change.

What is the change form for Tricare Prime enrollment?

Use the TRICARE Prime Enrollment, Disenrollment and Primary Care Manager (PCM) Change Form (DD Form 2876) to enroll in one of the TRICARE Prime Options: TRICARE Prime. TRICARE Prime Remote.

What is a QLE for TRICARE?

These are known as Qualifying Life Events (QLEs). A QLE is a certain change in your life, such as marriage, birth of a child, or retirement from active duty, which may mean different TRICARE health plan options are available to you.