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Third Party Liability (TPL) refers to the legal obligation of third parties (for example, certain individuals, entities, insurers, or programs) to pay part or all of the expenditures for medical assistance furnished under a Medicaid state plan.
Youll be notified if and when you lose eligibility for TRICARE. Each person in your family enrolled in TRICARE will receive a notice.
TRICARE will cover your car accident medical care until you can receive a settlement check from the responsible drivers insurance company. TRICARE works the same as any other medical or health insurance provider in that it must be reimbursed for the costs that it has already paid once you get a settlement.
The Third Party Liability provisions of the Plan entitle the Fund to collect, directly from any responsible third party or insurance carrier, or from you, any money it advances to pay benefits relating to injuries you sustained and for which a third party is legally obligated to pay.
Your regional contractor will send you the Statement of Personal Injury-Possible Third Party Liability (DD Form 2527) if a claim is received that appears to have third-party liability involvement. You must complete and sign this form within 35 calendar days.
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Any change in the sponsors status (e.g., active duty to retired, Guard/Reserve deactivation) will cause an automatic disenrollment. If youre still eligible for TRICARE Prime after the status change, you can: Re-enroll in TRICARE Prime. You can re-enroll before the status change occurs to avoid a lapse in coverage.
Some diagnosis codes may indicate an injury or illness which a third party may have caused. When the TRICARE contractor gets claims with these types of diagnosis codes, the contractor will send you a Statement of Personal Injury Possible Third Party Liability form (DD Form 2527) to fill out.

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