Tricare west may 2026

1. Click ‘Get Form’ to open the TYA Reconsideration Request Form in the editor.
2. Begin by selecting your coverage type: either Prime or Standard. Fill in the sponsor's name, SSN or DBN, and home address details.
3. Provide the TYA beneficiary's information, including their name, SSN or DBN, and both home and mailing addresses if different.
4. Specify the action you are requesting by checking the appropriate box for reinstatement of coverage. Include a detailed explanation for your request in the designated section.
5. Attach any supporting documentation as needed, such as proof of payment or written confirmations.
6. Sign the form where indicated; remember that it cannot be processed without this signature.
7. Finally, mail or fax the completed form to UnitedHealthcare Military & Veterans at the provided address.

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