Tricare plus 2025

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4.9 out of 5

40 votes

The document is a TRICARE Plus Enrollment Application form, which outlines the process for eligible beneficiaries to enroll in the TRICARE Plus program. It includes instructions for completing the application, privacy disclosures, and information about the program's purpose, which is to provide primary care services at Military Treatment Facilities (MTFs) for those who are ineligible for TRICARE Prime or prefer limited primary care access. The form requires personal information from the sponsor and enrolling family members and emphasizes that enrollment does not guarantee access to specialty care.

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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, Name, and Date of Birth accurately.
Proceed to Section II for Individual Enrollments. Here, provide your Mailing Address, Residence Address (if different), and Telephone Numbers. Specify your requested Military Treatment Facility (MTF) and provider's name if known.
List any enrolling family members by entering their names, dates of birth, addresses, and telephone numbers. Indicate if they are under the care of a specific provider or MTF.
In Section III, review the understanding statement about TRICARE Plus. Sign and date the application to certify that all information is true and complete.
Finally, save your completed form and submit it to the appropriate MTF while keeping a copy for your records.

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Versions	Form popularity	Fillable & printable
2018	4.8 Satisfied (82 Votes)
2010	4.9 Satisfied (40 Votes)

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What is the TRICARE Plus?

TRICARE Plus is a Military Treatment Facility (MTF) based program designed to allow Military Health System (MHS) beneficiaries not enrolled in a TRICARE Prime option an opportunity to obtain a primary care coordinator within the MTF and to be assured access to MTF primary care appointments meeting TRICARE Prime primary

Can you have TRICARE for Life and TRICARE Plus?

TRICARE Plus doesnt work with Medicare or TRICARE For Life (TFL). If youre a TRICARE Plus enrollee, you will get your primary care at the military hospital or clinic where you enrolled. You will use your Medicare and TFL coverage when you get care outside of the military hospital or clinic.

What does TRICARE plus mean?

Unpaid claims and coverage gaps: Changes to the militarys health care program are causing disruptions. Several thousand Tricare providers havent been paid for months, forcing many to drop patients, reduce hours or consider closing their clinics.