How to enroll in TRICARE Prime?
Quick Answer
Enroll in TRICARE Prime through milConnect, your regional contractor, or an ID card office during Open Season or within 90 days of a qualifying life event. Choose a PCM during enrollment.
Detailed Answer
Enrolling in TRICARE Prime requires several steps to ensure proper setup of your managed care coverage. First, verify that you live in a Prime Service Area (PSA) where TRICARE Prime is available by checking the TRICARE website or calling your regional contractor. Confirm that your DEERS information is current and accurate. During the TRICARE Open Season (mid-November through mid-December) or within 90 days of a qualifying life event, submit your enrollment through one of three methods: online through milConnect (milconnect.dmdc.osd.mil) using the Beneficiary Web Enrollment portal, by phone through your regional contractor (Humana Military at 1-800-444-5445 for East Region or TriWest at 1-844-866-9378 for West Region), or in person at an ID card office. During enrollment, you will select your primary care manager (PCM) from available providers in your area. Active duty service members are automatically enrolled in Prime and do not need to take action. Review the enrollment fee structure for your beneficiary category, as retirees pay annual enrollment fees. Coverage typically begins on the first day of the month following enrollment processing.
Related TRICARE Terms
TRICARE Prime
Managed care option with assigned PCM and lowest costs.
Primary Care Manager(PCM)
Your main doctor who coordinates your healthcare.
Prime Service Area(PSA)
Geographic area where TRICARE Prime is available.
Defense Enrollment Eligibility Reporting System(DEERS)
Database of all individuals eligible for military benefits.
Qualifying Life Event(QLE)
A significant change that allows you to enroll in or change TRICARE plans outside Open Season.
Related Questions
What is TRICARE Prime?
TRICARE Prime is a managed care health plan similar to an HMO that provides comprehensive coverage with a primary care manager, low out-of-pocket costs, and referrals for specialty care.
How to choose a PCM for TRICARE Prime?
Choose a PCM by reviewing available providers in your area through your regional contractor's directory, considering factors like location, specialty, office hours, and patient reviews.