2/24 Fox Co Families

Semper Fidelis

FIRST step in Tricare Enrollment

Active-duty military members and retirees are automatically enrolled in DEERS; however, you must also make sure your eligible family members are in the system. Enrollment in DEERS can be confirmed through your installation's personnel office or by calling DEERS at 1-800-538-9552. More information on DEERS is available at http://www.tricare.osd.mil/deers


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Defense Enrollment Eligibility Reporting System (DEERS)
DEERS Info Home
Update your Address in DEERS
Active Duty and their Family Members
Newborn and Newly Adopted Children
Retirees and their Family Members
Former Spouses
College Students
Dependent Parents and Parents In Law
Traveling Overseas
Newborn Eligibility for TRICARE Overseas
 

Registration in DEERS

DEERS is a computerized database of military sponsors, families and others worldwide who are entitled under the law to TRICARE benefits. DEERS registration is required for TRICARE eligibility.

  • Active-duty and retired service members are automatically registered in DEERS, but they must take action to register their family members and ensure they’re correctly entered into the database.
  • Once registered in DEERS it is important to keep your DEERS records updated when personal eligibility information changes. This includes changes in military career status; addresses; and family status (marriage, divorce, birth, and adoption) etc. For basic information on eligibility, review our Eligibility Fact Sheet.
  • Mistakes in the DEERS database can cause problems with TRICARE claims, so it is critical to maintain your DEERS information.
  • Retail network pharmacies check TRICARE eligibility through DEERS. Prescriptions will be filled only for beneficiaries who are listed as eligible in DEERS.
  • Each family member’s eligibility record must be updated separately when changes occur.

Registering Your Child in DEERS

Parents and legal guardians must register their newborn or newly adopted child in DEERS as soon as possible after birth or legal adoption. For information regarding registering your child in DEERS please view the Newborn Enrollment Fact Sheet.




SECOND STEP IN ENROLLMENT

Find a Tricare Provider (Primary Care Manager) in your area.

Click here to search provider by location.
NOTE:  you only need to fill in the required field in RED to get a basic search.

Most Fox Co. Families are

eligible for

TRICARE PRIME REMOTE

(The bottom half of this page are

step-by-step instructions for enrollment)

You must live more than 50 miles from a Military Treatment Facility (MTF - base)

*Remember, during activation/deployment, Marines are ACTIVE DUTY.

TRICARE Prime Remote (TPR) is a health care program for active duty service members who are assigned to permanent duty stations that are not near sources of military care, typically 50 miles or more from a military treatment facility (MTF). TPR is offered in the 50 United States only and requires enrollment.

TRICARE Prime Remote for Active Duty Family Members (TPRADFM) is the TPR benefit for active duty family members only (retirees and others are not eligible) with similar benefits and program requirements. TPRADFM also requires enrollment. The TRICARE Prime Remote Handbook provides essential information on TPR/TPRADFM benefits.

Who is Eligible for TPR? (Check eligible zip codes)
Permanently assigned active duty members and their families

  • Members must live AND work more than 50 miles or approximately one hour’s drive time from the nearest MTF.
  • Active duty family members are eligible to enroll in TPRADFM if they reside with their TPR-enrolled sponsor.

Reserve Component (RC) members and their families

  • RC members are eligible for TPR if activated for more than 30 consecutive days. Members must live AND work more than 50 miles or approximately one hour’s drive time from the nearest MTF. It is key that the RC Service members’ residence address is the Defense Enrollment Eligibility Reporting System (DEERS).
  • RC family members’ eligibility in TPRADFM requires that they and the Service member "reside with" one another in a TPR ZIP code. "Reside with" means that eligible family members resided with the Service member on the effective date of the Reservist’s orders and remain living at the residence. The RC member is not required to be enrolled in TPR for his or her family to enroll in TPRADFM.
  • Many Reserve Component families may have continuing relationships with providers who are not in the TRICARE Prime network. In these cases, enrolling in TRICARE Prime may not be the best choice—instead, using TRICARE Standard can be the most flexible option. If family members are eligible for the TRICARE Reserve Family Demonstration Project, the TRICARE Standard annual deductible will be waived.

TRICARE Prime Remote Benefits:
Benefits are the same as TRICARE Prime, and there are no out of pocket costs for TPR or TPRADFM enrollees.

Obtaining Routine Medical Care with TRICARE Prime Remote:
Enrollees must select or be assigned a local Primary Care Manager (PCM). If no network PCMs are available in the area, beneficiaries may use any TRICARE-authorized provider for primary care. PCMs provide preventive services, care for routine illnesses or injuries, and manage referrals to specialists or hospitals if needed.

Obtaining Specialty Care with TRICARE Prime Remote:
All specialty care must be coordinated through the TRICARE regional Health Care Finder (HCF). Network PCMs will coordinate specialty care directly with the regional HCF. However, beneficiaries who do not have a network PCM will need to contact an HCF at 1-877-TRICARE (1-877-874-2273) directly to coordinate their own specialty care. The regional HCF will coordinate active duty TPR specialty care referrals through the service point-of-contact (SPOC) to determine if the specialty care must be received from a military provider for a "Fitness for Duty" determination. Specialty care referrals for TPR active duty family members are managed by the HCF and are not coordinated through the SPOC.

Active Duty Service Members' Service Points of Contact (SPOC):
The SPOC for the Army, Navy, Air Force, Coast Guard, and Marine Corps are based at the Military Medical Support Office (MMSO) at Great Lakes, Illinois. Active duty service members with questions for the SPOC may call MMSO Customer Service at 1-888-MHS-MMSO (1-888-647-6676). Written inquiries should be addressed to the appropriate address listed on the MMSO Contact web page.

General questions may be addressed to:

Military Medical Support Office (MMSO)
P.O. Box 886999
Great Lakes, IL 60088-6999

Dental Care with TRICARE Prime Remote:
Active duty service members, except Coast Guard, are covered under the Tri-Service Remote Dental Program (RDP). There is no preferred dental network, so care can be received from any licensed dentist in the area. Active duty service members, except Coast Guard, may contact their SPOC directly for information and authorizations related to dental treatment. More information about the RDP can be found at MMSO Dental or by calling MMSO customer service at 1-888-MHS-MMSO (1-888-647-6676). Coast Guard service members may call 1-800-942-2422 for information and authorizations related to dental treatment. Family members may be covered under the TRICARE Dental Program (TDP) administered by United Concordia.

Additional Information
View handbooks and brochures that provide additional information about TRICARE Prime Remote and TRICARE Prime Remote for Active Duty Family Members.


 

STEP BY STEP INSTRUCTIONS

ENROLLMENT INSTRUCTIONS FOR TPR

Once activated, Marines are automatically enrolled in Tricare Prime, where Military Treatment Facilities (MTFs) are the principal source of health care.  Because of our location (more than 50 miles from a MTF) we are eligible for Tricare Prime Remote (TPR)... but you MUST ENROLL.  Click here for Enrollment Form.

Step by Step instructions for filling out the form:

 Choose ENROLLMENT FORMS

In 3rd column, choose TRICARE ENROLLMENT APPLICATION.  A .pdf file will open, that you can fill out on your desktop, print out, sign and mail.  (You cannot transmit via internet.)

You can tab through the fields to type in information required.

SPONSOR = Marine

DEPENDENT = spouse and children

Line-by-Line Instructions:

NOTE: Pages repeat, so you have a copy when printed.

Top of page:  Click to check 2nd box for PRIME REMOTE ENROLLMENT.

SPONSOR SECTION l:

1.  Marine's Social Security number

2.  Marine's Name

3.  Marine's DOB

4.  Click to check ACTIVE DUTY

5.  Marine's HOME address

6.  Leave blank

7.  Marine's home and cell number.  (Or use Reserve Center as WORK:  414-481-3860)

8.  Leave blank

9.  Co F,  2nd BN 24th MAR.

10. 53207  (Reserve Center zipcode)

11. Marine's email - or most commonly checked email

12.  Click 1st box to check NEW ENROLLMENT

13a.  Fill in Marine's first & second choice of a doctor/provider.  (Must be a Primary Care Manager: If you haven't already done so, choose a provider: Click here to find)

13b.  Choose specialty desired

13c.  Choose gender (doctor) preference

Family Member Information - Section ll:

Fill out a b c d e f g and 1 2 3 information for each dependent (spouse & children).

Section lll - read & fill out accordingly

Section lV - skip... you're not changing Primary Care Managers (you can do this in the future if you'd like.)

Section V - skip...  you are in the service area

Section Vl - Sign & date

Section Vll - skip... does not apply

MAIL TO:

Health Net Federal Services, LLC

PO Box 870143

Surfside Beach, SC 29587-9743

BE SURE TO CALL TRICARE 5-7 days AFTER MAILING TO MAKE SURE APPLICATION WAS RECEIVED AND IS BEING PROCESSED!  (They will not call you if there are errors.)

If your application is received by the 20th of the month, coverage will begin the 1st of the next month.  (Application must be received by the 20th of the month, not postmarked.)