Back to Top Skip to main content

Adding a new family member stateside? Take action to get TRICARE coverage

Take Command of Your Health Take Command of Your Health

Recommended Content:

TRICARE Health Program

Whether giving birth or adopting, this change in your family composition is a TRICARE Qualifying Life Event (QLE). The QLE allows you to enroll any new eligible family members. Or to make changes to your TRICARE Prime or TRICARE Select health plan. You must take action to get TRICARE coverage for your newborn or adopted child. Register your newborn or adopted child in the Defense Enrollment Eligibility Reporting System (DEERS), as well as choose a TRICARE health plan and enroll your child in one if necessary.

You Must Register Your Child in DEERS

If you’re an active duty service member or a retiree living stateside, you must register your child in DEERS within 90 days of birthadoption, or court-appointment. To do this, the sponsor must go to a uniformed services ID card office. There they’ll show the child’s birth certificate, proof of adoption, or letter of placement of the child into their home by the court.

Don’t wait for the government to issue your child’s Social Security number to register your child in DEERS. However, update your child’s DEERS record as soon as he or she gets a Social Security number.

If you don’t register your child in DEERS, your child won’t show as TRICARE-eligible. TRICARE will deny claims for your child starting on the 91st day after the date of birth.

Choose a TRICARE Health Plan and Enroll if Necessary

After you register your child in DEERS, choose a TRICARE health plan and enroll your child if necessary. If you’re an active duty family living in a stateside Prime Service Area (PSA), your child is automatically enrolled into TRICARE Prime. If you don’t live in a PSA, your child is automatically enrolled into TRICARE Select. You have 90 days from the automatic enrollment date to change your child’s enrollment to a different TRICARE health plan. For example, TRICARE Prime Remote or US Family Health Plan, if available. After 90 days, you can only enroll your child following another QLE or during TRICARE Open Season.

For children of stateside retirees, there’s no automatic enrollment. You must enroll your child in a health plan after registering him or her in DEERS within 90 days. If you don’t enroll your child in a health plan, your child can only get health care and pharmacy services at a military hospital or clinic if space is available. Your child won’t have access to TRICARE covered civilian health care or retail or home delivery pharmacy services.

Avoid Late DEERS Registration

If you’re an active duty service member and register your child in DEERS after the 90 days, your child is automatically enrolled in TRICARE PrimeA managed care option available in Prime Service Areas in the United States; you have an assigned primary care manager who provides most of your care.TRICARE Prime or TRICARE SelectStarting on January 1, 2018, TRICARE Select replaces TRICARE Standard and Extra. TRICARE Select is a self-managed, preferred provider network plan. TRICARE Select is a fee-for-service option in the United States that allows you to get care from any TRICARE-authorized provider.  Enrollment is required to participate. TRICARE Select. Coverage will backdate to the date of birth, date of adoption, or date of court order. You still have 90 days from the auto-enrollment date to change your child’s health plan. TRICARE will backdate the new health plan to the date of birth, for example. Ask your TRICARE regional contractor to re-process any health care claims that TRICARE denied or that they should process under the new plan.

For retirees, if you register your child in DEERS late, TRICARE won’t backdate coverage. Your child will only be able to receive care at a military hospital or clinic if space is available. You have to pay all civilian health care costs from day 91 until you enroll your child in a TRICARE health plan. You can only enroll your child in a health plan during the annual open season (only applies to TRICARE Prime and TRICARE Select plans) or following another QLE.

Learn more about getting TRICARE coverage for your child. And visit Qualifying Life Events to learn about other QLEs you might experience in the future.

You also may be interested in...

All of the Updates - TRICARE Changes

Video
11/3/2017
Doctor and patient talking in an exam room.

All of the updates to the new health care system

Recommended Content:

TRICARE Health Program

Changes to TRICARE disenrollment coming in 2018

Article
10/30/2017
TRICARE urges you to take command of your health care to enhance your TRICARE experience.

As part of the changes coming to TRICARE on Jan. 1, 2018, there will be new rules affecting disenrollment.

Recommended Content:

TRICARE Health Program

Online patient portal saves time, improves access to medical information

Article
10/30/2017
The TRICARE Online Patient Portal connects registered users with online health care information and services at military hospitals and clinics.

Patients who can more easily access their own health information using TRICARE Online are more inclined to use the health benefit

Recommended Content:

Military Hospitals and Clinics | TRICARE Health Program | MHS Quality, Patient Safety, and Access Information (for Patients)

Interim Final Rule: Establishment of TRICARE Select and Other TRICARE Reforms

Policy

This interim final rule implements the primary features of section 701 and partially implements several other sections of the National Defense Authorization Act for Fiscal Year 2017 (NDAA-17). The law makes significant changes to the TRICARE program, especially to the health maintenance organization (HMO)-like health plan, known as TRICARE Prime; to the preferred provider organization (PPO) health plan, previously called TRICARE Extra which is to be replaced.

Policy Memorandum to Establish 2018 Monthly Premium Rates for TRICARE Reserve Select and TRICARE Retired Reserve

Policy

This policy memorandum establishes the 2018 monthly premium rates for TRICARE Reserve Select and TRICARE Retired Reserve.

Policy Memorandum to Establish Calendar Year 2018 Premium Rates for the TRICARE Young Adult Program

Policy

This memo establishes the 2018 premium rates for the TRICARE Young Adult (TYA) Program. TYA premium rates are established annually on a calendar year basis in accordance with Title 10, United States Code, Section 11 lOb and Title 32, Code of Federal Regulations, Part 199.26.

Approved Laboratory Developed Tests

Fact Sheet
10/21/2016

Approved Laboratory Developed Tests by Test Name or by Gene(s) Tested

Recommended Content:

TRICARE Health Program

Memorandum to Establish 2017 TRICARE Reserve Select and TRICARE Retired Reserve Rates

Policy

Calendar Year 2017 premium rates are established for TRICARE Reserve Select and TRICARE Retired Reserve as specified in the attachment. Please provide widest dissemination. This information can be found at www.tricare.mil/trs and www.tricare.mil/trr.

Memorandum to Establish 2017 Premium Rates for the TRICARE Young Adult Program

Policy

This memo establishes the CY2017 Premium Rates for TRICARE Young Adult

Memorandum to Establish 2016 Rates for TRICARE Young Adult Premiums

Policy

TRICARE Young Adult (TYA) premium rates are established annually on a calendar year (CY) basis in accordance with Title 10, United States Code, Section 1110b and Title 32, Code of Federal Regulations, Part 199.26.

Have a #MilKid? Here's how to use TRICARE

Infographic
10/2/2015
Infographic that explains TRICARE coverage for children.

This infographic shows you the steps to take to get TRICARE for your child and highlights your child's benefits from birth to college. Learn more at www.tricare.mil/baby.

Recommended Content:

TRICARE Health Program

How a Benefit Becomes Covered by TRICARE

Infographic
9/1/2015
Infographic depicted steps for a benefit to become covered by TRICARE

Shows the step-by-step process of how a benefit becomes covered by TRICARE

Recommended Content:

TRICARE Health Program

DoD Directive 6010.04: Healthcare for Uniformed Services Members and Beneficiaries

Policy

This directive reissues DoD Directive (DoDD) 6010.04 (Reference (a)) to update established policy and assigned responsibilities for administering Title 10, United States Code (Reference (b)). It serves as the joint document for administration of healthcare benefits required pursuant to Reference (b), and is issued by the Departments of Defense, Homeland Security, and Health and Human Services

ASD HA Memorandum 14-022 Policy Memorandum to Establish 2015 Premium Rates for the TRICARE Young Adult Program

Policy

TRICARE Young Adult (TYA) premium rates are established annually on a calendar year (CY) basis in accordance with Title 10, United States Code, Section 111Ob and Title 32, Code of Federal Regulations, Part 199.26. TYA monthly premiums for CY 2015 shall be the rates listed in this document.

Establishing TRICARE Reserve Select and TRICARE Retired Reserve Rates for 2015 Calendar Year

Policy

ASD (HA) Memorandum 14-015 - Establishing TRICARE Reserve Select and TRICARE Retired Reserve Rates for 2015 Calendar Year. This memorandum establishes the Calendar Year 2015 premium rates for TRICARE Reserve Select and TRICARE Retired Reserve as specified in the attachment. This information can be found at www.TRICARE.mil/trs and www.TRICARE.mil/trr.

<< < ... 11 12 > >> 
Showing results 151 - 165 Page 11 of 12

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

Some documents are presented in Portable Document Format (PDF). A PDF reader is required for viewing: Download a PDF Reader or learn more about PDFs.