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...

New to TRICARE? The basics you need to know

Article
1/17/2019
TRICARE logo

Learning about your benefit will help you make the most of your coverage

Recommended Content:

TRICARE Health Program

TRICARE Preventive Services

Video
1/14/2019
TRICARE Preventive Services

Watch this video to learn more about all the preventive services your TRICARE benefit covers.

Recommended Content:

TRICARE Health Program | Preventive Health

TRICARE Comprehensive Autism Care Demonstration Program

Congressional Testimony
1/7/2019

S. 2943, SASC Report for FY 2017, 114-255, Pg. 205

Recommended Content:

TRICARE Health Program | Autism Care Demonstration

New codes for applied behavior analysis services begin in New Year

Article
12/18/2018
Take Command of Your Health

Change should not impact beneficiaries, DHA leaders emphasize

Recommended Content:

TRICARE Health Program

Enroll before TRICARE, FEDVIP Open Season closes Dec. 10

Article
12/7/2018
Take Command of your health

Take action, take command and do so before open season closes next week

Recommended Content:

TRICARE Health Program

Know your costs before making a choice during TRICARE Open Season

Article
12/4/2018
Take Command of your health

Before you choose a plan, make sure you know what’s covered and what it costs

Recommended Content:

TRICARE Health Program

TRICARE Prime versus TRICARE Select: Should you change or keep your plan?

Article
11/23/2018
Take Command of Your Health

If you miss open season, you’ll only be able to make enrollment changes within 90 days of a Qualifying Life Event or during the next TRICARE Open Season in fall 2019

Recommended Content:

TRICARE Health Program

Make 2019 enrollment choices today: Open Season underway

Article
11/20/2018
Take Command of your health

The choice you make will take effect Jan. 1, 2019 and will remain in effect through all of 2019

Recommended Content:

TRICARE Health Program

TRICARE open enrollment gives plan choices to beneficiaries

Article
11/14/2018
Navy Vice Adm. Raquel Bono, Defense Health Agency director, said the TRICARE Open Season enrollment period gives beneficiaries a choice in what they want to do with their health care coverage. (MHS file photo)

Open Season gives enrollees in the TRICARE Prime or TRICARE Select plans the opportunity to review their health care options and make changes in coverage based on their needs

Recommended Content:

TRICARE Health Program

TRICARE Open Season questions answered

Article
11/13/2018
Take Command of your health

If you and your family want to make changes to your TRICARE health benefit, take action during the 2018 open season

Recommended Content:

TRICARE Health Program

Fact Sheet on Expanded TRICARE Benefits for Certain National Guard members

Fact Sheet
11/6/2018

This fact sheet describes the conditions under which a National Guard member may be considered active duty service members under TRICARE.

Recommended Content:

TRICARE Health Program

Expanded TRICARE benefits for certain National Guard members

Article
11/6/2018
Take Command of Your Health

When responding to a state natural disaster, extended TRICARE coverage may be available to National Guard members and their families

Recommended Content:

TRICARE Health Program

Expanded TRICARE Benefits for Certain National Guard Members

Presentation
11/6/2018

This brief describes the benefits that certain National Guard members are eligible for when they've received active duty orders for a preplanned mission.

Recommended Content:

TRICARE Health Program

Take Command: TRICARE Open Season begins Nov. 12

Article
10/18/2018
Take Command of Your Health

Your chance to make enrollment changes to your health care in 2019 is just around the corner

Recommended Content:

TRICARE Health Program

Join TRICARE for October 18 webinar on TRICARE Open Season

Article
10/11/2018
Take Command of Your Health

TRICARE Open Season is the annual period when you can enroll in or change your health care coverage for the following year

Recommended Content:

TRICARE Health Program
<< < 1 2 3 4 5  ... > >> 
Showing results 46 - 60 Page 4 of 11

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.