Eligibility

Am I Eligible?

  • Active-duty family members, including spouses and unmarried dependent children.
  • Military retirees from the active component, their spouses and unmarried dependent children.
  • Military retirees from the reserve component upon reaching age 60, their spouses and unmarried dependent children.
  • Family members survivors of a deceased active-duty military member or military retiree.
  • Former spouses of military sponsors who meet TRICARE eligibility rules.

When can I join and when does my coverage begin?

  • If you are coming from another TRICARE Prime program, you may enroll anytime during the year. Your coverage will start the day Martin's Point receives your application
  • If you currently have TRICARE Select, you may enroll:
    • During TRICARE’s Open Season. Your coverage will start on January 1st.
    • As a result of a Qualifying Life Event (QLE). Your coverage will start on the date of your QLE.
  • If you have recently become eligible for TRICARE – a QLE, you must enroll within 90 days of your QLE. Your coverage will start on the date of your QLE.
  • NOTE:  if you do not enroll within 90 days of your QLE, you will have to wait until the next TRICARE Open Season or another QLE.

What Happens When I Turn 65?

  • If you enrolled in the US Family Health Plan on or after October 1, 2012, you will have to disenroll from the Plan once you become eligible for Medicare because of age. Martin's Point will ensure you have a smooth transition to TRICARE For Life.

Beneficiaries who are eligible for Medicare because of age (65 or older) may not enroll.

Acceptance for enrollment depends on confirmation of TRICARE eligibility through the DEERS (Defense Enrollment Eligibility Reporting System) and payment of enrollment fees, if applicable.

Dependent children are eligible until their 21st birthday, or, if they are a full-time student, their 23rd birthday.

Enrollees must reside in the service area of the US Family Health Plan.

Questions?
If you have questions about whether or not you are eligible, our representatives will be happy to answer all of your questions.

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