Tip for Online enrollment

Update DEERS first — you cannot enroll in TRICARE if your DEERS record is not current

Tip for Online enrollment

Compare TRICARE Prime, Select, and other plan options before enrolling

Tip for Online enrollment

Retirees: TRICARE Prime has enrollment fees; TRICARE Select has no enrollment fee but higher cost shares

Military / TRICAREmoderate

TRICARE Enrollment (milConnect/DEERS)

Online enrollment · Defense Health Agency

Enrollment in TRICARE plan options (Prime, Select, etc.) through milConnect or DEERS update. Requires valid military ID.

Form Details

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Where to Submit This Form

🌐

Enroll via the Beneficiary Web Enrollment (BWE) portal

https://milconnect.dmdc.osd.mil/milconnect/

Use milConnect to enroll in or change your TRICARE plan.

🌐

Call the DMDC Support Center

1-800-538-9552. Available Monday-Friday, 7am-5:30pm ET.

🏢

Visit your local TRICARE Service Center or Beneficiary Counseling and Assistance Coordinator (BCAC)

https://tricare.mil/bcac

Filing Deadline

Within 90 days of a qualifying life event (QLE) such as retirement, PCS, marriage, or birth. Annual open season is typically mid-November through mid-December.

Required Attachments

📎 Valid CAC or DS Logon credentials for online enrollment
📎 DEERS registration confirmation
📎 Qualifying life event documentation (marriage certificate, birth certificate, PCS orders, retirement orders)

Processing Time

Online enrollment takes effect the first of the month following enrollment. Processing typically takes 1-3 business days.

What Happens Next

You will receive confirmation of enrollment and be assigned a Primary Care Manager (PCM). Your TRICARE enrollment card will be mailed to you.

Tips for This Form

✓ Update DEERS first — you cannot enroll in TRICARE if your DEERS record is not current
✓ Compare TRICARE Prime, Select, and other plan options before enrolling
✓ Retirees: TRICARE Prime has enrollment fees; TRICARE Select has no enrollment fee but higher cost shares
✓ Active duty family members can enroll online through milConnect with the sponsor's CAC or DS Logon

More Military / TRICARE Forms

TRICARE DoD/CHAMPUS Medical Claim

DD Form 2642 · Department of Defense

TRICARE medical claim form for beneficiaries seeking reimbursement when providers do not file claims directly. Must attach itemized bill on provider letterhead. Used by active duty, retirees, and family members.

DEERS Enrollment Application

DD Form 1172-2 · Department of Defense

Application for Department of Defense Common Access Card (CAC) or DEERS Enrollment. Establishes beneficiary status for TRICARE eligibility.

TRICARE Referral / Pre-Authorization Request

Contractor-specific · TRICARE managed care contractors

Referral or prior authorization for specialty care, certain procedures, and medications under TRICARE Prime. Not required for TRICARE Select.

TRICARE Pharmacy Prior Authorization

Express Scripts PA form · Express Scripts (TRICARE pharmacy contractor)

Prior authorization for non-formulary medications or formulary drugs with utilization management requirements under TRICARE.

Post-Deployment Health Assessment

DD Form 2796 · Department of Defense

Post-Deployment Health Assessment completed by service members within 30 days of returning from deployment. Screens for deployment-related health concerns including mental health, environmental exposures, and injuries.

Post-Deployment Health Reassessment

DD Form 2900 · Department of Defense

Post-Deployment Health Reassessment completed 90-180 days after return from deployment. Follow-up screening for emerging health issues including PTSD, TBI, and other delayed-onset conditions.

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Disclaimer: BeneFill™ provides form-filling assistance and informational guidance only. It is not affiliated with, endorsed by, or sponsored by the Defense Health Agency or any government agency. The information provided is for general informational purposes and does not constitute legal, medical, financial, or tax advice. Always verify form requirements and submission details directly with the issuing agency.