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  • Dd 2876 Spouse Enrollment Application Form

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TRICARE PRIME ENROLLMENT APPLICATION AND PRIMARY CARE MANAGER (PCM) CHANGE FORM (Please read Agency Disclosure Notice, Privacy Act Statement, and Instructions before completing this form.) SECTION.

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You can get TRICARE for your child in two steps: Register your newborn or adopted child in the Defense Enrollment Eligibility Reporting System (DEERS). You must enroll in DEERS for TRICARE coverage. Choose a TRICARE health plan and enroll your child if necessary.

By going to milConnect and clicking on the "Manage Health Benefits" button you can enroll in: TRICARE Prime (only if you live in a Prime Service Area)

Use the TRICARE Prime Enrollment, Disenrollment and Primary Care Manager (PCM) Change Form (DD Form 2876) to enroll in one of the TRICARE Prime Options: TRICARE Prime.

The good news is your family's existing TRICARE coverage doesn't change. Your spouse can remain in his or her TRICARE plan. And if you have children, they remain in their current plan until they change plans or lose TRICARE eligibility.

You must first be registered in the Defense Enrollment Eligibility Reporting System (DEERS) to be eligible for TRICARE. While sponsors are automatically registered in DEERS, sponsors must register eligible family members in the system. In most cases, these changes must be done in person at a local ID card office.

Calling 1-800-538-9552 (TTY/TDD: 1-866-363-2883) You can also fax or mail your changes. >> Learn More.

Your spouse and step-child(ren) must be registered in Defense Enrollment Eligibility Reporting System (DEERS). Go to any ID card-issuing office to add your spouse to DEERS. You'll need the following documents (originals or certified copies): Marriage certificate. Spouse's birth certificate. Spouse's Social Security card.

This can be done in the parent's Secure Messaging accounts in the "Your Providers" section by going to the "Add Family Member" option. Parents then complete the information about their children. Once all children are entered, click "I'm Finished Adding Patients."

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232