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Get the free DD Form 2876, TRICARE Prime Enrollment, Disenrollment, and PCM Change Form, January ...

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Web Enrollment (BWE) website at https://www.tricare.mil/bwe/. The BWE website is not available to beneficiaries in ...
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DD Form 2876 Tricare is a form used to report other health insurance coverage.
Service members and their dependents, retirees and their dependents, and certain National Guard and Reserve members are required to file DD Form 2876 Tricare.
DD Form 2876 Tricare can be filled out by providing information about other health insurance coverage, including policy number, coverage type, and insurance company.
The purpose of DD Form 2876 Tricare is to ensure that Tricare is the secondary payer to other health insurance coverage.
Information such as policy number, coverage type, and insurance company must be reported on DD Form 2876 Tricare.
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