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Get the free DD Form 2947 TRICARE Young Adult Application 20111006 draft - reginfo

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OMB No. 07200049 OMB approval expires TRI CARE YOUNG ADULT APPLICATION The public reporting burden for this collection of information is estimated to average 15 minutes per response, including the
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How to fill out dd form 2947 tricare

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How to Fill Out DD Form 2947 Tricare:

01
Start by obtaining a copy of DD Form 2947 Tricare, which can be found on the official Tricare website or by visiting your nearest military installation's administrative office.
02
Begin filling out the top section of the form, providing all the required personal information such as your full name, social security number, date of birth, and contact information.
03
Move on to the second section, where you will need to enter your current military status, such as active duty, reserve, retired, or family member. Provide your military identification number and specify any other coverage you may have, such as employer-provided healthcare.
04
Proceed to the third section, which requires you to list your eligible dependents who will be covered under this form. Provide their full names, social security numbers, dates of birth, and relationship to you. It is crucial to ensure accuracy and completeness in this section.
05
Next, fill out the fourth section by selecting the type of coverage you want for yourself and your dependents. Choose between Tricare Prime, Tricare Select, or other options based on your eligibility and needs.
06
If you are choosing Tricare Select, complete the fifth section by indicating your preferred primary care manager and providing their information. If you are selecting Tricare Prime, you won't need to fill out this section.
07
Review the form to ensure all the information provided is correct and accurate. Make any necessary revisions or corrections before signing and dating the form.
08
Finally, submit the completed DD Form 2947 Tricare to the appropriate Tricare representative, usually your unit's administrative office or a Tricare Service Center.

Who Needs DD Form 2947 Tricare?

01
Active duty military personnel who are enrolling in or changing their Tricare coverage.
02
Reserve and National Guard members who are eligible for Tricare coverage.
03
Retired military personnel and their eligible dependents who qualify for Tricare benefits.
04
Family members of active duty, reserve, or retired military personnel who require Tricare coverage.
05
Individuals who qualify for the Continued Health Care Benefit Program (CHCBP) and are enrolling in Tricare coverage.
06
Certain survivors and former spouses who meet specific eligibility criteria for Tricare benefits.
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DD Form 2947 is a form used in the Tricare system for reporting any changes in the status of dependents or other beneficiaries.
Active duty service members and their dependents are required to file DD Form 2947 with Tricare.
To fill out DD Form 2947, individuals need to provide updated information on their dependents or beneficiaries, including any changes in status or eligibility.
The purpose of DD Form 2947 is to ensure that Tricare has up-to-date information on beneficiaries and dependents for accurate coverage and benefits.
Information such as changes in marital status, birth or adoption of children, or any other changes that affect eligibility for Tricare benefits must be reported on DD Form 2947.
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