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This document serves as an application form for enrollment in TRICARE Latin America & Canada Prime for active duty service members and their accompanying family members.
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How to fill out TRICARE LATIN AMERICA & CANADA (TLAC) PRIME ENROLLMENT APPLICATION

01
Download the TRICARE LATIN AMERICA & CANADA (TLAC) PRIME ENROLLMENT APPLICATION form from the official website.
02
Carefully read the instructions provided on the form.
03
Fill out your personal information, including your name, address, and contact details.
04
Provide your Military Identification Number (if applicable).
05
Specify your TRICARE eligibility category and any additional information required.
06
Review the application for completeness and accuracy.
07
Sign and date the application form.
08
Submit the completed application form as per the instructions provided, either online, by mail, or by fax.

Who needs TRICARE LATIN AMERICA & CANADA (TLAC) PRIME ENROLLMENT APPLICATION?

01
Active duty service members stationed in Latin America and Canada.
02
Eligible family members of active duty service members.
03
Retired service members living in Latin America and Canada.
04
Certain survivors of service members who are eligible for TRICARE.
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People Also Ask about

TRICARE Prime Overseas is available to active duty service members and their command-sponsored family members living together in non-remote overseas locations. Retired service members and their families can't enroll in TRICARE Prime Overseas. You can enroll online, by phone, by mail, or at a TRICARE Service Center.
TRICARE Prime Remote Overseas is a managed care option in designated remote overseas locations: Eurasia-Africa. Latin America and Canada.
If you're on active duty, you have to enroll in TRICARE Prime. All others can choose to enroll in TRICARE Prime or TRICARE Select. TRICARE Prime offers fewer out-of-pocket costs than TRICARE Select, but less freedom of choice for providers. If you have other health insurance, TRICARE Prime might not be right for you.
Out-of-pocket CostTRICARE Prime Group A Annual enrollment fee Individual $363 Family $726 Annual deductible Individual $01 more row

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The TRICARE LATIN AMERICA & CANADA (TLAC) PRIME ENROLLMENT APPLICATION is a form used by eligible beneficiaries to enroll in the TRICARE Prime health care program specifically for those residing in Latin America and Canada.
Active duty service members, their eligible family members, and retired service members and their families residing in Latin America and Canada are required to file the TRICARE LATIN AMERICA & CANADA PRIME ENROLLMENT APPLICATION.
To fill out the application, beneficiaries must complete the form with accurate personal information, including identification details, military affiliation, and current contact information, and submit it to the appropriate TRICARE service center.
The purpose of the TRICARE LATIN AMERICA & CANADA PRIME ENROLLMENT APPLICATION is to ensure that eligible beneficiaries can access TRICARE Prime health care services within their region, allowing them to receive necessary medical care.
The application must report personal identification information, including name, date of birth, Social Security number, military status, contact information, and details of family members being enrolled along with any other required demographic information.
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