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Get the free DD Form 2947, TRICARE Young Adult Application, November 2012 - tricare

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The TRI CARE Young Adult Program extends dependent medical coverage via a premium-based program ... TRI CARE health care plan coverage if qualified.
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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
Begin by accessing the official website of Tricare or visit your local military installation's healthcare office to obtain the DD Form 2947 Tricare.
02
Take your time to read and understand the instructions and requirements listed on the form. Familiarize yourself with the purpose and significance of each section.
03
Start with Section I, which requires your personal information such as your name, social security number, date of birth, and contact information. Ensure all the details are accurate and up to date.
04
Proceed to Section II, which asks for your sponsor's information. If applicable, fill out the details of the sponsor, including their name, social security number, and relationship to you.
05
In Section III, indicate your enrollment category by selecting the appropriate option. This could be based on your military status, whether you are an active duty service member, dependent, retiree, or other eligible individuals.
06
If you are a dependent, provide your sponsor's military affiliation in Section IV.
07
Section V requires information regarding your primary care manager (PCM). Enter the name and address of your PCM, as well as any changes or preferences you may have.
08
If you have any other health insurance, disclose the details in Section VI. This includes private insurance, Medicaid, Medicare, or any alternative coverage you may have.
09
In Section VII, acknowledge any affiliations with a healthcare delivery system or a specific medical facility, if applicable.
10
Review all the information you have provided so far to ensure accuracy and completeness. Make any necessary corrections or additions.
11
The last section, Section VIII, should only be completed if you are a dual-eligible beneficiary. This involves coordination between Tricare and the Department of Veterans Affairs.

Who needs DD Form 2947 Tricare:

01
Active duty service members who wish to enroll themselves or their dependents in Tricare.
02
Dependents of military personnel who are eligible for Tricare coverage.
03
Retirees and their eligible family members who want to enroll in Tricare.
04
Other eligible individuals, such as survivors, former spouses, Medal of Honor recipients, etc., who require Tricare benefits.
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People Also Ask about

A, you may remain enrolled in TRICARE Prime until reaching age 65, as long as all eligibility requirements continue to be met. Additionally, if you're age 65 or older, you may remain in TRICARE Prime if you have an active duty sponsor.
Unmarried biological, step-children and adopted children are eligible for TRICARE until age 21 (or 23 if in college, see "College Students" below). Eligibility may extend beyond these age limits if he or she is severely disabled.
2022 TRICARE Young Adult Costs Active Duty Family MemberRetiree Family MemberTYA PrimeTYA PrimeEnrollment Fees$512 per member (monthly)$512 per member (monthly)Annual Deductibles$0$0Catastrophic Cap$1,120 per calendar year$3,921 per calendar year
The TRICARE Young Adult (TYA) program is a premium- based health care plan available for purchase by qualified dependent children. TYA offers TRICARE Prime (in certain areas) and TRICARE Select coverage worldwide. TYA includes medical and pharmacy benefits, but excludes dental and vision coverage.
Eligible dependents will be entitled to extended medical benefits up to age 26 and be issued a Uniformed Services ID (USID) card reflecting this entitlement. To determine if a dependent is eligible, access the Extended Eligibility tab under the Characteristics section in the dependent's folder (Figure 1).
Get Proof of TRICARE Coverage Log in to milConnect. Click on the “Obtain proof of health coverage” button. Or click on Correspondence/Documentation and choose "Proof of Coverage." Your coverage letter will be generated and available for download.

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