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Este formulario es para la solicitud del Programa TRICARE Young Adult, que extiende la cobertura médica a dependientes de exmilitares. Permite a los jóvenes adultos, que cumplen con ciertos requisitos,
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How to fill out tricare young adult application

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How to fill out TRICARE Young Adult Application

01
Obtain the TRICARE Young Adult Application form from the official TRICARE website or your military treatment facility.
02
Fill out the personal information section, including your name, address, and contact information.
03
Provide your Social Security number and date of birth.
04
Indicate your military sponsor's information, including their name, Social Security number, and branch of service.
05
Select the type of coverage you are applying for: TRICARE Young Adult Standard or TRICARE Young Adult Prime.
06
Attach any required documentation, such as proof of eligibility (e.g., birth certificate or marriage certificate).
07
Review the completed application for accuracy and completeness.
08
Sign and date the application form.
09
Submit the application form to the appropriate TRICARE office, either by mail or online, as directed.

Who needs TRICARE Young Adult Application?

01
Young adults aged 21 to 26 who are dependents of a TRICARE-eligible sponsor and are not eligible for other employer-sponsored health insurance.
02
Individuals who have aged out of regular TRICARE eligibility and wish to maintain health coverage.
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People Also Ask about

For coverage up to age 26, military dependents can purchase the premium-based TRICARE Young Adult (TYA) plan, but at a steep cost — in 2022, premiums are $512 per month for TYA Prime and $265 per month for TYA Select. Military kids deal with unique challenges and sacrifices as part of military life.
At least age 21 but not yet 26 years old (Note: If you are enrolled in a full course of study at an approved institution of higher learning and your sponsor provides 50 percent of your financial support, your eligibility may not begin until age 23 or upon graduation, whichever comes first.)
How much does TRICARE Young Adult cost? 2025 Monthly Premium TRICARE Young Adult-Prime Option $727.00 TRICARE Young Adult-Select Option $337.00
TRICARE Young Adult-Prime Option – you need a referral for all services you don't get from your PCM. You don't need a referral for preventive services or outpatient mental health care visits. TRICARE Young Adult-Select Option – you usually don't need a referral for primary and specialty care. appointments.
For coverage up to age 26, military dependents can purchase the premium-based TRICARE Young Adult (TYA) plan, but at a steep cost — in 2022, premiums are $512 per month for TYA Prime and $265 per month for TYA Select. Military kids deal with unique challenges and sacrifices as part of military life.
Use the TRICARE Young Adult Application (DD Form 2947) to purchase TRICARE Young Adult. Select the form for the region where you live. Mail or fax the completed application and your initial premium payment (equal to two months) to your regional contractor or US Family Health Plan site, whichever applies.
At age 21, your child may qualify for TRICARE Young Adult if they: Are age 21–26.

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The TRICARE Young Adult Application is a form that allows eligible young adults, who are children of eligible service members, to enroll in the TRICARE Young Adult program for health coverage.
Eligible young adults aged 21 to 26 who are the dependents of military service members and who want to access healthcare benefits under TRICARE must file the application.
To fill out the TRICARE Young Adult Application, individuals must provide their personal information, such as name and date of birth, verify their eligibility status, and provide information about their sponsor, then submit the completed form to the appropriate TRICARE claims address.
The purpose of the TRICARE Young Adult Application is to enable eligible young adults to access health care coverage provided under TRICARE, ensuring continuous health care support as they transition into adulthood.
The information that must be reported includes personal identification details such as the applicant's name, date of birth, relationship to the military sponsor, and any additional necessary information related to eligibility and contact details.
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