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New brochure available for download: "TRICARE Choices for the Reserve Component"
TRICARE for a Reserve Component Military Sponsor: Members of the reserve component are entitled to medical care in any uniformed services military treatment facility (MTF) for any injury, illness or disease incurred or aggravated in the line of duty. When activated for more than 30 days, members of the reserve component become eligible for TRICARE Prime. All care should be sought from an MTF or TRICARE network provider. When the sponsor is no longer on active duty orders, TRICARE eligibility ends; however, line-of-duty care may be received in a MTF for injuries or illnesses incurred while the sponsor was on active duty. Members ordered to active duty in support of a contingency operation and their Family members may be eligible for transitional health care for 60 to 120 days, depending on their total active federal military service. TRICARE for Families of Activated Members of the Reserve Component: Family members of reserve component members become eligible for TRICARE Extra and TRICARE Standard on the first day of the military sponsor's active duty if his or her orders are for more than 30 consecutive days, or if the orders are for an indefinite period. They also become eligible for the TRICARE Pharmacy Program and may have prescriptions filled at either MTF pharmacies, through the National Mail Order Pharmacy, or at retail pharmacies. Eligible Family members may enroll in TRICARE Prime if their sponsor is called to active duty for 179 days or more. There are no enrollment fees or copayments for Family members, but enrollment forms must be completed, and MTFs or TRICARE Prime network providers must be used. Many reserve component Families may have continuing relationships with providers who are not in the TRICARE Prime network. In these cases, enrolling in TRICARE Prime may not be the best choice-instead, using TRICARE Standard can be the most flexible and economical option, even though beneficiaries must pay a share of the cost of health care. When the sponsor is no longer on active duty orders, Families of eligible reserve component members may qualify for the Department of Defense (DoD) Worldwide TRICARE Transitional Health Care Demonstration Project (THCDP) if their military sponsor was called to active duty for more than 30 consecutive days in support of a contingency operation. TRICARE Dental Program (TDP): Members of the Selected Reserve and Individual Ready Reserve (IRR) and/or their Families may enroll in the TDP. Reserve component members who are ordered to active duty for more than 30 consecutive days are eligible for military dental care, the same as active duty service members, and are automatically disenrolled from the TDP if previously enrolled. Members should be automatically re-enrolled upon termination of their orders, but to ensure coverage they should check with the TDP administrator, United Concordia Companies Inc. (UCCI), at 1-800-866-8499, before seeking treatment. The TDP requires a minimum 12-month enrollment period, however, that commitment is waived for Families of reservists called to active duty for certain contingency operations. Benefits Available During Demobilization: Reserve component members ordered to active duty for more than 30 days in support of a contingency operation (does not include full-time National Guard Duty) are entitled to transitional health care and dental benefits upon separation. Family members are not eligible for transitional dental benefits because they are eligible for dental benefits under the TDP. Members separated with less than six years of total active federal military service (as indicated on the DD 214) and eligible Family members, are eligible for 60 days of transitional health care. Members separated with six years or more of total active federal military service and their eligible Family members are eligible for 120 days of transitional health care. Reserve component members are eligible for the Continued Health Care Benefit Program (CHCBP) when they lose military health benefits and their transitional health care benefit period has expired. They also may enroll their Family members for this coverage. CHCBP provides benefits similar to TRICARE Standard for a specific period of time (up to 18 months for members and their Family members). They must enroll within 60 days of the date that their transitional benefit period expires and pay quarterly premiums ($933 per individual, $1966 per Family). For more information about CHCBP, individuals may call toll free: 1-800-444-5445, visit online at www.humana-military.com or write to Humana Military Healthcare Services Inc., Attn: CHCBP, P.O. Box 740072, Louisville, KY 40201. When a Reserve Component Sponsor Retires: When reserve component members retire, they do not become eligible for TRICARE or space-available care in an MTF until they reach age 60 or are receiving retired pay. At that time, they and their Family members may enroll in TRICARE Prime or they may use TRICARE Extra or TRICARE Standard. Retired reserve component members also become eligible for TRICARE For Life when they become eligible for Medicare at age 65 and enroll in Medicare Part B. In addition, retired reserve component members, and their spouses and dependent children are eligible for the TRICARE Retiree Dental Program, regardless of the sponsor's age and whether the sponsor is receiving retired pay. For more information about medical care, dental care and other benefits for reserve component members, and their eligible Family members, interested parties may visit the TRICARE Web site. More information about the TRICARE Dental Programs is available on the TRICARE Dental Program Web site, and the TRICARE Retiree Dental Program Web site.
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| Sponsored by the Army National Guard and the U.S. Army Public Health Command Copyright 2011 |
Members of the reserve component who are called to active duty for more than 30 days are eligible for TRICARE, the same as any active duty service member. Families of these individuals also may become eligible for TRICARE if the sponsor is called to active duty for more than 30 days. To ensure Family members are eligible for TRICARE upon activation, sponsors should register their Family members in the Defense Enrollment Eligibility Reporting System (DEERS).