Please note: TRICARE Young Adult Prime® has the same online enrollment process as the TRICARE Prime®. For enrollment via mail/fax using a paper enrollment form, there is a specific PDF form to use depending on which plan you are enrolling in (TRICARE Prime or TRICARE Young Adult Prime).
Do you live within the US Family Health Plan service area?
This includes Maine, New Hampshire, Vermont, upstate/western New York, northern/western Pennsylvania, and northeast/central Ohio.
Are you (or your sponsor) currently registered in the Defense Enrollment Eligibility Reporting System (DEERS)?
Note: Beneficiaries who are eligible for Medicare because of age (65 or older) may not enroll.
The following individuals may be eligible to enroll in the US Family Health Plan:
You may purchase TRICARE Young Adult Prime coverage if you are ALL of the following:
If you meet the eligibility requirements above, you may be able to enroll if one of the following applies:
Have these details on hand so you can breeze through the form:
| Information Needed | What to Include |
|---|---|
| Sponsor’s ID | Social Security Number (SSN) or DoD Benefit Number |
| Sponsor’s Details | Date of birth; branch of service; active-duty/retired status |
| Dependents | For each family member: full name, SSN, date of birth |
| Other Coverage | Policy & group number(s) for any existing medical or prescription plan |
| Home Address | Physical residence (street, city, state, ZIP) |
| Mailing Address | If different from your physical residence (street or PO Box, city, state, zip) |
| Contact Info | Phone number and email address |
| Primary Care Manager | Name & location of your preferred PCP(s). If unknown, we’ll assign one—you can change it online anytime. |
| Qualifying Event Docs (if not Open Season) | e.g. PCS orders, marriage certificate, retirement paperwork |
There are multiple ways to enroll in the US Family Health Plan:
.
Talk to one of our health plan benefit specialists today.
