Qualifying Life Events
Good news! If you missed TRICARE® Open Season, you can still enroll in the Martin's Point US Family Health Plan with a Qualifying Life Event.
Qualifying Life Events (or QLEs) are certain changes in your or a family member’s life, such as marriage, birth of a child, or retirement from active duty, which allow you to make some changes to your TRICARE® enrollment or coverage. QLEs open a 90-day period for you to make eligible changes.
A QLE for one family member allows all family members to make one of the following changes:
CHANGE YOUR CURRENT HEALTH PLAN COVERAGEIf you want to make a change to your health plan, you must make any eligible changes within 90 days of the Qualifying Life Event. |
ENROLL IN A NEW TRICARE HEALTH PLANIf you're eligible for TRICARE® but not enrolled in a TRICARE® plan, you have 90 days from the Qualifying Life Event to enroll. |
STAY WITH YOUR CURRENT HEALTH PLANIf you remain eligible for your current health plan and want to keep the same plan/coverage after a Qualifying Life Event, you can. |
If you're enrolled in TRICARE® Prime, you can switch to Martin's Point US Family Health Plan AT ANY TIME.
WHAT ARE QUALIFYING LIFE EVENTS (QLEs)?
Change in Military Status
Status changes include retiring from active duty, separating from active duty, and activation or deactivation of your enlistment status.
Change in Eligibility Status
This includes cases where both parents are sponsors and there is a change in eligibility status for either family member.
Government-Directed Changes
If there was a change in the government-directed primary care manager or health plan.
Family Changes
Family changes such as marriage, divorce or annulment, birth or adoption of a child, placement of a child by a court in a member’s home, children becoming adults, a death in family, etc.
Moving / Relocation
Domestic and international relocation events including a new address, country, city, region, or zip of residence. This also applies to a child moving away to college.
Gaining or Losing Other Health Insurance
If you gained or lost employer-sponsored health insurance, Medicare entitlements, or Medicaid entitlements.
Interested in learning more about QLEs?
For detailed information about Qualifying Life Events, download TRICARE®'s QLE Fact Sheet:
Experiencing a QLE? Switch and Save with the Martin's Point US Family Health Plan!
If you have experienced a QLE and are looking to change your plan, choose an option that protects your health and your budget—the Martin's Point US Family Health Plan, a TRICARE® Prime option with extras, including:
TRICARE® Prime PLUS
|
Wide Choice of Local
|
$0/Low Enrollment
|
*Savings depends on military status, current plan, and benefit usage. TRICARE® is a registered trademark of the Department of Defense, Defense Health Agency. All rights reserved.
If you have not experienced a QLE, you can typically only enroll or change your plan during TRICARE® Open Season, which occurs each fall during November and December. However, if you're currently on TRICARE® Prime, you can switch to the US Family Health Plan today—or at any time!
READY TO ENROLL OR LEARN MORE? CONTACT A LOCAL BENEFITS SPECIALIST TODAY.
Connect with a local benefits specialist in your area today. Phone enrollments take 15 minutes or less!
Want to learn more first? RSVP for an information session.