Plan Payment Options

Set it and forget it—your plan fees will be automatically withdrawn on the 1st of every month.

You'll need:

• Sponsor name (first and last)
• Sponsor date of birth
• Social Security Number OR
• TRICARE ID / DOD Benefits Number (DBN)

Set up automatic payment in one of the following ways:

• Complete the secure online form to set up recurring payments from your monthly allotment:

Download the Enrollment Fee Allotment Authorization Form and submit the completed form via mail.
_{For retirees who want fees deducted directly from military retirement pay.}

Download the Electronic Payment Authorization Form and submit the completed form via mail.
_{For members who want to pay by EFT or credit/debit card on an annual, quarterly, or monthly schedule.}

Make a secure, one-time payment online using a credit or debit card—available 24/7.

You’ll need your:

• TRICARE ID / DOD Benefits Number (DBN)
• Billing address and ZIP code
• Credit/debit card number, expiration date, and security code

If you have questions or need assistance, call Member Services at 1-888-674-8734 (TTY: 711).

_{(You will be redirected to our secure payment vendor site)}