Qualifying Life Events

Switching to USFHP? Managing ongoing care? Our Transition of Care resources ensure your treatments, specialist visits, and referrals continue without interruption.

Complete the Transition of Care Form

Ensure seamless access to ongoing care by providing details about your current health treatments, specialists, and referrals.

Download the form: Transition of Care Form [PDF]

Provide Key Details

Share important information about your care, such as:

• Specialist names and contact details

• Ongoing treatments (e.g., chemotherapy, physical therapy, etc.)

• Durable medical equipment needs (e.g., CPAP machines, insulin pumps, etc.)
  
  

Return the Completed Form

Send the completed Transition of Care form to Martin's Point to ensure our team can coordinate your care effectively. Mail to:

Martin's Point Health Care
Health Management Department
PO Box 9746
Portland, ME 04104

Have other health insurance (OHI)? We work with your primary plan and follow TRICARE policies requiring annual updates to your information in the Defense Enrollment Eligibility Reporting System (DEERS) to ensure seamless benefits coordination.

Managing Changes to Other Health Insurance

Report other health insurance changes such as:

Adding a New Insurance Policy | Notify Martin's Point US Family Health Plan Member Services of any new OHI. You’ll need to provide:

• Name of insurance
• Subscriber
• ID number
• Effective date
• Phone number
• Names of covered family members
  
  

Removing or Updating an Existing Policy | Share details of any changes, including policy termination dates and updated coverage information.

To report changes, call Member Services at 1-888-674-8734 (TTY: 711). You will need to provide the insurer's name, policy number, effective dates, and any necessary updates. 

Annual Updates in DEERS

TRICARE requires members to confirm and update their information in DEERS annually to maintain eligibility and ensure proper coordination of benefits.

How to update DEERS:

Visit MilConnect to update your information online, or visit a local ID card office for in-person updates.

Coordination of Benefits

When Other Health Insurance is Primary:

• Your OHI (e.g., an employer-sponsored health plan, Medicare, or private insurance purchased through a marketplace) processes claims first.

• Martin's Point US Family Health Plan covers remaining eligible costs, such as copays or deductibles, once an Explanation of Benefits (EOB) from your primary insurance is received.

Example: If you have health insurance through your employer in addition to Martin's Point US Family Health Plan, your employer-sponsored insurance would process claims first. Martin's Point would then cover eligible remaining costs.

When Martin's Point US Family Health Plan is Primary:

• Martin's Point US Family Health Plan processes claims first.

• If your OHI (e.g., a supplemental policy or a plan that only covers specific services like dental or vision) denies a claim (e.g., for non-covered services), submit the denial notice to Martin's Point US Family Health Plan for secondary processing.

Example: If your other insurance is a supplemental plan, like one that only covers vision or dental services, Martin's Point would process claims first for all medical services. Your supplemental plan would only apply to vision or dental care, and any non-covered claims would be handled by Martin's Point.
 

Navigating divorce or dependent coverage changes can feel overwhelming. Martin's Point US Family Health Plan provides clear guidance to help you understand your options and ensure uninterrupted care for your family.

Notification of Divorce

• Disenrollment Date—Coverage ends based on when DEERS receives notification of the divorce. Ensure timely updates to avoid disruptions.

• Submit Divorce Decree to DEERS—If not already submitted, you must provide the divorce decree to DEERS to update your eligibility status. Visit MilConnect or contact a local ID card office.

Eligibility of Former Spouse

Former spouses may retain eligibility under certain conditions, as determined by DEERS, provided they do not remarry or obtain Other Health Insurance (OHI):

20/20/20 Rule | Full benefits are provided if all the following criteria are met:

• Married to the service member for at least 20 years
• The service member completed at least 20 years of creditable service
• There was at least 20 years overlap between the marriage and the military service

20/20/15 Rule | Transitional benefits for one year are provided if all the following criteria are met:

• Married to the service member for at least 20 years
• The service member completed at least 20 years of creditable service
• There was at least 15 years overlap between the marriage and the military service

Ineligibility | If neither rule applies, coverage ends immediately. Former spouses may:

• Enroll in the Continued Health Care Benefit Program (CHCBP) for up to 36 months
• Explore private or employer-sponsored insurance options
  
  

Update Dependents in DEERS

Ensure dependents’ information is accurate and up-to-date in DEERS.

• Eligibility for Children—Covered until age 21, or 23 if enrolled full-time in college. After aging out, dependents may qualify for the TRICARE Young Adult® (TYA) Program.

• Stepchildren—Retain coverage only if legally adopted by sponsor.

How to update DEERS:

Visit MilConnect to update your information online, or visit a local ID card office for in-person updates.