Who is eligible? Only Active Duty Service Members (ADSMs) are eligible
to request Eligibility Enrollment requirements for TPR Enrollment.
Exceptions will only be granted if they meet the eligibility criteria in the
TRICARE Operations Manual, Chapter 16, Section 1, Para 3.0
ADSMs who both LIVE and WORK more than 50 miles,
or approximately more than a one hour drive, from a military treatment facility
(MTF) may be eligible to enroll in TPR. Check this website
to see if you are eligible.
Reason for Determination Request:
Unit in one Region (North), but ADSM lives in another Region (South
Unit and ADSM located in one Region (North), but closest PCM doctor
is in another Region (South or West)
Geographic barriers or other unique situations exist (e.g. the drive
time to the nearest MTF exceeds one hour)Additional Comments:
Rank/Name of Unit Command (or Designee):