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TRICARE Prime Remote (TPR) Determination of Enrollment Eligibility for the North Region

TRICARE Prime Remote

TRICARE Prime Remote (TPR) provides health care to Active Duty Service Members (ADSMs) and their families who work and reside more than 50 miles or an hour’s drive from a military installation in the 21 states of the North Region.

Eligibility

TRICARE Prime Remote is an Active Duty benefit. Retirees, the inactive reserves, and members on TAMP are not eligible. Learn More...

Active Duty Service Members (ADSM): ADSMs who are permanently assigned to a duty station AND reside more than 50 miles or approximately one hour's drive time from the nearest military treatment facility (MTF) must enroll in TPR,

Active Duty Family Members (ADFM). Active Duty Family members may choose to enroll in TRICARE Prime Remote for Active Duty Family Members (TPRADFM) provided they meet the following criteria:

  • They reside with a TPR-enrolled sponsor in a designated remote location.
  • The Active Duty sponsor MUST be enrolled in TPR
  • If a TPR Service Member has been subsequently reassigned to a permanent, unaccompanied tour, family members can retain their TPRADFM enrollment provided they continue to reside at the same location.
Family members who do not meet the above criteria are always covered by TRICARE Standard and Extra

Family Members of Activated National Guard and Reserve Component Members: The family members of Reserve Component members are eligible for the same benefits as Active Duty Family Members. However, the rules for TPR eligibility work slightly differently. Family members may choose to enroll in TRICARE Prime Remote for Active Duty Family Members (TPRADFM) provided they meet the following criteria:

  • The Service Member/Sponsor has been placed on Active Duty orders for more than 30 consecutive days.
  • They reside with the activated sponsor in a designated remote location upon the service member’s activation. The Service member does NOT need to be eligible for TPR for the family to enroll.
  • Once enrolled in TPRADFM, reserve family members can remain enrolled for the period of the sponsor's active duty service, provided they remain in at the same TPR eligible address, regardless of the sponsor's subsequent assignment or residence.
Family members who do not meet the above criteria are always covered by TRICARE Standard and Extra

Exceptions to the Eligibility Criteria

Service members who wish to enroll in TRICARE Prime Remote but do not reside and work in designated areas may request an exception to the eligibility criteria.

Exceptions will only be granted if they meet the following eligibility criteria presented in the TRICARE Operations Manual (TOM), Chapter 17, Section 1, paragraphs 2.3 through 2.4.

  • Unit is in one region (West or South), but the service member lives in another Region (North)
  • Unit and Service member are located in one region (North), but closest PCM doctor is in another region (West or South)
  • Geographic barriers or other unique situations exits (e.g. the drive time to the nearest MTF exceeds one hour).

If a Service Member and his or her Unit Commander believe that one or more of the exceptions to the eligibility criteria are met, they may take one of the following actions:

  • Submit the TPR Determination of Eligibility Enrollment Request Form online. Please note: This form is not an enrollment form. Service members who live and work in designated TPR eligible areas do not need to submit this form to enroll. If your home and unit zip codes are TPR Eligible, please click here to access an enrollment form.
  • Call the TRO-North, TPR Program Manager at 1-866-307-9749 for assistance



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