TRICARE Prime
Use the TRICARE Prime Enrollment, Disenrollment and Primary Care Manager (PCM) Change Form (DD Form 2876) to enroll in one of the TRICARE Prime Options:
- TRICARE Prime
- TRICARE Prime Remote
- TRICARE Prime Overseas
- TRICARE Prime Remote Overseas
To enroll, download, complete and mail your region's form to your regional contractor:
Not sure which region you live in? Visit the Regions Page to find out.
| East | Humana Military P.O. Box 105838 Atlanta, GA 30348-5838 |
|---|---|
| West | Health Net, LLC P.O. Box 8458 Virginia Beach, VA 23450-8458 |
| Overseas | International SOS Assistance TOP Prime Enrollments P.O. Box 11520 Philadelphia, PA 19116 |
Other Enrollment Options
Enroll Online
- Go to the Beneficiary Web Enrollment portal
- Click on the red "Log On" link at the top of the page
- You must have a Common Access Card (CAC), DFAS (MyPay) Account, or a DoD Self-Service Logon (DS Logon) account to log in.
- Once logged in, select the “Medical” tab to enroll
Call Your Regional Contractor
- East: 1-800-444-5445
- West: 1-844-866-9378
- Overseas: Call the Regional Call Center for your overseas area
Downloading TRICARE Forms
To download an enrollment form, right-click and select to "save-as" or download direct from the WHS Forms Page. For enrollment, use your region-specific DD-3043 form.
Last Updated 7/20/2023