TRICARE Prime Options

To disenroll from TRICARE Prime, TRICARE Prime Remote, TRICARE Prime Overseas, or TRICARE Prime Remote Overseas:

1. Log into the Beneficiary Web Enrollment website or download your region’s disenrollment form:
   • East Enrollment Form
   • West Enrollment Form
   • Overseas Enrollment Form
2. Complete the Sections I and III of the form. In Section I:
   • Check the box for “Disenroll.”
   • Add the effective date in #9.
   • Skip #10.
3. Mail the form to your regional contactor at the address listed below:

East	Humana Military P.O. Box 105838 Atlanta, GA 30348-5838
West	TriWest Healthcare Alliance P.O. Box 8550 Virginia Beach, VA 23450
Overseas	International SOS Assistance TOP Prime Enrollments P.O. Box 11520 Philadelphia, PA 19116

If you're enrolled in the Uniformed Services Family Health Plan, please visit USFHP.

Note: Active duty service members aren't allowed to disenroll. All others can choose to disenroll at any time, but may be subject to a one-year lock out from reenrolling.