TRICARE Prime

Use the TRICARE Prime Enrollment, Disenrollment and Primary Care Manager 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 by mail, download, complete, and mail your region’s form to your regional contractor:

• East Enrollment Form
• West Enrollment Form
• Overseas Enrollment Form

Not sure which region you live in? Visit Regions to find out.

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

Other Enrollment Options

Enroll Online

• Log in to milConnect.
• Choose “Benefits,” then “Beneficiary Web Enrollment.”
• Follow the steps to enroll.

Call Your Regional Contractor

• East Region: 800-444-5445
• West Region: 888-TRIWEST (874-9378)
• Overseas Region: Call the Regional Call Center for your overseas area.