Other Health Insurance

Complete this form to notify your contractor that you have other health insuranceHealth insurance you have in addition to TRICARE, such as Medicare or an employer-sponsored health insurance. TRICARE supplements don’t qualify as "other health insurance." (OHI). When you do, TRICARE is the second payer.

Download Form Submit To:

East OHI Questionnaire

TRICARE East Region
P.O. Box 7981
Madison, WI 53707-7981

Fax: 608-221-7536 
West OHI Questionnaire 

Health Net, LLC
P.O. Box 202102
Florence, SC 29502-2102

Overseas OHI Questionnaire 

 

TRICARE Overseas
P.O. Box 7992
Madison, WI 53707-7992 (USA) 
TRICARE For Life OHI Questionnaire

WPS/TRICARE For Life
P.O. Box 7889
Madison, WI 53707-7889 

Last Updated 1/25/2022