TRICARE Reserve Select is a premium-based health plan for Selected Reserve members (and their families) who qualify.
If you don't qualify, you won't be able to complete or print the form.
Call your regional contractor:
Reserve members located overseas may submit enrollment requests at a TRICARE Service Center.
You may purchase the plan at any time throughout the year. Mail or fax your completed Reserve Component Health Coverage Request Form (DD Form 2896-1) along with the initial premium payment to your regional contractor within the specified deadline.
If you have questions regarding your eligibility, please contact your National Guard or Reserve Point of Contact.
If you’re registered on MilConnect, you can sign up to get eCorrespondence. When you do, we’ll notify you by email when your enrollment is active and you can download your enrollment card.
Last Updated 10/3/2018
Country-specific toll-free numbers
View More Contacts
Guard-Reserve Points of Contact