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

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