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TRICARE Retired Reserves (TRR) Request for TRICARE Regional Office Reconsideration of Involuntary Disenrollment, Late Initial Enrollment, and Late Changes to Coverage To request reconsideration of.

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How to fill out the Tricare Young Adult Form online

The Tricare Young Adult Form is an important document for users seeking to maintain their health coverage under the Tricare program. This guide will provide you with clear, step-by-step instructions on accurately completing the form online to ensure a smooth submission process.

Follow the steps to fill out the Tricare Young Adult Form online.

  1. Click ‘Get Form’ button to obtain the Tricare Young Adult Form and open it in the designated online editor.
  2. Begin filling out the ‘Sponsor’s Name’ field. Enter your full legal name as it appears on official documents.
  3. In the ‘Date of Request’ section, input today’s date in the format MM/DD/YYYY. Ensure the date is current to avoid processing delays.
  4. Provide your ‘Sponsor’s SSN’ by entering the nine-digit social security number in the appropriate format.
  5. Fill in the ‘Sponsor Phone Number’ section by including your area code and phone number. Ensure this number is active and correct.
  6. Complete the ‘Sponsor’s Address’ section with your current residential address, ensuring all fields are filled accurately for correspondence purposes.
  7. Indicate the reason for your request in the corresponding section. Include details such as your TRR eligibility date, any qualifying life events, and any extraordinary circumstances.
  8. If additional information is needed, attach extra pages and indicate this in the space provided.
  9. Sign the form in the designated area to validate your submission. Your signature confirms the accuracy of the information provided.
  10. Once you have filled out all necessary sections, review the form for accuracy. Save your changes before proceeding.
  11. Finally, download, print, or share your completed form as required. Ensure you keep a copy for your records.

Complete your Tricare Young Adult Form online today to maintain your health coverage.

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Unmarried biological, step-children and adopted children are eligible for TRICARE until age 21 (or 23 if in college, see "College Students" below). Eligibility may extend beyond these age limits if he or she is severely disabled. At age 21 or 23, he or she may qualify to purchase TRICARE Young Adult.

You may qualify to purchase TRICARE Young Adult if you're: An unmarried, adult child of an eligible sponsor. Active duty service members. ... At least age 21 but not yet 26 years old. ... Not eligible to enroll in an employer-sponsored health plan based on your own employment. Not otherwise eligible for TRICARE coverage.

Tricare Young Adult is a premium-based health care plan that also requires cost shares. Tricare Young Adult enrollees may choose coverage in a Tricare Prime or Tricare Select plan.

Active duty service members and active duty family members continue to have no enrollment fees. Retirees, their family members, and most others must pay an annual enrollment fee for their coverage. If you have TRICARE Prime, there's no annual deductible.

Unmarried biological, step-children and adopted children are eligible for TRICARE until age 21 (or 23 if in college, see "College Students" below). Eligibility may extend beyond these age limits if he or she is severely disabled. At age 21 or 23, he or she may qualify to purchase TRICARE Young Adult.

No annual enrollment fee for active duty service members (ADSMs), active duty family members (ADFMs), and transitional survivors (surviving spouses during the first three years and surviving dependent children) worldwide. There is no annual deductible.

2022 TRICARE Young Adult Costs Active Duty Family MemberRetiree Family MemberTYA PrimeTYA SelectEnrollment Fees$512 per member (monthly)$265 per member (monthly)Annual Deductibles$0Network Providers: $168/individual Non-Network Providers: $336/individualCatastrophic Cap$1,120 per calendar year$3,921 per calendar year

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© Copyright 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Your Privacy Choices
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
altaFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232