Over 124,000 working military retirees and their families were dropped from TRICARE Select at the beginning of the year due to a change in the requirement for a monthly enrollment fee. In June 2020, Tricare notified TRICARE Select beneficiaries that are Group A (sponsor’s initial enlistment or appointment occurred before January 1, 2018) they must pay monthly enrollment fees to maintain their TRICARE health coverage beginning on January 1, 2021. This change is the first time this group will pay enrollment fees. At that time, Dr. Danita Hunter, director of the TRICARE Health Plan at the Defense Health Agency said, “In 2021, some TRICARE beneficiaries will pay enrollment fees for the first time, a change mandated by Congress. We’re communicating this well before the change is implemented so beneficiaries can be informed about the change, as well as their TRICARE plan and cost options.”
The initial group of more than 124,000 was dropped due to failure to set up payment for the new fees. Thru January about 75% have set up payment. For those that did not set up payment you were disenrolled and have 180 days from your disenrollment date to be reinstated.
What You Need to Know
Why is this happening?
This change to pay enrollment fees was part of the National Defense Authorization Act for Fiscal Year 2017. The Defense Health Agency received a delay in implementation to calendar year 2021.
Who did this affect?
This only affected Group A which is those that entered the military prior to January 1, 2018 and are enrolled in TRICARE Select. Active duty family members enrolled in TRICARE Select won’t pay enrollment fees and see no change. Those that use TRICARE For Life, TRICARE Prime, TRICARE Reserve Select or TRICARE Young Adult will also see no change.
How do I set up payments?
Your TRICARE regional contractor can help you set up payments. Don’t set up your payment through your Department of Defense (DoD) pay center you must go through TRICARE. If you don’t receive payments from a DoD pay center you can set up payment through electronic funds transfer, a credit card or a debit card.
How do I know when changes are made to TRICARE?
Visit the TRICARE website and sign up for email alerts. It is important to keep up to date so you are prepared for changes.
The new enrollment fees are $12.50 per month for an individual plan or $150 annually and $25 a month or $300 annually for a family plan. Only those family members enrolled in TRICARE Select with a Group A retiree sponsor pay the enrollment fee. You can have family members enrolled in different plans. So, if you only have one family member enrolled in Select you will pay the individual fee not the family rate. The catastrophic cap is increasing from $3,000 to $3,500. TRICARE Select enrollment fees count towards your catastrophic cap. The enrollment fees are waived if you are an active duty family member, a medically retired retiree or family member, or if you are a survivor of an active duty sponsor or a medically retired retiree.
For those in TRICARE East contact Humana Military at 800-444-5445. For TRICARE West contact
Health Net at 844-866-9378. TRICARE Overseas contact International SOS or contact your TOP Regional Call Center.