TRICARE Select

Army National Guard: Full Time National Guard Duty (FTNGD)

Benefit Fact Sheet

Summary

In 2018, TRICARE Select replaced TRICARE Standard and Extra. TRICARE Select is a self-managed, preferred provider network plan. TRICARE Select is for TRICARE-eligible beneficiaries who are not able to, or choose not to, enroll in a TRICARE Prime option and who are not entitled to Medicare. This program lets you manage your own health care and get care from any TRICARE-authorized provider without a referral. Like TRICARE Prime options, enrollment in TRICARE Select is required. Active Duty Service members may not use TRICARE Select, but their Family members are able to elect TRICARE Select.

TRICARE Select requires enrollment in the Defense Enrollment Eligibility Reporting System ( DEERS) and reoccurring annual enrollment during the open season in November and December. If you are enrolled in Select during the year, no additional enrollment action is necessary during future open seasons as it is assumed you automatically will continue in the Select plan until you choose otherwise.

You will have lower out-of-pocket costs if care is provided by a TRICARE network provider. Some services require prior authorization. You can also receive certain services from non-network, TRICARE-authorized providers, but will pay higher cost sharing amounts for out-of-network care. Care received from non-authorized, non-network providers will not be reimbursed by TRICARE.

Beginning in January 2018, DFAS will provide IRS Form 1095-C to all U.S. military members, and IRS Form 1095-B to all Retirees, Annuitants, former Spouses and all other individuals having TRICARE coverage during all or any portion of tax year 2017. An IRS Form 1095 documents you (and your Family members, if applicable) have the minimum essential coverage. These forms will document the information that DFAS will provide to the IRS on yourself and your authorized Family members. The forms will be required to be reported with your 2017 federal tax return. DFAS will provide you with IRS Form 1095 series forms no later than 31 January 2018.

Tricare beneficiaries who were eligible for and/or enrolled in Tricare as of 31 December 2017, were automatically enrolled in their respective plans 1 January. Because 2018 is a transition year, Tricare beneficiaries are allowed to make changes to their enrollment all year, to help beneficiaries adjust to making their health care choice.

Those entering the military on or after 1 January 2018, or changing status (i.e., from active duty to retired) should make sure they and their eligible family members are enrolled in the Tricare program of their choice. Those who don’t enroll may only receive care at a military clinic or hospital on a space-available basis, and medical care by civilian providers wouldn’t be covered.

Beneficiary Groups

Starting January 1, 2018, you will fall into one of two categories based on when your sponsor became affiliated with the Uniformed Services, either through enlistment or appointment:

  • If your sponsor’s initial enlistment or appointment occurred before January 1, 2018, you are in Group A.

  • If your sponsor’s initial enlistment or appointment occurred on or after January 1, 2018, you are in Group B.

Group A and Group B have different enrollment fees and out-of-pocket costs.

If you have TRICARE Select, you must pay enrollment fees, unless you are:

  • An active duty family member

  • A transitional survivor

  • In Group A

Payment Type:

When You Submit Your Enrollment Form:

Annual

  • Single: $450

  • Family: $900

  • Your fee is prorated from your enrollment date to December 31st.

  • You can only pay your annual fee with a debit or credit card.

  • After that, your annual payment is due on January 1st each year.

Quarterly

  • Single: $112.50

  • Family: $225

  • Your quarterly fee is prorated to cover the period until the next calendar year quarter (January 1, April 1, July 1 or October 1).

  • After that, your quarterly payment is due the first of each quarter.

  • You can pay your quarterly fee with a debit card, credit card or through an electronic funds transfer (EFT).

Monthly

  • Single: $37.50

  • Family: $75

  • Pay your first three months with a personal check, cashier's check, traveler's check, money order, debit card or credit card.

  • After that, set up an allotment or EFT to pay your monthly enrollment fees.

Learn more about TRICARE enrollment changes.

Eligibility

Army National Guard Service members on state active duty and their Families are generally not eligible for TRICARE Select benefits. However, they may be eligible for TRICARE Reserve Select.

Additional Information

For more information, please visit the TRICARE Select webpage maintained by the TRICARE Management Activity:
https://tricare.mil/select

TRICARE Select Enrollment, Disenrollment, and change Form:
http://www.esd.whs.mil/Portals/54/Documents/DD/forms/dd/dd3043-1.pdf

TRICARE DEERS Information:
https://tricare.mil/DEERS

TRICARE Stateside and Overseas Guides:
https://tricare.mil/Publications

TRICARE Plans Overview Fact Sheet:
https://tricare.mil/-/media/Files/TRICARE/Publications/Misc/Plans_Overview.ashx

TRICARE Choices in the United States Handbook:
https://tricare.mil/-/media/Files/TRICARE/Publications/Handbooks/Choices_HB.ashx

Document Review Date: 02 August 2018