TRICARE Select

Army National Guard: Retired

Benefit Fact Sheet

Summary

In 2018, TRICARE Select replaced TRICARE Standard and Extra. TRICARE Select is a self-managed, preferred provider, and fee-for-service health care plan available in the United States to:

  • Active duty Family members

  • Retired Service members and their Families

  • Family members of activated Guard / Reserve members (called or ordered to active duty service for more than 30 days in a row)

  • Non-activated Guard / Reserve members and their Families who qualify for care under the Transitional Assistance Management Program

  • Retired Guard / Reserve members at age 60 and their Families

  • Survivors

  • Medal of Honor recipients and their Families

  • Qualified former Spouses

Those wishing to use TRICARE Select must show eligibility in the Defense Enrollment Eligibility Reporting System (DEERS) and enrollment is required.

TRICARE DEERS Information webpage
TRICARE Select Enrollment Page

Beginning in January 2020, 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 2019. 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 2019 federal tax return. DFAS will provide you with IRS Form 1095 series forms no later than 31 January 2020

Eligibility

Retired Army National Guard Service members are eligible for TRICARE Select at age 60. Enrollment is required for Family members - Spouses, survivors, and unmarried Children.

Members of the retired Reserve of a Reserve Component who are qualified for non-regular retirement under 10 U.S.C., Chapter 1223 and under age 60 are eligible for TRICARE Retired Reserve (TRR).

Benefit Highlights

TRICARE Select allows you to schedule an appointment with any TRICARE-authorized provider* Referrals not required, but you may need prior authorization from your regional contractor for some services. You won't receive a TRICARE wallet card when using TRICARE Select. All you need is your military ID as proof of coverage.

*An authorized provider is any individual, institution/organization, or supplier that is licensed by a state, accredited by national organization, or meets other standards of the medical community, and is certified to provide benefits under TRICARE. There are two types of TRICARE-authorized providers: Network and Non-Network.

Cost you will pay: Costs vary based on the sponsor's military status. You'll pay:

  • An annual outpatient deductible; and

  • Cost shares (or percentage) for covered services.

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.
TRICARE Health Plans, Cost Comparison Tool

Soldier holding his baby Enrollment: You must enroll in order to participate in the TRICARE Select health plan. You can only enroll in or change enrollment after a Qualifying Life Event (QLE) or during the annual fall TRICARE Open Season. However, you can purchase premium-based plans (TRICARE Reserve Select, TRICARE Retired Reserve, TRICARE Young Adult, and the Continued Health Care Benefit Program) at any time.

A QLE is a certain change in your life, such as marriage, birth of a Child, or retirement from active duty, which may mean different TRICARE options are available to you. A QLE opens a 90-day period for you to make eligible enrollment changes.

If you want to enroll in or change your plan, you must:

  • Make the enrollment changes within 90 days following the QLE.

  • Pay any enrollment fees or premiums due during that period.

A QLE for one Family member means all Family members may make enrollment changes. To learn more, visit the TRICARE Qualifying Life Event webpage .

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

  • An active duty Family member

  • A transitional * Survivor

  • In Group A

*Survivors: TRICARE continues to provide coverage for Family members when a sponsor dies. Family member health plan options and costs will vary based on:

  • The sponsor's military status when he/she dies

  • If the surviving Family member is a Spouse or Child

The scenarios below provide an overview of survivor coverage. Spouses remain eligible unless they remarry.

surgen operating on a patient Getting Care with TRICARE Select: With TRICARE Select, you can get care from any TRICARE-authorized network provider without a referral, but you may need prior authorization from your regional contractor for some services.

To find a TRICARE network provider, go to the TRICARE Find a Doctor Wizard or call your regional contractor:

  • East—Humana Military: 1-800-444-5445

  • West—Health Net: 1-844-866-9378

Additional Information

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

TRICARE Select Enrollment Information:
https://tricare.mil/Plans/Enroll/Select

TRICARE Select Enrollment, Disenrollment, and Change Forms:

East – Humana Military Enrollment form: https://www.esd.whs.mil/Directives/forms/dd3000_3499/

West – Health Net Enrollment Form: https://www.esd.whs.mil/Directives/forms/dd3000_3499/

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

TRICARE Publications:
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: 27 January 2020