TRICARE Prime Options

To disenroll from TRICARE Prime, TRICARE Prime Remote, TRICARE Prime Overseas, TRICARE Prime Remote Overseas:

  1. Log into the Beneficiary Web Enrollment website or download your region’s disenrollment form:
  2. Complete the Sections I and III of the form. In Section I:
    • Check the box for “Disenroll”
    • Add the effective date in #9
    • Skip #10
  3. Mail the form to your regional contactor at the address listed below:
East Humana Military
P.O. Box 105838
Atlanta, GA 30348-5838
West 

Health Net, LLC
P.O. Box 8458
Virginia Beach, VA 23450-8548

Overseas  International SOS Assistance
TOP Prime Enrollments
P.O. Box 11520
Philadelphia, PA 19116

If enrolled in the US Family Health Plan, please call 1-800-748-7347.

Note: Active duty service members are not allowed to disenroll. All others can choose to disenroll at anytime, but may be subject to a one-year lock out from re-enrolling.

Last Updated 12/26/2017