TRICARE Reserve Select & TRICARE Retired Reserve

To purchase TRS or TRR coverage:

1. Log on to the Beneficiary Web Enrollment website. 
2. Select "Purchase Coverage" and follow the instructions.
3. Print and sign the completed Reserve Component Health Coverage Request Form (DD Form 2896-1). 

To log into the DMDC Beneficiary Web Enrollment Application, you must have one of the following:

• Common Access Card (CAC)
• DFAS (MyPay) Account
• DoD Self-Service Logon (DS Logon) Premium (Level 2) account.

The DS Logon Premium (Level 2) account is given to a user who has registered using their CAC, DFAS myPay Login ID, or has a DS Logon Basic Account. Sign up or view information regarding a DS Logon.

If you do not qualify, you will not be able to complete or print the form. Please contact your National Guard or Reserve personnel office for assistance. If you experience a technical problem, call 1-800-477-8227 for assistance. 

Submit the completed application to your regional contractor at the address listed below:

	TRICARE Reserve Select	TRICARE Retired Reserve
East	Humana Military P.O. Box 105389 Atlanta, GA 30348-5389 Fax: 1-866-836-9535	Humana Military P.O. Box 105389 Atlanta, GA 30348-5389 Fax: 1-866-836-9535
West	Health Net, LLC P.O. Box 9028 Virginia Beach, VA 23450-9028 Fax:	Health Net, LLC P.O. Box 9028 Virginia Beach, VA 23450-9028 Fax:
Overseas	International SOS Assistance, Inc. TOP TRS Enrollments P.O. Box 11689 Philadelphia, PA 19116 Fax: +1-215-354-5015	International SOS Assistance, Inc. TOP TRR Enrollments P.O. Box 11689 Philadelphia, PA 19116 Fax: +1-215-354-5015