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:

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

Last Updated 11/29/2019