The sponsor and eligible children have 90 days after a divorce or annulment to change your TRICARE health plan.
Eligibility for TRICARE:
- Won't change for the sponsor
- Won't change for biological children and adopted children
We won't pay for services or supplies provided to anyone who isn't eligible for TRICARE. If a former spouse loses eligibility in a divorce and continues to get care, TRICARE can recoup those payments. >>Learn More about Recoupment of Overpayments
Former spouse's benefits will end at 12:01 a.m. on the day of the divorce, unless he or she meet certain requirements.
If these requirements are met, former spouses:
- Remain eligible for TRICARE
- Will use their own name and health benefit number to get care and file claims
- They won't use your name and number in DEERS
- A sponsor’s biological and adopted children stay eligible for TRICARE until they age out. >> Learn More
- To be TRICARE eligible, your child must be a dependent. This means they aren’t married or serving on active duty.
- After your child ages out, they can choose to purchase TRICARE Young Adult until they turn 26.
- A sponsor’s stepchildren who weren’t adopted by the sponsor will lose TRICARE eligibility once the sponsor updates DEERS with the divorce decree.
Loss of Eligibility
When you lose TRICARE, you may:
- Purchase the Continued Health Care Benefit Program for temporary coverage
- Search the Health Insurance Marketplace to find a civilian health plan that meets your needs and budget
Using TRICARE with Other Health InsuranceHealth insurance you have in addition to TRICARE, such as Medicare or an employer-sponsored health insurance. TRICARE supplements don’t qualify as "other health insurance."
TRICARE is always the second payer to any other health insurance (OHI) plan. After a divorce, if your child has health insurance from the non-uniformed service parent, then TRICARE can still act as a second payer. If your child visits the uniformed service member, TRICARE is still the second payer, so make sure your child has the OHI information to get care away from home. >>View Custody Scenarios
Review your OHI and TRICARE options carefully, to make sure you have the best coverage for your child.>>Learn More about using TRICARE with OHI
Children living separate from the sponsor (with the former spouse or other guardian) can enroll in TRICARE Prime using the split enrollment feature.
If you're eligible for TRICARE after your divorce, you will lose eligibility for TRICARE if you remarry, unless you are marrying another active duty or retired service member.
Last Updated 12/19/2017