Continued Health Care Benefit Program
TRICARE DoD/CHAMPUS Claim Form-Patient’s Request for Medical Payment (DD Form 2642)
If you’re enrolled in the Continued Health Care Benefit Program, send your completed claim form and supporting documents to:
CHCBP Claims
P.O. Box 202146
Florence, SC 29502-2146
Fax: 877-489-0007
Some claims may route incorrectly, deny by mistake, or process the wrong way. Humana Military is actively working to correct the issue.
Last Updated 6/30/2025