Loss of Eligibility
You may lose TRICARE coverage for a number of reasons. For instance:
- Separating from the service
- Loss of eligibility due to age
- Change in marital status
You’ll be notified if and when you lose eligibility for TRICARE. Each person in your family enrolled in TRICARE will receive a notice. If you lose TRICARE coverage, it also means you’ll no longer have minimum essential coverageBasic health care coverage that meets the Affordable Care Act requirement.. In order to make sure you still have health care coverage, you’ll have some choices to make about your health care. Here are a few of your options:
Transitional Assistance Management Program (TAMP)
- You might qualify for the TAMP.
- TAMP offers 180 days or transitional health coverage.
Continued Health Care Benefit Program
- After TRICARE or TAMP ends, you can purchase the Continued Health Care Benefit Program (CHCBP)
- CHCBP offers an additional 18-36 month of coverage, when purchased.
You can use:
- Employer’s sponsored health insurance,
- Medicaid, or
- Any other plan offered through the Health Insurance Marketplace.
- Dependent children who age out of TRICARE may qualify to purchase TRICARE Young Adult (TYA) coverage up to the age of 26
Note: The loss of eligibility for TRICARE will result in the loss of your transitional survivor status.
Reasons for Loss
Your eligibility for TRICARE may end for several reasons. This list isn’t all inclusive.
Reasons for Loss
Sponsor Separates from Active Duty
|You Have Medicare Part A, but don't Purchase Part B
You may be eligible for Medicare Part A due to your age, disability or other reasons. If you're getting Social Security disability benefits:
If you don't purchase Part B when you first become eligible for it, you may lose your eligibility for TRICARE. >>Learn More
|Dependent Child Reaches Age Limit
Your children can get regular TRICARE coverage up to age 21. If they’re enrolled in college and their sponsor is providing for at least half of their financial support, they can keep their TRICARE coverage until they turn 23.
In a divorce, the former spouse will lose eligibility for TRICARE unless they meet specific requirements. >>Learn More
|Surviving Spouse, Widow, or Former Spouse Remarries
||If a surviving spouse, widow or eligible former spouse remarries, they will lose eligibility for TRICARE. They can retain TRICARE if they marry another uniformed service member.
The loss of eligibility for TRICARE will also result in the loss of transitional survivor status.
|DEERS Information Not Kept Up-to-Date
One way you can temporarily lose coverage is to let your information in DEERS lapse. If you lose eligibility this way, simply update your information on DEERS to restore your coverage. >>Learn More
DEERS won’t automatically re-enroll you in your other health plans. You may contact your regional contractor to re-enroll in your other health plans.
Last Updated 2/21/2023