Reasons You May Lose Eligibility
Eligibility for TRICARE may end for several reasons. This list is not intended to be all inclusive.
Sponsor Separates from Active Duty
- When a service member "separates" from active duty, it means they "get out" before retiring.
- The member and family may qualify for the Transitional Assistance Management Program.
- Learn more about Separating from the Service
You Have Medicare Part A, but don't Purchase Part B
You may be eligible for Medicare Part A due to age, disability or other reasons. If you're getting Social Security disability benefits:
- You become eligible for Medicare Part A starting on the 25th month of receiving Social Security disability payments.
- The Social Security Administration notifies you of your Medicare start date.
- You should purchase Medicare Part B when you first become entitled to Medicare Part A, regardless of your age.
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
Children are eligible for regular TRICARE coverage up to age 21 (or 23 if enrolled in college and the sponsor continues to provide 50% of the child's financial support.) After "aging out" at 21 or 23 as described above, dependent adult children may qualify for TRICARE Young Adult until they turn 26 (based on sponsor's eligibility for TRICARE). >>Learn More
In a divorce, the former spouse will lose eligibility for TRICARE unless he or she meet specific requirements to maintain eligibility for TRICARE as a former spouse. >>Learn More
Surviving Spouse, Widow, or Former Spouse Remarries
If a surviving spouse, widow or eligible former spouse remarries, he or she will lose eligibility for TRICARE (unless the marriage is to another uniformed service member).
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 due to inaccurate DEERS information, simply update your information and your coverage is restored. >>Learn More
If enrolled in any health plan option, contact your regional contractor to re-enroll as updating DEERS will not automatically re-establish your enrollment.
Last Updated 1/13/2016