DDFORMS.ORG – DD Form 2837 – Continued Health Care Benefit Program (CHCBP) Application – The Continued Health Care Benefit Program (CHCBP) is a program that provides benefits to individuals who are unable to afford health care. The CHCBP application is used to apply for the benefits. The application can be completed online or by fax.
Download DD Form 2837 – Continued Health Care Benefit Program (CHCBP) Application
| Form Number | DD Form 2837 |
| Form Title | Continued Health Care Benefit Program (CHCBP) Application |
| Edition Date | 8/30/2020 |
| File Size | 62 KB |
What is a DD Form 2837?
DD Form 2837 is an official military form that is used to apply for the Continued Health Care Benefit Program (CHCBP). This program provides temporary health care coverage to individuals who lose their eligibility for military health care benefits due to certain circumstances, such as separation or retirement. The CHCBP coverage can last up to 36 months and offers beneficiaries a wide range of healthcare services.
The DD Form 2837 application requires detailed personal information, including the applicant’s name, social security number, date of birth, and contact information. The applicant must also provide information about their previous military service and reasons for losing their eligibility for military health care benefits. Additionally, applicants must pay a monthly premium in order to participate in the CHCBP.
Overall, obtaining CHCBP coverage through the completion of DD Form 2837 can be a helpful resource for transitioning servicemembers and their families who are facing periods without access to military healthcare benefits. It is important to ensure that all required information on this form is accurately provided in order to avoid delays or denial of coverage.
Where Can I Find a DD Form 2837?
DD Form 2837 is an important document for those looking to apply for the Continued Health Care Benefit Program (CHCBP). This program offers temporary health coverage for individuals who are no longer eligible for military health benefits but want to continue receiving medical care. The DD Form 2837 serves as the application for this program and provides the necessary information required to determine eligibility.
So, where can you find a DD Form 2837? The easiest way is to download it from the internet. It can be found on various military websites, including the Defense Health Agency website and Military OneSource. Additionally, many local military installations have copies of the form available at their healthcare facilities. If you are having trouble finding a copy of the form, it may be helpful to contact your local VA office or medical facility for assistance.
Overall, obtaining a DD Form 2837 is crucial if you want to apply for CHCBP. Whether you choose to download it online or get a physical copy from a healthcare facility or VA office, make sure that all necessary sections are filled out accurately and completely before submitting your application.
DD Form 2837 – Continued Health Care Benefit Program (CHCBP) Application
The DD Form 2837 is an essential form for military personnel and their families who are transitioning out of active duty service. The form is used to apply for the Continued Health Care Benefit Program (CHCBP), which provides temporary health coverage to eligible individuals who lose their military TRICARE benefits due to various reasons such as retirement, separation, or divorce.
The CHCBP program offers comprehensive medical coverage that includes preventive care, emergency services, prescription medications, mental health services, and more. However, it comes at a cost that can be quite expensive compared to other civilian health insurance options. It is crucial to note that applying for CHCBP should be done within 60 days of losing TRICARE eligibility to avoid any gaps in healthcare coverage.
To apply for the CHCBP program using DD Form 2837, applicants must provide detailed information about themselves and their dependents’ healthcare history. They must also pay the enrollment fee upfront for the first three months of coverage. After the initial three-month period expires, participants will be billed monthly for continued coverage until they become eligible for another health insurance plan or reach the maximum coverage period under CHCBP.
DD Form 2837 Example
