DD Form 2853 – TRICARE Plus Enrollment Application

DDFORMS.ORG – DD Form 2853 – TRICARE Plus Enrollment Application – The TRICARE Plus enrollment application is a form used by beneficiaries of the TRICARE program to apply for coverage under the new program. The form must be submitted to your local TRICARE Regional Service Office (RSO).

There are several things you need to know before filling out the application. First, you must decide if you want to be enrolled in TRICARE Standard, TRICARE Extra, or both.

Download DD Form 2853 – TRICARE Plus Enrollment Application

Form Number DD Form 2853
Form Title TRICARE Plus Enrollment Application
Edition Date 7/20/2018
File Size 76 KB

What is a DD Form 2853?

The DD Form 2853 is a document used for enrolling in TRICARE Plus, a program that provides enhanced healthcare benefits to eligible military members and their families. It is important to note that TRICARE Plus is not an insurance plan but rather an additional benefit that can be used in conjunction with existing TRICARE coverage. The form itself includes personal information such as name, rank, and branch of service, as well as contact information and details about current TRICARE coverage.

In addition to providing basic personal information, the DD Form 2853 also requires applicants to acknowledge certain terms and conditions associated with participating in the TRICARE Plus program. This includes agreeing to abide by all program rules and regulations as well as accepting responsibility for any out-of-pocket expenses incurred while receiving care through the program. Once completed, the form must be submitted to the appropriate military healthcare facility for processing.

Overall, the DD Form 2853 is a vital tool for accessing enhanced healthcare benefits through TRICARE Plus. By providing detailed personal information and agreeing to certain terms and conditions, eligible military members and their families can take advantage of this valuable program to receive high-quality medical care at little or no cost.

Where Can I Find a DD Form 2853?

DD Form 2853 is an enrollment application for TRICARE Plus, a program that provides additional healthcare benefits to military beneficiaries. If you are eligible for the program, you may wonder where to find the form to enroll. There are several options available.

Firstly, you can download and print DD Form 2853 from the official TRICARE website. You can also request a copy of the form by calling the TRICARE regional contractor in your area or by visiting a local military treatment facility. Additionally, some military base legal offices may have copies of DD Form 2853 available for pick-up.

It’s important to note that before enrolling in TRICARE Plus using DD Form 2853, you must first ensure your eligibility for the program and have an established primary care manager through TRICARE Prime. Once these requirements are met and you have obtained a copy of DD Form 2853, be sure to fill it out completely and accurately with all required information before submitting it for processing.

DD Form 2853 – TRICARE Plus Enrollment Application

DD Form 2853 is an application form used by active duty service members to enroll themselves and their eligible family members in TRICARE Plus. TRICARE Plus is a program offered by the Department of Defense that provides enhanced benefits to military beneficiaries who are enrolled in a Military Treatment Facility (MTF). The enrollment process for TRICARE Plus is straightforward and can be completed using DD Form 2853.

To enroll in TRICARE Plus, service members must submit their completed DD Form 2853 to their nearest MTF. The form requires basic information about the service member and any eligible dependents they wish to enroll. Once enrolled, beneficiaries will have access to priority medical care at the MTF where they are enrolled, as well as other benefits such as expanded pharmacy options.

It’s important to note that while enrollment in TRICARE Plus is voluntary, it does require service members and their families to receive most of their healthcare services from the MTF where they are enrolled. Additionally, not all MTFs participate in the program, so it’s important for beneficiaries to check with their local facility before applying using DD Form 2853.

DD Form 2853 Example

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