DDFORMS.ORG – DD Form 2876-2 – TRICARE Prime Enrollment, Disenrollment and Primary Care Manager (PCM) Change Form (WEST) – If you’re enrolled in TRICARE Prime and need to make any changes to your primary care manager or disenroll from the program, you’ll need to fill out a DD Form 2876-2. This important form is used for TRICARE Prime enrollment, disenrollment, and PCM change requests in the Western region of the United States.
In this article, we’ll take a closer look at what a DD Form 2876-2 is and why it’s necessary for those who are enrolled in TRICARE Prime. We’ll also provide information on where you can find this form and how to complete it correctly so that your requests are processed smoothly and efficiently.
DD Form 2876-2 – TRICARE Prime Enrollment, Disenrollment and Primary Care Manager (PCM) Change Form (WEST)
| Form Number | DD Form 2876-2 – |
| Form Title | TRICARE Prime Enrollment, Disenrollment and Primary Care Manager (PCM) Change Form (WEST) |
| Edition Date | 7/1/2016 |
| File Size | 78 KB |
What is a DD Form 2876-2?
A DD Form 2876-2 is a document used by the military community to enroll, disenroll or change their primary care manager (PCM) under TRICARE Prime. This form is required when service members, retirees, and their family members want to make changes to their healthcare plan. The form allows them to choose a new PCM or opt out of TRICARE Prime altogether.
To obtain a DD Form 2876-2, individuals can visit any TRICARE Service Center or download it from the official TRICARE website. Once filled out and signed, the form should be submitted to the appropriate regional contractor’s office for processing. It is important to note that changes made using this form may take up to 30 days to become effective.
In conclusion, the DD Form 2876-2 is an essential document for anyone who wants to enroll in or modify their healthcare coverage through TRICARE Prime. Whether you need a new PCM or are looking for alternative healthcare options, this form provides you with flexibility and control over your medical care decisions.
Where Can I Find a DD Form 2876-2?
A DD Form 2876-2 is a crucial document for active-duty military members and their families who are enrolled in TRICARE Prime. This form allows them to make changes to their primary care manager (PCM) or disenroll from the program entirely. The PCM is the physician responsible for coordinating a patient’s medical care within the TRICARE network.
So where can you find this important form? The easiest way is to download it online from the TRICARE website. You can also request a copy from your local military treatment facility (MTF), or by calling the TRICARE hotline at 1-800-444-5445. It’s essential to keep your DD Form 2876-2 up-to-date, as any changes will affect your healthcare coverage and access to medical services.
In conclusion, if you’re an active-duty military member or family enrolled in TRICARE Prime, obtaining and maintaining an accurate DD Form 2876-2 is critical. Thankfully, there are many ways to access this form, whether it be through downloading online or requesting a copy from your MTF or the TRICARE hotline. By keeping this document up-to-date, you’ll ensure that you have timely access to quality medical care when you need it most.
DD Form 2876-2 – TRICARE Prime Enrollment, Disenrollment and Primary Care Manager (PCM) Change Form (WEST)
The DD Form 2876-2 is a document that is used by TRICARE beneficiaries to enroll in or disenroll from the TRICARE Prime program, and also to change their Primary Care Manager (PCM) within the program. The form is specific to those who are located in the western region of the United States, which includes states such as California, Hawaii, and Alaska.
To find a copy of the DD Form 2876-2, beneficiaries can visit the TRICARE website or contact their local Military Treatment Facility (MTF). It’s important for beneficiaries to fill out this form accurately and completely, including providing information about their current PCM and any medical conditions they may have.
Submitting a completed DD Form 2876-2 on time ensures that beneficiaries receive timely access to healthcare services through TRICARE Prime. If there are any changes in circumstances that affect eligibility for TRICARE Prime or require a change in PCM after submission of this form, it should be updated with an updated version of DD Form 2876-2.
DD Form 2876-2 Example
