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TRICARE Operations Manual 6010.59-M, April 1, 2015
Chapter 6
Section 3
Split Enrollment
Revision:  C-52, August 30, 2019
The term “contractor” applies to the Managed Care Support (MCS) contractor, TRICARE Overseas Program (TOP) contractor, and Uniformed Services Family Health Plan (USFHP) Designated Providers (DPs) whose enrollees are TRlCARE-eligible for civilian care.
1.0  Split enrollment involves different members of the same family enrolled in the same health plan (TRICARE Prime or TRICARE Select) with different contractors. Split enrollment does not apply to unremarried former spouses.
Example:  Sponsor and spouse who live and are enrolled in TRICARE Prime in one region and a college age child who lives and is enrolled in TRICARE Prime in a different region or a TRICARE eligible USFHP enrollee and other members of the same family enrolled in TRICARE Prime with one or more contractors.
2.0  Split enrollment provisions apply to TRICARE Prime and TRICARE Select enrollments in all areas.
3.0  A family subject to enrollment fees will pay enrollment fees totaling no more than the family enrollment fees according to the elected plan(s) regardless of the enrollment locations of family members. Individual and family enrollment fees for TRICARE Prime are separate from individual and family enrollment fees for TRICARE Select. The enrollment fee billing contractor shall be determined based on the following list of potential enrollees in descending order of precedence:
•  Sponsor.
•  Spouse.
•  Oldest enrolled child.
4.0  If the family enrollment fee is not paid on time and the family is disenrolled, individual family members who are enrolled in different regions (and who have not paid single enrollment fees) shall be disenrolled as well.
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