1.0 GENERAL
All TRICARE requirements regarding the TAMP
shall apply to the TRICARE Overseas Program (TOP) unless specifically
changed, waived, or superseded by this section; the TRICARE Policy
Manual (TPM),
Chapter 12;
or the TRICARE contract for health care support services outside
the 50 United States (U.S.) and the District of Columbia (hereinafter
referred to as the “TOP contract”). See the TPM,
Chapter 10, Section 5.1 for additional instructions.
2.0 ELIGIBILITY
2.1 TAMP eligible
beneficiaries are eligible for the TOP per the enrollment provisions
described below.
2.2 The TOP contractor shall determine
TRICARE eligibility during the TAMP period based on eligibility
in the Defense Enrollment Eligibility Reporting System (DEERS).
2.3 The military
services are responsible for eligibility entries/updates in DEERS.
3.0 Enrollment
3.1 The provisions
of TPM,
Chapter 10, Section 5.1 regarding the “twentieth
of the month rule” for enrollment are waived for the TOP. New enrollments
for TOP Prime are normally effective on the date the application
is signed. Refer to
Section 5 for additional guidance.
3.2 TAMP eligibles
who were enrolled in TOP Prime immediately prior to their change
in status may continue their enrollment in TOP Prime with no break
in coverage. A reenrollment application must be completed prior
to the TAMP expiration period in order to continue with TOP Prime.
The effective date shall be the date the sponsor separated from
active duty, as the intent is to ensure that TOP Prime coverage
is seamless.
3.3 10 USC 1145 authorized Military Treatment Facility
(MTF) and Civilian Health Care (CHC) for certain Reserve Component
(RC) personnel “in the same manner” and “subject to the same rates
and conditions” as a dependent of a Service member during the TAMP
eligibility period. Transitioning RC personnel who were ordered
to active duty under Executive Order 13223, 10 USC 12302, 10 USC 12301(d),
or 32 USC 502(f) may either continue in TOP Prime or enroll during
the TAMP period per the provisions of 10 USC 1145.
3.4 RC family
members who were eligible for TOP Prime during the member’s activation
may either continue in TOP Prime or enroll during the TAMP period.
3.5 RC family
members who were not eligible for TOP Prime enrollment during the
member’s activation (e.g., the member was not ordered to active
duty for more than 30 days, or the dependents were not Command Sponsored
to accompany the member in their overseas assignment) are not eligible
to enroll in TOP Prime during the TAMP period.
3.6 Through
December 31, 2017, TAMP-eligible members and family members who
are not eligible for TOP Prime, or who choose not to enroll in TOP
Prime upon change in status, will have eligibility under TOP Standard.
Effective January 1, 2018, TAMP-eligible members and family members may
be auto-enrolled in TOP Select. If not auto-enrolled in TOP Select,
TAMP eligibles, including the former Service member may
elect to enroll or re-enroll in TOP
Prime or TOP Select coverage within
90 days of their eligibility for TAMP.
3.7 TAMP beneficiaries
may not enroll in TOP Prime Remote.