Skip to main content

Military Health System

Utility Navigation Links

WEEKEND MAINTENANCE: The maintenance outage is scheduled for June 22nd at 6:00am EST ending NLT Sunday, June 23rd at 11:59pm Eastern EST. The TRICARE Manuals web site may be available intermittently during this period but it's usage is not recommended.

TRICARE Operations Manual 6010.62-M, April 2021
Enrollment
Chapter 6
Section 3
Split Enrollment
Revision:  
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 TRICARE-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 (URFSs).
Example 1:  Sponsor and spouse who live and are enrolled in TRICARE Prime in one geographical area of responsibility with a college age child who lives and is enrolled in TRICARE Prime in a different geographical area of responsibility.
Example 2:  A TRICARE-eligible USFHP enrollee with 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.
3.1  Individual and family enrollment fees for TRICARE Prime are separate from individual and family enrollment fees for TRICARE Select.
3.2  The enrollment fee billing contractor will be determined based on the following list of potential enrollees in descending order of precedence:
•  Sponsor
•  Spouse
•  Oldest enrolled child
4.0  The contractor shall, in cases where the sponsor and any family members are in locations covered by a different contractor, coordinate with the responsible contractor for that location if the family enrollment fee is not paid on time and the family is disenrolled, to ensure that individual family members who are enrolled in different geographical area of responsibilities (and who have not paid single enrollment fees) are disenrolled as well.
- END -
Follow us on Instagram Follow us on LinkedIn Follow us on Facebook Follow us on Twitter Follow us on YouTube Sign up on GovDelivery