000
|
No health care coverage plan
(transfer records only)
|
00/00/0000
|
99/99/9999
|
001
|
TRICARE Prime for Active Duty
Sponsors, no PCM Assigned
|
00/00/0000
|
99/99/9999
|
002
|
Direct Care for Active Duty
Family Members
|
00/00/0000
|
99/99/9999
|
003
|
TRICARE Standard for Active
Duty Family Members
|
00/00/0000
|
12/31/2017
|
004
|
Direct Care for Survivors of
Active Duty Deceased Sponsors
|
00/00/0000
|
99/99/9999
|
005
|
TRICARE Standard for Survivors
of Active Duty Deceased Sponsors
|
00/00/0000
|
12/31/2017
|
006
|
Direct Care for Transitional
Assistance Family Members
|
00/00/0000
|
99/99/9999
|
007
|
TRICARE Standard for Transitional
Assistance Sponsors and Family Members
|
00/00/0000
|
12/31/2017
|
008
|
Direct Care for Retired Sponsors
and Family Members
|
00/00/0000
|
99/99/9999
|
009
|
TRICARE Standard for Retired
and Medal of Honor Sponsors and Family Members
|
00/00/0000
|
12/31/2017
|
010
|
TRICARE Standard for Transitional
Survivors of Active Duty Deceased Sponsors
|
00/00/0000
|
12/31/2017
|
011
|
Reimbursable Direct Care for
DoD Affiliates (CONUS Only)
|
00/00/0000
|
99/99/9999
|
012
|
Reimbursable Civilian Coverage
for DoD Affiliates (CONUS Only)
|
00/00/0000
|
99/99/9999
|
013
|
Reimbursable Direct Care for
DoD Affiliates (OCONUS Only)
|
00/00/0000
|
99/99/9999
|
014
|
Direct Care for Transitional
Survivors of Active Duty Deceased Sponsors
|
00/00/0000
|
99/99/9999
|
015
|
TRICARE Standard for Transitional
Survivors of Guard/Reserve Deceased Sponsors
|
00/00/0000
|
12/31/2017
|
016
|
Direct Care for Survivors of
Guard/Reserve Deceased Sponsors
|
00/00/0000
|
99/99/9999
|
017
|
TRICARE Standard for Survivors
of Guard/Reserve Deceased Sponsors
|
00/00/0000
|
12/31/2017
|
018
|
TRICARE for Life for Retired
Sponsors and Family Members and Medal of Honor
|
00/00/0000
|
99/99/9999
|
019
|
Limited Direct Care with Line
of Duty Injuries for Guard/Reserve Sponsors
|
00/00/0000
|
99/99/9999
|
020
|
TRICARE for Life for Transitional
Survivors of Active Duty Deceased Sponsors
|
00/00/0000
|
99/99/9999
|
021
|
TRICARE for Life for Survivors
of Active Duty Deceased Sponsors
|
00/00/0000
|
99/99/9999
|
022
|
TRICARE for Life for Transitional
Survivors of Guard/Reserve Deceased Sponsors
|
00/00/0000
|
12/31/2017
|
023
|
TRICARE for Life for Survivors
of Guard/Reserve Deceased Sponsors
|
00/00/0000
|
99/99/9999
|
024
|
Direct Care for Transitional
Survivors of Guard/Reserve Deceased Sponsors
|
00/00/0000
|
12/31/2017
|
025
|
Direct Care Dental For Active
Duty Sponsors
|
00/00/0000
|
99/99/9999
|
026
|
Direct Care Dental For Active
Duty Foreign Military
|
00/00/0000
|
99/99/9999
|
027
|
Direct Care for Early Alert
for Guard/Reserve Service Members
|
00/00/0000
|
99/99/9999
|
028
|
TRICARE Standard for Medically
Retired Sponsors and Family Members
|
00/00/0000
|
12/31/2017
|
029
|
TRICARE for Life for Medically
Retired Sponsors and Family Members
|
00/00/0000
|
99/99/9999
|
030
|
Direct Care for Medically Retired
Sponsors and Family Members
|
00/00/0000
|
99/99/9999
|
101
|
CHAMPUS Reform Initiative (CRI)
- CHAMPUS Prime (history)
|
00/00/0000
|
12/31/2017
|
102
|
Fort Sill - Catchment Area
Management (CAM) Program (history)
|
00/00/0000
|
12/31/2017
|
103
|
Fort Carson – Catchment Area
Management (CAM) Program (history)
|
00/00/0000
|
12/31/2017
|
104
|
Bergstrom Air Force Base (AFB)
- Catchment Area Management (CAM) Program (history)
|
00/00/0000
|
12/31/2017
|
105
|
Luke/Williams Air Force BASE
(AFB) - Catchment Area Management (CAM) Program (history)
|
00/00/0000
|
12/31/2017
|
106
|
TRICARE Prime Individual Coverage
for Active Duty Sponsors
|
00/00/0000
|
12/31/2017
|
107
|
TRICARE Prime Individual Coverage
for Active Duty Family Members
|
00/00/0000
|
12/31/2017
|
108
|
TRICARE Prime Family Coverage
for Active Duty Family Members
|
00/00/0000
|
12/31/2017
|
109
|
TRICARE USFHP Direct Care Coverage
for Active Duty Family Members
|
00/00/0000
|
12/31/2017
|
110
|
TRICARE Prime for Individual
Coverage for Survivors of Active Duty Deceased Sponsors
|
00/00/0000
|
12/31/2017
|
111
|
TRICARE Prime Family Coverage
for Survivors of Active Duty Deceased Sponsors
|
00/00/0000
|
12/31/2017
|
112
|
TRICARE Prime Individual Coverage
for Transitional Assistance Sponsors and Family Members
|
00/00/0000
|
12/31/2017
|
113
|
TRICARE Prime Family Coverage
for Transitional Assistance Sponsors and Family Members
|
00/00/0000
|
12/31/2017
|
114
|
TRICARE USFHP Direct Care Individual
Coverage for Survivors of Active Duty Deceased Sponsors
|
00/00/0000
|
99/99/9999
|
115
|
TRICARE USFHP Direct Care Family
Coverage for Survivors of Active Duty Deceased Sponsors
|
00/00/0000
|
12/31/2017
|
116
|
TRICARE Prime Individual Coverage
for Retired and Medal of Honor Sponsors and Family Members
|
00/00/0000
|
12/31/2017
|
117
|
TRICARE Prime Family Coverage
for Retired and Medal of Honor Sponsors and Family Members
|
00/00/0000
|
12/31/2017
|
118
|
TRICARE USFHP Direct Care Individual
Coverage for Retired Sponsors and Family Members
|
00/00/0000
|
12/31/2017
|
119
|
TRICARE USFHP Direct Care Family
Coverage for Retired Sponsors and Family Members
|
00/00/0000
|
12/31/2017
|
120
|
TRICARE Senior Prime Individual
Coverage for Retired Sponsors and Family Members
|
00/00/0000
|
12/31/2017
|
121
|
Continued Health Care Benefits
Program Individual Coverage
|
00/00/0000
|
99/99/9999
|
122
|
Continued Health Care Benefits
Program Family Coverage
|
00/00/0000
|
99/99/9999
|
123
|
Federal Employees Health Benefits
Program (FEHBP) Individual Standard Coverage
|
00/00/0000
|
12/31/2017
|
124
|
Federal Employees Health Benefits
Program (FEHBP) Family Standard Coverage
|
00/00/0000
|
12/31/2017
|
125
|
Federal Employees Health Benefits
Program (FEHBP) Individual High Coverage
|
00/00/0000
|
12/31/2017
|
126
|
Federal Employees Health Benefits
Program (FEHBP) Family High Coverage
|
00/00/0000
|
12/31/2017
|
127
|
TRICARE Senior Supplement
|
00/00/0000
|
12/31/2017
|
128
|
TRICARE Remote Individual Coverage
for Active Duty Sponsors
|
00/00/0000
|
12/31/2017
|
129
|
TRICARE Remote Individual Coverage
for Active Duty Family Members
|
00/00/0000
|
12/31/2017
|
130
|
TRICARE Remote Family Coverage
for Active Duty Family Members
|
00/00/0000
|
12/31/2017
|
131
|
TRICARE Prime Individual Coverage
for Transitional Survivors of Active Duty Deceased Sponsors
|
00/00/0000
|
12/31/2017
|
132
|
TRICARE Prime Family Coverage
for Transitional Survivors of Active Duty Deceased Sponsors
|
00/00/0000
|
12/31/2017
|
133
|
TRICARE USFHP Direct Care Coverage
for Transitional Survivors of Active Duty Deceased Sponsors
|
00/00/0000
|
12/31/2017
|
134
|
TRICARE Prime Individual Coverage
for Transitional Survivors of Guard/Reserve Deceased Sponsors
|
00/00/0000
|
99/99/9999
|
135
|
TRICARE Prime Family Coverage
for Transitional Survivors of Guard/Reserve Deceased Sponsors
|
00/00/0000
|
99/99/9999
|
136
|
TRICARE Prime Individual Coverage
for Survivors of Guard/Reserve Deceased Sponsors
|
00/00/0000
|
12/31/2017
|
137
|
TRICARE Prime Family Coverage
for Survivors of Guard/Reserve Deceased Sponsors
|
00/00/0000
|
12/31/2017
|
138
|
TRICARE USFHP Direct Care Individual
Coverage for Survivors of Guard/Reserve Deceased Sponsors
|
00/00/0000
|
12/31/2017
|
139
|
TRICARE USFHP Direct Care Family
Coverage for Survivors of Guard/Reserve Deceased Sponsors
|
00/00/0000
|
12/31/2017
|
140
|
TRICARE Plus with CHC Coverage
for Active Duty Family Members
|
00/00/0000
|
12/31/2017
|
141
|
TRICARE Plus Coverage for Transitional
Survivors of Active Duty Deceased Sponsors
|
00/00/0000
|
12/31/2017
|
142
|
TRICARE Plus with CHC Coverage
for Transitional Survivors of Active Duty Deceased Sponsors
|
00/00/0000
|
12/31/2017
|
143
|
TRICARE Plus Coverage for Survivors
of Active Duty Deceased Sponsors
|
00/00/0000
|
12/31/2017
|
144
|
TRICARE Plus with CHC Coverage
for Survivors of Active Duty Deceased Sponsors
|
00/00/0000
|
12/31/2017
|
145
|
TRICARE Plus Coverage for Retired
Sponsors, Family Members and Medal of Honor
|
00/00/0000
|
12/31/2017
|
146
|
TRICARE Plus with CHC Coverage
for Retired Sponsors, Family Members and Medal of Honor
|
00/00/0000
|
12/31/2017
|
147
|
TRICARE Plus with CHC Coverage
for Transitional Survivors of Guard/Reserve Deceased Sponsors
|
00/00/0000
|
12/31/2017
|
148
|
TRICARE Plus Coverage for Survivors
of Guard/Reserve Deceased Sponsors
|
00/00/0000
|
12/31/2017
|
149
|
TRICARE Plus Coverage with
CHC for Survivors of Guard/Reserve Deceased Sponsors
|
00/00/0000
|
12/31/2017
|
150
|
TRICARE Plus Coverage for Active
Duty Family Members
|
00/00/0000
|
12/31/2017
|
151
|
TRICARE Plus Coverage for Transitional
Survivors of Guard/Reserve Deceased Sponsors
|
00/00/0000
|
12/31/2017
|
152
|
TRICARE Overseas Prime Individual
Coverage for Active Duty Sponsors
|
00/00/0000
|
12/31/2017
|
153
|
TRICARE Overseas Prime Individual
Coverage for Active Duty Family Members
|
00/00/0000
|
12/31/2017
|
154
|
TRICARE Overseas Prime Family
Coverage for Active Duty Family Members
|
00/00/0000
|
12/31/2017
|
155
|
TRICARE Global Remote Overseas
Prime Individual Coverage for Active Duty Sponsors
|
00/00/0000
|
12/31/2017
|
156
|
TRICARE Global Remote Overseas
Prime Individual Coverage for Active Duty Family Members
|
00/00/0000
|
12/31/2017
|
157
|
TRICARE Global Remote Overseas
Prime Family Coverage for Active Duty Family Members
|
00/00/0000
|
12/31/2017
|
158
|
TRICARE Remote Individual Coverage
for Transitional Survivors of Active Duty Deceased Sponsors
|
00/00/0000
|
12/31/2017
|
159
|
TRICARE Remote Family Coverage
for Transitional Survivors of Active Duty Deceased Sponsors
|
00/00/0000
|
12/31/2017
|
160
|
TRICARE Prime Individual Coverage
for Medically Retired Sponsors and Family Members
|
00/00/0000
|
12/31/2017
|
161
|
TRICARE Prime Family Coverage
for Medically Retired Sponsors and Family Members
|
00/00/0000
|
12/31/2017
|
201
|
TRICARE Dental Plan Individual
Coverage for Active Duty Family Members
|
00/00/0000
|
99/99/9999
|
202
|
TRICARE Dental Plan Family
Coverage for Active Duty Family Members
|
00/00/0000
|
99/99/9999
|
203
|
TRICARE Dental Plan Individual
Remote Coverage for Active Duty Family Members
|
00/00/0000
|
99/99/9999
|
204
|
TRICARE Dental Plan Family
Remote Coverage for Active Duty Family Members
|
00/00/0000
|
99/99/9999
|
205
|
TRICARE Dental Plan Individual
Coverage for Survivors of Active Duty Deceased Sponsors
|
00/00/0000
|
99/99/9999
|
206
|
TRICARE Dental Plan Family
Coverage for Survivors of Active Duty Deceased Sponsors
|
00/00/0000
|
99/99/9999
|
207
|
TRICARE Dental Plan Individual
Coverage for Selected Reserve (SelRes) Sponsors
|
00/00/0000
|
99/99/9999
|
208
|
TRICARE Dental Plan Individual
Coverage for Selected Reserve (SelRes) Family Members
|
00/00/0000
|
99/99/9999
|
209
|
TRICARE Dental Plan family
coverage for Selected Reserve (SelRes) family members
|
00/00/0000
|
99/99/9999
|
210
|
TRICARE Dental Plan Individual
Remote Coverage for Selected Reserve (SelRes) Family Members
|
00/00/0000
|
99/99/9999
|
211
|
TRICARE Dental Plan Family
Remote Coverage for Selected Reserve (SelRes) Family Members
|
00/00/0000
|
99/99/9999
|
212
|
TRICARE Dental Plan Individual
Coverage for Survivors of Selected Reserve (SelRes) Deceased Sponsors
|
00/00/0000
|
99/99/9999
|
213
|
TRICARE Dental Plan Family
Coverage for Survivors of Selected Reserve (SelRes) Deceased Sponsors
|
00/00/0000
|
99/99/9999
|
214
|
TRICARE Dental Plan Individual
Coverage for Active Guard/Reserve (AGR) Family Members
|
00/00/0000
|
99/99/9999
|
215
|
TRICARE Dental Plan Family
Coverage for Active Guard/Reserve (AGR) Family Members
|
00/00/0000
|
99/99/9999
|
216
|
TRICARE Dental Plan Individual
Remote Coverage for Active Guard/Reserve (AGR) Family Members
|
00/00/0000
|
99/99/9999
|
217
|
TRICARE Dental Plan Family
Remote Coverage for Active Guard/Reserve (AGR) Family Members
|
00/00/0000
|
99/99/9999
|
218
|
TRICARE Dental Plan Individual
Coverage for Survivors of Active Guard/Reserve (AGR) Family Members
|
00/00/0000
|
99/99/9999
|
219
|
TRICARE Dental Plan Family
Coverage for Survivors of Active Guard/Reserve (AGR) Family Members
|
00/00/0000
|
99/99/9999
|
220
|
TRICARE Dental Plan for Mobilization-Asset
Individual Ready Reserve (IRR) Sponsors
|
00/00/0000
|
99/99/9999
|
221
|
TRICARE Dental Plan Individual
Coverage for Mobilization-Asset Individual Ready Reserve (IRR) Family
Member
|
00/00/0000
|
99/99/9999
|
222
|
TRICARE Dental Plan Family
Coverage for Mobilization-Asset Individual Ready Reserve (IRR) Family
Members
|
00/00/0000
|
99/99/9999
|
223
|
TRICARE Dental Plan Individual
Remote Coverage for Mobilization-Asset Individual Ready Reserve
(IRR) Family Members
|
00/00/0000
|
99/99/9999
|
224
|
TRICARE Dental Plan Family
Remote Coverage for Mobilization-Asset Individual Ready Reserve
(IRR) Family Members
|
00/00/0000
|
99/99/9999
|
225
|
TRICARE Dental Plan Individual
Coverage for Survivors of Mobilization-Asset Individual Ready Reserve
(IRR) Deceased Sponsors
|
00/00/0000
|
99/99/9999
|
226
|
TRICARE Dental Plan Family
Coverage for Survivors of Mobilization-Asset Individual Ready Reserve
(IRR) Deceased Sponsors
|
00/00/0000
|
99/99/9999
|
227
|
TRICARE Dental Plan for Non-Mobilization-Asset
Individual Ready Reserve (IRR) Sponsors
|
00/00/0000
|
99/99/9999
|
228
|
TRICARE Dental Plan Individual
Coverage for Non-Mobilization-Asset Individual Ready Reserve (IRR)
Family Members
|
00/00/0000
|
99/99/9999
|
229
|
TRICARE Dental Plan Family
Coverage for Non-Mobilization-Asset Individual Ready Reserve (IRR)
Family Members
|
00/00/0000
|
99/99/9999
|
230
|
TRICARE Dental Plan Individual
Remote Coverage for Non-Mobilization-Asset Individual Ready Reserve
(IRR) Family Members
|
00/00/0000
|
99/99/9999
|
231
|
TRICARE Dental Plan Family
Remote Coverage for Non-Mobilization-Asset Individual Ready Reserve
(IRR) Family Members
|
00/00/0000
|
99/99/9999
|
301
|
BRAC Pharmacy
|
00/00/0000
|
99/99/9999
|
302
|
Pharmacy Redesign Pilot Project
(PRPP)
|
00/00/0000
|
99/99/9999
|
303
|
TRICARE Select-Active Duty
Family Members
|
01/01/2018
|
99/99/9999
|
304
|
TRICARE Select-TAMP Sponsors
and Family Members
|
01/01/2018
|
99/99/9999
|
305
|
TRICARE Select-Retired Sponsors
and Family Members
|
01/01/2018
|
99/99/9999
|
306
|
TRICARE Select-Reserve Select
Sponsors and Family Members
|
01/01/2018
|
99/99/9999
|
307
|
TRICARE Select-Retired Reserve
Sponsors and Family Members
|
01/01/2018
|
99/99/9999
|
308
|
TRICARE Select-Young Adult
|
01/01/2018
|
99/99/9999
|
310
|
TRICARE Prime-Active Duty Sponsors
|
01/01/2018
|
99/99/9999
|
311
|
TRICARE Prime-Active Duty Family
Members
|
01/01/2018
|
99/99/9999
|
312
|
TRICARE Prime Remote-Active
Duty Sponsors
|
01/01/2018
|
99/99/9999
|
313
|
TRICARE Prime Remote-Active
Duty Family Members
|
01/01/2018
|
99/99/9999
|
314
|
TRICARE Prime-TAMP Sponsors
and Family Members
|
01/01/2018
|
99/99/9999
|
315
|
TRICARE Prime-Retired Sponsors
and Family Members
|
01/01/2018
|
99/99/9999
|
316
|
USFHP Prime Sponsors and Family
Members (Presentation Only)
|
01/01/2018
|
99/99/9999
|
330
|
TRICARE Prime-Young Adult Active
Duty/TAMP
|
01/01/2018
|
99/99/9999
|
331
|
TRICARE Prime-Young Adult Retired
|
01/01/2018
|
99/99/9999
|
332
|
TRICARE Prime Remote-Young
Adult Active Duty
|
01/01/2018
|
99/99/9999
|
345
|
TRICARE Plus-With Direct Care
Only
|
01/01/2018
|
99/99/9999
|
346
|
TRICARE Plus-With TRICARE For
Life
|
01/01/2018
|
99/99/9999
|
347
|
TRICARE Plus-With Active Duty
Select
|
01/01/2018
|
99/99/9999
|
348
|
TRICARE Plus-With Retired Select
|
01/01/2018
|
99/99/9999
|
400
|
TRICARE Extended Care Health
Option (ECHO) Program
|
00/00/0000
|
99/99/9999
|
401
|
TRICARE Reserve Select Tier
1 Member-Only Coverage (Contingency Operations)
|
00/00/0000
|
12/31/2017
|
402
|
TRICARE Reserve Select Tier
1 Member and Family Coverage (Contingency Operations)
|
00/00/0000
|
12/31/2017
|
403
|
Tobacco Cessation Demonstration
Program
|
00/00/0000
|
12/31/2017
|
404
|
Weight Management Demonstration
Program
|
00/00/0000
|
12/31/2017
|
405
|
TRICARE Reserve Select Tier
2 Member-Only Coverage (Certified Qualifications)
|
00/00/0000
|
12/31/2017
|
406
|
TRICARE Reserve Select Tier
2 Member and Family Coverage (Certified Qualifications)
|
00/00/0000
|
12/31/2017
|
407
|
TRICARE Reserve Select Tier
3 Member-Only Coverage (Service Agreement)
|
00/00/0000
|
12/31/2017
|
408
|
TRICARE Reserve Select Tier
3 Member and Family Coverage (Service Agreement)
|
00/00/0000
|
12/31/2017
|
409
|
TRICARE Reserve Select Survivor
Continuing with Individual Coverage
|
00/00/0000
|
12/31/2017
|
410
|
TRICARE Reserve Select Survivor
Continuing with Family Coverage
|
00/00/0000
|
12/31/2017
|
411
|
TRICARE Reserve Select Survivor
New Individual Coverage
|
00/00/0000
|
12/31/2017
|
412
|
TRICARE Reserve Select Survivor
New Family Coverage
|
00/00/0000
|
12/31/2017
|
413
|
TRICARE Reserve Select Member-Only
Coverage
|
00/00/0000
|
12/31/2017
|
414
|
TRICARE Reserve Select Member
and Family Coverage
|
00/00/0000
|
12/31/2017
|
415
|
Wounded, Ill, and Injured (e.g.,
Warrior Transition/MEDHOLD Unit (WTU))
|
00/00/0000
|
99/99/9999
|
416
|
Wounded, Ill, and Injured -
Community-Based (e.g., Community Care Units (CCUs))
|
00/00/0000
|
99/99/9999
|
417
|
Transitional Care For Service-Related
Conditions (TCSRC)
|
00/00/0000
|
99/99/9999
|
418
|
TRICARE Retired Reserve Member-Only
Coverage
|
00/00/0000
|
12/31/2017
|
419
|
TRICARE Retired Reserve Member
and Family Coverage
|
00/00/0000
|
12/31/2017
|
420
|
TRICARE Retired Reserve Survivor
Individual Coverage
|
00/00/0000
|
12/31/2017
|
421
|
TRICARE Retired Reserve Survivor
Family Coverage
|
00/00/0000
|
12/31/2017
|
422
|
TRICARE Young Adult TRICARE
Standard for Active Duty Family Members
|
00/00/0000
|
12/31/2017
|
423
|
TRICARE Young Adult TRICARE
Standard for Retired and Medal of Honor Family Members
|
00/00/0000
|
12/31/2017
|
424
|
TRICARE Young Adult TRICARE
Reserve Select
|
00/00/0000
|
12/31/2017
|
425
|
TRICARE Young Adult TRICARE
Retired Reserve
|
00/00/0000
|
12/31/2017
|
426
|
TRICARE Young Adult TRICARE
Prime for Active Duty Family Members
|
00/00/0000
|
12/31/2017
|
427
|
TRICARE Young Adult TRICARE
Prime Remote for Active Duty Family Members
|
00/00/0000
|
12/31/2017
|
428
|
TRICARE Young Adult TRICARE
Prime for Retired and Medal of Honor Family Members
|
00/00/0000
|
12/31/2017
|
429
|
TRICARE Young Adult TRICARE
Overseas Prime for Active Duty Family Members
|
00/00/0000
|
12/31/2017
|
430
|
TRICARE Young Adult TRICARE
Overseas Prime Remote for Active Duty Family Members
|
00/00/0000
|
12/31/2017
|
602
|
Direct Care and TRICARE Mail
Order Pharmacy (TMOP) and Retail Pharmacies
|
00/00/0000
|
99/99/9999
|
603
|
Direct Care Only
|
00/00/0000
|
99/99/9999
|
999
|
Unverified Newborn
|
00/00/0000
|
99/99/9999
|