What Is a Qualifying Life Event for Tricare?

Only at certain times can you make changes to your Tricare health-care plans and coverage. Outside the annual open enrollment period, these times usually correspond to life events or changes in your situation or household, known as “qualifying life events” (QLEs).

Depending on your eligibility, a QLE may let you enroll in a new insurance plan or change your coverage.

If you want to enroll in or change your plan, you must make the enrollment changes within 90 days following the QLE and pay any enrollment fees or premiums that may be due for the new plan during those 90 days.

If you make the changes within the 90-day window, your coverage will become effective on the date of the QLE. If one member of your family has a QLE, all eligible family members may change their enrollment status during the QLE period.

What Is a Qualifying Life Event for Tricare?

For both Tricare and FEDVIP, the Federal Employees Dental and Vision Insurance Program available to military retirees and active-duty family members, among others, the following count as QLEs. As such, these are the times you can make changes to your coverage outside of open season, which normally begins in November and ends in December:

• Activating or deactivating for reserve and Guard service
• Deploying or mobilizing
• Being injured on active duty
• Moving/permanent change of station (PCS)
• Getting married
• Divorcing
• Having a baby or adopting a child
• Children going to college
• Children becoming adults
• Death in the family
• Getting or losing other insurance
• Government-directed plan or care changes
• Becoming eligible for Medicare; or turning age 60 (Retired Reserve)
• Separating from the military
• Retiring

How to Make Changes to Your Tricare Coverage Due to a Qualifying Life Event

In most cases, you need to update the Defense Enrollment Eligibility Reporting System (DEERS) first before you contact Tricare to make the change. For example, if you try to add a new child to Tricare before the child is listed in DEERS, it won’t work.

In most cases, you must provide official documents to update DEERS (birth certificate, marriage certificate, proof of college attendance, etc.). The Tricare plan you have or the area you live in may have further requirements.

For more information, check out Tricare’s QLE page.

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