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Learn About TRICARE Insurance in Georgia

TRICARE is a federal health care program overseen by the Defense Health Agency (DHA). TRICARE insurance provides coverage to current military service members, retirees and their families inside and outside of the U.S. By offering coverage not only to military members, but also to their family members, the program allows military personnel to provide assistance to their families while they are serving the country.

What is TRICARE? Ultimately, this is an umbrella term for the many different types of health care plans offered by the DHA. Applicants are sorted into different coverage policies based on their status. For instance, active duty military members may enroll in TRICARE Prime, while family members may enroll in the U.S. Family Health Plan. Learn about TRICARE eligibility in Georgia, the application process and more below.

What are the TRICARE requirements in Georgia?

If you are wondering about your TRICARE eligibility in Georgia, you must evaluate the different available programs and identify which one(s) you would qualify for. For instance, if you are on active duty, you will qualify for TRICARE Prime. If you are a family member of an active duty military member, you may qualify for the U.S. Family Health Plan, TRICARE for Life and TRICARE Select.

In addition, Georgia residents may qualify for TRICARE Prime, TRICARE Select, TRICARE For Life, the U.S. Family Health Plan and other programs. In any case, a TRICARE eligibility check may help you determine whether you will qualify to receive coverage. Overall, the following types of applicants may qualify:

  • Uniformed service members.
  • National Guard and Reserve members.
  • Former spouses of service members.
  • Survivors of service members.
  • Children or dependents of service members.
  • Medal of Honor recipients.

Moreover, you have the option of filling out an online TRICARE questionnaire to discover which form of military health insurance applies to you. These questionnaires typically ask about your military status, relationship to the military, as well as age and proximity to service areas.

Furthermore, it is important to check your status in the Defense Enrollment Eligibility Reporting System (DEERS). You may already have met DEERS eligibility if you are a service member of the military. On the other hand, your family may not be automatically added to the system.

Because family members cannot add themselves to the DEERS, they must get help from a sponsor. The sponsor typically visits a local ID card office and brings relevant information to prove the family relations. To set up an appointment, the sponsor may visit the online portal or call the ID card office.

It is important to note that your children may not automatically have coverage once they are registered for the DEERS. As such, you may need to enroll your children in a TRICARE plan separately after they have been deemed eligible by the DEERS. To understand more about the requirements, download our guide.

How to Apply for TRICARE in Georgia

Completing a TRICARE enrollment in Georgia is a relatively straightforward process, though it is important to submit the most accurate information possible. You may sign up for TRICARE online, by phone or by mail. Note that only certain programs allow you to apply online. For example, you may enroll for TRICARE Prime online if you already live in a Prime service area. If you do not, you must contact your regional contractor for further instructions or apply by mail.

The TRICARE enrollment online process is also straightforward. If you qualify for an online application, visit the military health insurance enrollment website. You may only have access to the site if:

  • You have a Common Access Card (CAC) with an accessible card reader.
  • You have a Defense Finance and Account Service (DFAS) account.
  • You are a veteran.
  • You are registered in the DEERS.
  • You qualify under certain other circumstances.

If you cannot apply online, you may call the TRICARE enrollment number for Georgia. To apply by mail, you must submit the appropriate enrollment form and pay the applicable fees through your regional contractor.

Before you submit a TRICARE enrollment form, double check that you have completed all the necessary steps beforehand. This may include choosing a military hospital, clinic or network provider. If you are applying for TRICARE Prime, you also need to check whether you live in a Prime service area. Find out the details of the application process with our comprehensive guide.

Learn About TRICARE Costs and Coverage in Georgia

The TRICARE benefits you receive will depend on whether you are a military service member, a family member or a dependent. All programs offer comprehensive care, though you may need to pay enrollment fees, copays or deductibles. Generally, you will receive free health care if you are on active duty.

The amount you pay in enrollment fees depends on your program, though TRICARE Retired Reserve, TRICARE for Life and TRICARE Young Adult have higher enrollment fees than most. For plans such as TRICARE Reserve Select, the enrollment fees are typically lower. While you may be responsible for copays, your Georgia TRICARE coverage will always cover some or all of the following:

  • Primary care
  • Preventative care
  • Hospital care and surgery
  • Urgent and emergency care
  • Mental health and substance abuse
  • Medical equipment and supplies
  • Tests and x-rays
  • Dental and vision

If your plan only partially covers certain types of health care, your TRICARE payment may have a limit. This means that there is a maximum amount that you are required to pay for certain services.

In general, you will pay more if you are a relative or dependent of a military service member. Discover more about your benefits and additional health care costs in Georgia by downloading our guide.

How to File a TRICARE Claim in Georgia

You may need to submit TRICARE claims if you visited an out-of-network provider or have traveled outside of your coverage zone. In these cases, the provider you visited may not be able to submit a claim on your behalf.

If you need to submit a claim in Georgia, fill out the TRICARE claim form and mail it to the proper office. You will also need to submit a form of payment (if applicable) along with relevant information about your out-of-network provider. Depending on the circumstances and your health care program of choice, you may be able to submit a claim online. Find out how to file a claim with our informative guide.