Disenrollment or Loss of Coverage Letters

Select Correspondence/Documentation, eCorrespondence

TRICARE Disenrollment Letters are available anytime a voluntary or involuntary medical or dental program disenrollment occurs.

Letters are available to sponsors and their affected family members who are in the following populations:

• Active duty, National Guard, or Reserve Service members on active duty or early alert who are disenrolled from TRICARE Prime or Prime Remote, TRICARE Overseas Prime or Overseas Prime Remote, and/or the Remote Active Duty Dental Program
• Selected Reserve Service members who are disenrolled from the TRS Program
• Retired Reserve members who are awaiting retired pay at age 60 and disenrolled from the TRR Program
• Retired and Medal of Honor Service members who are disenrolled from TRICARE Prime
• National Guard or Reserve Service members who are disenrolled from TRICARE Prime during a TAMP
• Dependents who are disenrolled from TYA, including TYA Standard, TYA Prime, TYA TRS, and TYA TRR
• Beneficiaries who are losing coverage for TRICARE Standard, TFL, TRICARE Plus, and TRICARE Prime with a USFHP Primary Care Provider. This applies ONLY when the beneficiary has NO other TRICARE or Direct Care eligibility, in other words, a complete loss of eligibility for DoD health care, such as the result of sponsor separation or the remarriage of a widow previously covered by TFL.

Sponsors and surviving spouses can view, print, and save disenrollment letters for themselves as well as for their family members (children) under the age of 18.

Family members over the age of 18 can sign in to milConnect to access their disenrollment letters if they have a DS Logon. 

Note: Clicking Need Support? on the DS Logon website opens the most current FAQs and instructions for requesting a DS Logon.