[To link directly to this toolkit from your websites, go to www.health.mil/QLEToolkit]
Military families experience lots of change. Many of these changes count as QLEs for TRICARE.
QLEs provide a unique opportunity for beneficiaries to make enrollment changes. With TRICARE Prime, including the US Family Health Plan (USFHP), and TRICARE SelectTRICARE Select is a self-managed, preferred provider network plan. TRICARE Select is a fee-for-service option in the United States that allows you to get care from any TRICARE-authorized provider. Enrollment is required to participate.TRICARE Select, the only other time beneficiaries can make enrollment changes is during the annual TRICARE Open Season.
A QLE for one family member creates a chance for all eligible family members to change their TRICARE health plan during a 90-day eligibility window. A QLE may also mean a beneficiary is no longer eligible for a TRICARE health plan.
Some QLEs may mean beneficiaries become newly eligible for certain premium-based health plans (TRICARE Reserve SelectA premium-based plan for qualified Selected Reserve members and their families.TRICARE Reserve Select, TRICARE Retired Reserve, TRICARE Young Adult, and the Continued Health Care Benefit Program). Enrollment in premium-based health plans can take place at any time throughout the year.
Use the tabs on the left to learn about your options after a QLE and what actions you can take.
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6/27/2022
Separating from the military means that you leave the service before you retire. You and your family may qualify for temporary health care coverage when you separate from the service. Learn more https://www.tricare.mil/LifeEvents/Separating.
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6/22/2022
When you leave active duty after serving more than 30 days, you deactivate. Your coverage depends on whether your time was for a preplanned mission or in support of a contingency operation. Learn more at https://www.tricare.mil/LifeEvents/Deactivating.
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3/7/2022
Service members and their families may qualify for temporary health care coverage when you separate from the service or get out before retiring. To learn more about TRICARE QLEs, visit www.tricare.mil/lifeevents.
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3/7/2022
Retiring from the National Guard and Reserve isn’t itself a QLE. However, turning age 60 after having retired from the National Guard and Reserve is a QLE. Retired Reserve members have different TRICARE options available before and after age 60. To learn more about TRICARE QLEs, visit www.tricare.mil/lifeevents.
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3/7/2022
When you leave active duty after serving more than 30 days, you deactivate. Your coverage depends on whether your time was for a preplanned mission or in support of a contingency operation. To learn more about TRICARE QLEs, visit www.tricare.mil/lifeevents.
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