Payment Options

 

TRICARE Reserve Select
TRICARE Retired Reserve
TRICARE Young Adult

TRICARE policy requires TRS,TRR, and TYA beneficiaries to establish an automated method for payment of monthly premiums. Checks are not accepted for monthly payment.

If you have not enrolled in an automated payment method with UnitedHealthcare, now is the time to act. The two accepted payment methods available to you are Electronic Funds Transfer (EFT) from your bank account or a Recurring Credit Card (RCC) payment. 

For TRS & TRR beneficiaries, failure to comply with the automated method of payment requirement will result in suspension of coverage and a 12 month lockout will be applied from the last paid-through date.

 

TRICARE Prime

The following additional payment options are available to beneficiaries enrolled in TRICARE PRIME.


Monthly Allotment from Retirement Pay - TRICARE PRIME ONLY
Have your monthly TRICARE Prime enrollment fees deducted from your retirement pay. You must receive your retirement pay from Defense Finance and Accounting Service (DFAS), Coast Guard, or U.S. Public Health Service. You will not receive billing statements or have to worry about late payments. To start an allotment, please download the Enrollment Fee Allotment Authorization Form.


Annual Payment Option - TRICARE PRIME ONLY
Pay your annual payment in one lump sum. Upon submission of your enrollment form, we will prorate the fee from your enrollment date to September 30th. After that, your annual payment is due on October 1st of each year. No form is necessary to elect this payment option and you will receive a billing statement in the mail approximately 20 days in advance of the payment due date. Payment by Credit Card is required for the annual payment option.


Quarterly Payment Option - TRICARE PRIME ONLY
Quarterly payments are equal to 1/4 of the annual fee amount. Upon submission of your enrollment form, we will prorate the quarterly fee to cover the period until the next fiscal year quarter (January 1st, April 1st, July 1st, or October 1st). After that, your quarterly payment is due on the first of each quarter. No form is necessary to elect this payment option and you will receive a billing statement in the mail approximately 20 days in advance of the payment due date. Payment by Credit Card is required for the quarterly payment option.


Monthly Payment Options - TRICARE PRIME ONLY
Monthly payments are equal to one-twelfth (1/12) of the total annual fee amount. Monthly enrollment fees must be paid through an automated, recurring electronic payment either in the form of an TRICARE Allotment Authorization Form or through Electronic Funds Transfer (EFTs) from the enrollee's designated financial institution (which may include a recurring credit or debit card charge). These are the only acceptable payment methods for the monthly payment option.

 


Payment Forms

Please select the correct payment form, based on your plan and the type of payment you would like to make. 

TRICARE Prime

TRICARE Prime Electronic Payment Authorization Form

TRICARE Prime One-Time Credit Card Payment Request Form

TRICARE Allotment Authorization Form

 

TRS (TRICARE Reserve Select)

TRS Electronic Payment Authorization Form

TRS One-Time Credit Card Payment Request Form

 

TRR (TRICARE Retired Reserve)

TRR Electronic Payment Authorization Form

TRR One-Time Credit Card Payment Request Form

 

TYA (TRICARE Young Adult)

TYA One-Time Credit Card Payment Request Form

TYA Electronic Payment Authorization Form