[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 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 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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TRICARE coverage will continue for the sponsor and dependent children and may continue for former spouses. To learn more about TRICARE QLEs, visit www.tricare.mil/lifeevents.
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Qualifying Life Events Toolkit | About TRICARE
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If the government directs you to change your PCM from a network PCM to a military hospital PCM, or vice versa, it’s a QLE. This only applies if you have TRICARE Prime. This gives you the option to either accept the PCM change or switch to TRICARE Select to continue care through a network PCM. To learn more about TRICARE QLEs, visit www.tricare.mil/lifeevents.
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TRICARE covers adopted children and you have 90 days from your child's adoption to register the child in DEERS and enroll the child or make any eligible enrollment changes. To learn more about TRICARE QLEs, visit www.tricare.mil/lifeevents.
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Qualifying Life Events Toolkit | About TRICARE
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TRICARE covers adopted children and you have 90 days from your child's adoption to register the child in DEERS and enroll the child or make any eligible enrollment changes. To learn more about TRICARE QLEs, visit www.tricare.mil/lifeevents.
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Qualifying Life Events Toolkit | About TRICARE
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Any health insurance other than TRICARE is called "other health insurance." If you lose or gain other health insurance through your employer or a private insurance program, that is a QLE allowing you to make changes to your TRICARE coverage. To learn more about TRICARE QLEs, visit www.tricare.mil/lifeevents.
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Qualifying Life Events Toolkit | About TRICARE
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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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Qualifying Life Events Toolkit | About TRICARE
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Reserve Component members who are activated receive the same benefits as active duty service members and family members begin getting TRICARE coverage as active duty family members. Reserve Component members have 90 days after your activation date to change their family’s health plan. To learn more about TRICARE QLEs, visit www.tricare.mil/lifeevents.
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Qualifying Life Events Toolkit | About TRICARE
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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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