DD Form 3043-1 TRICARE Select Enrollment, Disenrollment, and Change Form (East)

What Is DD Form 3043-1?

This is a form that was released by the U.S. Department of Defense (DoD) on October 1, 2018. The form, often mistakenly referred to as the DA Form 3043-1 , is a military form used by and within the U.S. Army. As of today, no separate instructions for the form are provided by the DoD.

FAQ

Q: What is the DD Form 3043-1?
A: The DD Form 3043-1 is the TRICARE Select Enrollment, Disenrollment, and Change Form (East).

Q: What is TRICARE Select?
A: TRICARE Select is a health insurance option for beneficiaries in the United States.

Q: What can I use the DD Form 3043-1 for?
A: You can use the DD Form 3043-1 to enroll, disenroll, or make changes to your TRICARE Select coverage in the Eastern region.

Q: Who can use this form?
A: This form is for eligible beneficiaries who reside in the Eastern region of the United States.

Q: Is there a deadline for submitting the form?
A: There is no specific deadline for submitting the form, but it is recommended to do so as soon as possible to ensure your coverage is up to date.

Q: What information do I need to provide on the form?
A: You will need to provide personal information, such as your name, Social Security number, and contact information, as well as details about your TRICARE coverage and any changes you wish to make.

Q: Are there any fees associated with using TRICARE Select?
A: Yes, there are out-of-pocket costs, such as deductible and copayment amounts, associated with using TRICARE Select. The specific costs depend on your plan and the services you receive.