DD Form 3043 TRICARE Select Enrollment, Disenrollment, and Change Form

What Is DD Form 3043?

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 , 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?A: The DD Form 3043 is the TRICARE Select Enrollment, Disenrollment, and Change Form.

Q: What is TRICARE Select?A: TRICARE Select is a health insurance program for active duty, retired, and National Guard/Reserve members and their families.

Q: What is the purpose of DD Form 3043?A: The purpose of DD Form 3043 is to enroll, disenroll, or make changes to TRICARE Select coverage.

Q: When should I use DD Form 3043?A: You should use DD Form 3043 when you want to enroll, disenroll, or make changes to your TRICARE Select coverage.

Q: What information is required on DD Form 3043?A: DD Form 3043 requires information such as your personal details, sponsor information, and desired changes to your TRICARE Select coverage.

Q: Are there any fees associated with TRICARE Select?A: Yes, there are annual enrollment fees for most TRICARE Select beneficiaries.

Q: Can I make changes to my TRICARE Select coverage anytime?A: No, there are specific enrollment or change periods during the year for TRICARE Select.