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Automatic Premium Payments With Allotment
This payment method is required for retired beneficiaries enrolled in TRICARE Prime or Select, where feasible. Please select your plan type and enter the required information to start or stop withdrawls from your allotment.
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TRICARE Prime
TRICARE Select
Selecting an option is required.
DOD BENEFIT NUMBER (DBN)
DOD BENEFIT NUMBER (DBN) is required.
DATE OF BIRTH
DATE OF BIRTH is required.
FIRST NAME
FIRST NAME is required.
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