Monthly automatic Electronic Funds Transfer (EFT) from checking or savings account

Payment Forms
Electronic Funds Transfer (EFT)

Automatic Premium Payments With Bank Account

This payment method is available to any beneficiary. Please select your plan type and enter the required information to start or stop withdrawals from your checking or savings account.

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TRICARE PRIME

TRICARE SELECT

TRICARE RETIRED RESERVE (TRR)

TRICARE RESERVE SELECT (TRS)

TRICARE YOUNG ADULT (TYA)

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.

System: Billing and Enrollment
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Application: Payment Setup MVC
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Service Desk Group: Humana Military - CRM & ECI