Military care waiver form 2025

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The document is an Access to Care Waiver Form for the TRICARE program, specifically for Prime and Young Adult Prime (TYA) enrollees. It requires the identification of the sponsor and young adult, along with their Social Security Numbers. The form includes a waiver statement acknowledging that if the selected Primary Care Manager (PCM) is more than a 30-minute drive from the residence or outside the Prime Service Area, both primary and specialty care access standards are waived. It concludes with instructions for mailing or faxing the completed form and includes a Privacy Act statement.

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Click ‘Get Form’ to open the military care waiver form in the editor.
Select your TRICARE Program from the options provided: Prime or Young Adult Prime (TYA).
Identify the sponsor for Prime or Young Adult for TYA by entering their name and Social Security Number (SSN) in the designated fields.
Fill in the Young Adult's name and SSN as required.
Read through the Access to Care Waiver Statement carefully. Acknowledge your understanding by signing in the provided space.
Enter the date of signing in the specified field.
Once completed, you can easily mail or fax the form using the contact information provided at the bottom of the document.

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What are the odds of getting a medical waiver in the Army?

47% (Army) to 66% (Navy) of DQed applicants sought a medical waiver. Approval rates ranged from 61% (Air Force) to 73% (Marine Corps). Most commonly sought waivers matched most common DQs at MEPS. Overall, 73-80% of applicants accessed.

How to get a military medical waiver?

Waiver Application: If an individual is found to have a disqualifying medical condition, they may have the option to apply for a medical waiver. This involves submitting documentation and medical records related to the condition, along with any additional information requested by the military branch.

How long does it take to get a medical waiver for the Air Force?

Overall Medical Waiver Consideration and Approval Metrics Overall, waiver approval rates ranged from 61% (Air Force) to 73% (Marine Corps).

How long does a medical waiver take to get approved by the Air Force?

But the approval rates varied by service branch: The Air Force was lowest at 65 percent, while the Marine Corps had the highest waiver approval rate at 98 percent.

How long does it take for a waiver to be approved?

The Deputy Chief of Staff (DCS), G-1 Director of Military Personnel Management (DMPM) is the approval authority for medical waivers for psychiatric and behavior health conditions identified in paragraph 4a of this directive and for all major misconduct waivers.