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Dd 2642 2018-2024 Form: What You Should Know

CAMPUS BENEFIT PACKAGE & CREDIT CARD APPLICATION — 50.00 The TRI CARE Youth Enrollment Benefits Package provides the following benefits to eligible U.S. students in high school or college who enroll in TRI CARE after September 1, 2018, Health Care — TRI CARE Medical Claim — 25.00 Treatment — TRI CARE All medical charges and costs under the TRI CARE Patient's Care and Benefits Package are covered except for medical or dental care not related to TRI CARE. TRI CARE has no control over other claims, other treatment decisions, such as surgical procedures, medication prescriptions, etc. To access medical costs and benefits of any other school or institution, please contact us to discuss your individual situation.

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