Pre-Mobilization Coverage and TAMP

Two Critical Coverage Windows

When a reservist mobilizes for active duty over 30 days.

• Before mobilization: Pre-mobilization coverage prepares the reservist medically
• During mobilization: Active duty TRICARE Prime
• After demobilization: Transitional Assistance Management Program (TAMP) for 180 days

Pre-mobilization and TAMP are bookends to active duty service. Both protect against coverage gaps during status transitions.

Pre-Mobilization Healthcare

Per MCRAMM Chapter 12 and Chapter 10, reservists alerted for mobilization receive medical and dental coordination before active duty begins.

Purpose

• Identify medical conditions before deployment
• Treat conditions would prevent deployment
• Document baseline health status
• Update immunizations
• Address dental issues would limit deployment

Coverage During Pre-Mobilization

The specific coverage depends on alert status.

• Limited military medical care for screening exams
• Some dental work to deployment standards
• Coverage for conditions found during screening
• Immunizations and medical preparations

This is not full TRICARE Prime. The coverage targets deployment readiness specifically.

Performance Steps for Pre-Mobilization Healthcare

Step 1 - Receive Mobilization Alert

When the unit receives mobilization orders.

• Identify members slated for mobilization
• Schedule pre-deployment health assessment (PDHA)
• Coordinate with supporting MTF
• Review existing medical records

Step 2 - Conduct Health Assessment

Each member receives.

• PDHA per current DOD requirements
• Dental evaluation
• Eye exam
• Vaccine review and updates
• Medical screening for deployment-limiting conditions

Step 3 - Address Findings

For conditions found.

• Treatable conditions get treatment
• Conditions warranting deferral or release documented
• Medical waivers processed if needed
• Members medically cleared or held back

Step 4 - Document Readiness

Per MCRAMM Chapter 10.

• Member's PDHA completed and filed
• Dental status documented
• Immunization record updated
• Medical readiness brief to commander

Mobilization Active Duty Coverage

When active duty begins, coverage shifts to TRICARE Prime.

• Member transitions to TRICARE Prime active duty
• Family transitions to TRICARE Prime family member or TRS
• BAH and BAS at active duty rates
• Full medical and dental coverage
• Coverage continues through demobilization

This page focuses on the bookends. Active duty mobilization has its own complex admin processing under MCRAMM Chapter 10.

Transitional Assistance Management Program (TAMP)

Per 10 USC 114510 USC 1145, TAMP provides 180 days of continued TRICARE benefits after qualifying active duty service.

TAMP Eligibility

A reservist qualifies for TAMP after.

• Involuntary mobilization to active duty for over 30 days
• Active duty for over 30 days with active duty TRICARE coverage
• Service connected to a contingency operation in some cases
• Specific qualifying service categories per current DOD policy

TAMP Coverage

During the 180-day TAMP period.

• TRICARE Prime or TRICARE Select coverage continues
• Family members covered under same plan
• No premiums during TAMP period
• Cost-sharing applies per the elected plan
• Active duty TRICARE benefit structure

TAMP Enrollment

Coverage typically transitions automatically.

• Member's records reflect demobilization
• TAMP eligibility automatically applied
• Member continues using TRICARE Prime or transitions to Select
• DEERS reflects the TAMP period

What Happens After TAMP

When the 180 days end.

• Member returns to drilling SMCR (transitions to TRS if eligible and enrolled)
• Member has retirement-eligible status (transitions to retirement healthcare)
• Member separates (transitions to civilian insurance or VA)
• Family loses TRICARE coverage unless member transitions to qualifying status

Continued Healthcare for Service-Connected Conditions

Beyond TAMP, service-connected conditions might continue receiving coverage through.

• VA medical care for service-connected disabilities
• Continued DOD medical evaluation if pending disposition
• Specific transitional programs for combat-injured members

I&I admin coordinates members through these transitions.

Performance Steps for TAMP Coordination

Step 1 - Identify TAMP-Eligible Members

After demobilization.

• Review demobilization rosters
• Identify members with qualifying active duty
• Verify TAMP eligibility per current rules
• Confirm DEERS reflects the TAMP period

Step 2 - Brief Members on TAMP

Within 30 days of demobilization.

• Brief member on TAMP coverage
• Brief on transition options after TAMP ends
• Provide TAMP information sheet
• Document briefing on Page 11

Step 3 - Coordinate Member's Healthcare

During TAMP.

• Member uses TRICARE per coverage type
• Family covered during TAMP
• Coordinate any transitions to TRS or other plans

Step 4 - Plan for TAMP End

Before the 180 days end.

• Member counseled on next coverage option
• TRS enrollment if returning to drilling SELRES (Selected Reserve, what most Marines call SMCR or the Reserves)
• Civilian insurance arrangement if separating
• VA enrollment if applicable
• Retirement healthcare if retiring

Common Errors on Pre-Mobilization and TAMP

These hit during transitions.

1. PDHA not scheduled timely. Member close to mobilization without health assessment. Delays mobilization or creates pre-existing condition issues.
2. Dental issues not addressed. Member arrives at mobilization with non-deployable dental status. Causes deferment or rework.
3. TAMP eligibility not verified. Member assumed covered during 180 days, then learns coverage stopped. Verify eligibility before relying on TAMP.
4. Member not briefed on TAMP transitions. Member's TAMP ends and family loses coverage with no plan. Brief members in advance.
5. Family coverage during transitions miscommunicated. Family might need TRS during mobilization, then lose coverage at end. Coordinate carefully.

Coordination Touchpoints

These transitions touch.

• Supporting MTF: PDHA and pre-deployment medical
• Reserve Health Readiness Program: Medical readiness coordination
• TRICARE Regional Office: TRS, TAMP, and transition coverage
• MCRSC: For administrative transitions
• Member's family doctors: For medical history continuity
• DEERS / RAPIDS: For status updates

Related Roles

Mobilization transitions affect every reservist who deploys.

• Marines (mobilizing reservists) complete PDHA, use TAMP, plan post-TAMP coverage.
• Leaders at the unit verify member medical readiness before mobilization.
• Commanders at I&I oversee unit medical readiness and member transitions.