Exhibit A - Beneficiaries Enrollment and Zip Code Data_7.10.23.pdf

PDF 1 MB Posted

Attached to
AT Augusta Military Medical Center Ambulatory Care Center (ATAMMC ACC)
Solicitation number
HT001524R0030
Issued by

About this file

Written by GovTribe AI ·

This exhibit provides beneficiary enrollment and zip code data for the AT Augusta Military Medical Center Ambulatory Care Center (ATAMMC ACC) federal contract opportunity. The data includes over 3,000 beneficiary enrollment records across various zip codes, showing the number of beneficiaries by enrollment group, enrollment type, drive time area and county. Key federal agencies involved are the Defense Health Agency and Fort Belvoir Community Hospital. The solicitation number is HT001524R0030 and seeks services to support the ATAMMC ACC facility.

View the file

Other files

File Type Posted
HT0015-23-R-0030 0002.pdf PDF
Exhibit V_ATAMMC Drive Time.pdf PDF
Exhibit W_DMHRSI_Factsheet.pdf PDF
RFP_Att_F_QandA_ATAMMC ACC_12.11.23 (Attachment F).pdf PDF
Exhibit T_Enrollment Data By Age.xlsx XLSX spreadsheet
RFP_Att_A_ATAMMC_ACC_Pricing Matrix (Attachment A)_v2.xlsx XLSX spreadsheet
Exhibit U_MHS Genesis RM 2.0 Referral Management Guide.pdf PDF
ATAMMC_PWS_12.14.23.pdf PDF
HT0015-23-R-0030 0001.pdf PDF
RFP_Att_C_ATAMMC_ACC_Small Business Participation Plan (Attachment C)_v2.docx DOCX document
Exhibit R - JOES_Survey_Adult_202309_Child_202309.pdf PDF
HT001524R0030 ACC RFP.pdf PDF
Exhibit P-1 - NCR Market Branding ID Guidelines v4.pdf PDF
Exhibit AA-2 Historical Workload Data.xlsx XLSX spreadsheet
Exhibit I - DHA FY23 Annual Training List.pdf PDF
Exhibit J - Government Furnished Equipment.pdf PDF
RFP_Att_D_ATAMMC_ACC_Past Performance Questionnaire (Attachment D).docx DOCX document
Exhibit D - Radiology.pdf PDF
RFP_Att_C_ATAMMC_ACC_Small Business Participation Plan (Attachment C).docx DOCX document
Exhibit M-1 - ATAMMC CME Requirements.pdf PDF
Exhibit E - Credentialing Checklist.pdf PDF
Exhibit N - NCR Standardized Medical Staff Bylaws.pdf PDF
Exhibit C - Laboratory Services.pdf PDF
Exhibit K - Clinical Personnel Education and Training Requirements.pdf PDF
Exhibit S - Skill Types.pdf PDF
ATAMMC_PWS_FINAL.pdf PDF
Exhibit H - DHA Physical Security Checklist.pdf PDF
Exhibit F - Immunization Form.pdf PDF
Exhibit G - Site Security Criteria.pdf PDF
Exhibit O - Personnel Security.pdf PDF
RFP_Att_A_ATAMMC_ACC_Pricing Matrix (Attachment A).xlsx XLSX spreadsheet
Exhibit AA-3 - Wage Determination no.2015-4281 rev. 25.pdf PDF
Exhibit Q - Health Plan Employer Data and Information Set (HEDIS).pdf PDF
Exhibit M-2 - Credentials Management Policy (2018).pdf PDF
Exhibit AA-4 MGMA Encounter Requirements.pdf PDF
RFP_Att_B_ATAMMC_ACCs_Compensation_Plan (Attachment B).xlsx XLSX spreadsheet
Exhibit L - Fill-Vacancy Report.pdf PDF
Exhibit P-2 - ATAMMC logo_color.pdf PDF
RFP_Att_E_ATAMMC_ACC_QandA form (Attachment E).xlsx XLSX spreadsheet
Exhibit B Performance Requirements Summary.pdf PDF
Show all 40

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Beneficiary Zip Code

Beneficiary Count

Enrollment Site Name

Ben Cat Common Desc

ELIGIBILITY

GROUP

DESCRIPTION

ENROLLMENT

GROUP

DESCRIPTION

ENROLLMENT

PCM TYPE

DRIVE TIME

AREA COUNTY

20001 2

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax

District of Columbia

20001 2

CBMH FAIRFAX‐

FT BELVOIR AD/Guard

TRICARE

Eligible Prime

MTF

Prime Fairfax

District of Columbia

20003 2

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax

District of Columbia

20003 16

CBMH FAIRFAX‐

FT BELVOIR AD/Guard

TRICARE

Eligible Prime

MTF

Prime Fairfax

District of Columbia

20003 8

CBMH

DUMFRIES‐FT

BELVOIR AD/Guard

TRICARE

Eligible Prime

MTF

Prime Fairfax

District of Columbia

20007 1

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime Fairfax

District of Columbia

20007 1

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax

District of Columbia

20007 2

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Fairfax

District of Columbia

20016 1

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime Fairfax

District of Columbia

20024 1

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime Fairfax

District of Columbia

ATAMMC PWS Exhibit A - BENEFICIARIES' ENROLLMENT AND ZIP CODE DATA 7.10.23

20024 3

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax

District of Columbia

20024 2

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Fairfax

District of Columbia

20024 3

CBMH FAIRFAX‐

FT BELVOIR AD/Guard

TRICARE

Eligible Prime

MTF

Prime Fairfax

District of Columbia

20024 1

CBMH

DUMFRIES‐FT

BELVOIR AD/Guard

TRICARE

Eligible Prime

MTF

Prime Fairfax

District of Columbia

20032 4

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime Fairfax

District of Columbia

20032 4

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax

District of Columbia

20032 2

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Fairfax

District of Columbia

20032 1

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE Young Adult Prime

MTF

Prime Fairfax

District of Columbia

20032 27

CBMH FAIRFAX‐

FT BELVOIR AD/Guard

TRICARE

Eligible Prime

MTF

Prime Fairfax

District of Columbia

20032 1

CBMH

DUMFRIES‐FT

BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime Fairfax

District of Columbia

20032 5

CBMH

DUMFRIES‐FT

BELVOIR AD/Guard

TRICARE

Eligible Prime

MTF

Prime Fairfax

District of Columbia

20036 1

FT BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Fairfax

District of Columbia

20037 1

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax

District of Columbia

20052 2

CBMH FAIRFAX‐

FT BELVOIR AD/Guard

TRICARE

Eligible Prime

MTF

Prime Fairfax

District of Columbia

20052 1

CBMH

DUMFRIES‐FT

BELVOIR AD/Guard

TRICARE

Eligible Prime

MTF

Prime Fairfax

District of Columbia

20105 113

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime Fairfax

Loudoun County

20105 95

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax

Loudoun County

20105 10

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax

Loudoun County

20105 172

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Fairfax

Loudoun County

20105 6

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax

Loudoun County

20105 1

CBMH FAIRFAX‐

FT BELVOIR AD/Guard

TRICARE

Eligible Prime

MTF

Prime Fairfax

Loudoun County

20105 1

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax

Loudoun County

20105 1

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Fairfax

Loudoun County

20109 61

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax

Prince William County

20109 34

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax

Prince William County

20109 5

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime

Dumfries/Fairf ax

Prince William County

20109 54

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax

Prince William County

20109 12

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime

Dumfries/Fairf ax

Prince William County

20109 2

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life Prime

MTF

Prime

Dumfries/Fairf ax

Prince William County

20109 2

CBMH FAIRFAX‐

FT BELVOIR AD/Guard

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax

Prince William County

20109 4

CBMH

DUMFRIES‐FT

BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax

Prince William County

20109 7

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax

Prince William County

20109 5

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime

Dumfries/Fairf ax

Prince William County

20109 12

DUMFRIES‐FT

BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax

Prince William County

20109 7

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime

Dumfries/Fairf ax

Prince William County

20109 1

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE for Life Prime

MTF

Prime

Dumfries/Fairf ax

Prince William County

20110 68

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax Manassas city

20110 46

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax Manassas city

20110 8

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime

Dumfries/Fairf ax Manassas city

20110 86

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax Manassas city

20110 11

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime

Dumfries/Fairf ax Manassas city

20110 1

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life Prime

MTF

Prime

Dumfries/Fairf ax Manassas city

20110 1

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE Young Adult Prime

MTF

Prime

Dumfries/Fairf ax Manassas city

20110 1

CBMH FAIRFAX‐

FT BELVOIR AD/Guard

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax Manassas city

20110 48

DUMFRIES‐FT

BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax Manassas city

20110 52

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax Manassas city

20110 17

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime

Dumfries/Fairf ax Manassas city

20110 1

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE for Life Prime

MTF

Prime

Dumfries/Fairf ax Manassas city

20110 94

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax Manassas city

20110 11

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime

Dumfries/Fairf ax Manassas city

20110 1

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE for Life Prime

MTF

Prime

Dumfries/Fairf ax Manassas city

20110 1

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE Young Adult Prime

MTF

Prime

Dumfries/Fairf ax Manassas city

20111 88

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax

Prince William County

20111 46

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax

Prince William County

20111 9

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime

Dumfries/Fairf ax

Prince William County

20111 1

FT BELVOIR Retirees

TRICARE for Life Prime

MTF

Prime

Dumfries/Fairf ax

Prince William County

20111 58

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax

Prince William County

20111 9

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime

Dumfries/Fairf ax

Prince William County

20111 3

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life Prime

MTF

Prime

Dumfries/Fairf ax

Prince William County

20111 38

CBMH

DUMFRIES‐FT

BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax

Prince William County

20111 1

CBMH

DUMFRIES‐FT

BELVOIR

AD/Guard Family Member

TRICARE Young Adult Prime

MTF

Prime

Dumfries/Fairf ax

Prince William County

20111 54

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax

Prince William County

20111 24

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime

Dumfries/Fairf ax

Prince William County

20111 78

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax

Prince William County

20111 14

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime

Dumfries/Fairf ax

Prince William County

20111 2

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE for Life Prime

MTF

Prime

Dumfries/Fairf ax

Prince William County

20111 1

DUMFRIES‐FT

BELVOIR Other

TRICARE Young Adult Prime

MTF

Prime

Dumfries/Fairf ax

Prince William County

20112 23

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax

Prince William County

20112 20

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax

Prince William County

20112 3

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime

Dumfries/Fairf ax

Prince William County

20112 29

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax

Prince William County

20112 1

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime

Dumfries/Fairf ax

Prince William County

20112 488

CBMH

DUMFRIES‐FT

BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax

Prince William County

20112 1

CBMH

DUMFRIES‐FT

BELVOIR

AD/Guard Family Member

TRICARE Young Adult Prime

MTF

Prime

Dumfries/Fairf ax

Prince William County

20112 374

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax

Prince William County

20112 98

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime

Dumfries/Fairf ax

Prince William County

20112 7

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE for Life Prime

MTF

Prime

Dumfries/Fairf ax

Prince William County

20112 1

DUMFRIES‐FT

BELVOIR Other

Direct Care Only TRICARE Plus

MTF

Prime

Dumfries/Fairf ax

Prince William County

20112 697

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax

Prince William County

20112 85

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime

Dumfries/Fairf ax

Prince William County

20112 8

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE for Life Prime

MTF

Prime

Dumfries/Fairf ax

Prince William County

20112 14

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE Young Adult Prime

MTF

Prime

Dumfries/Fairf ax

Prince William County

20112 7

CBMH

DUMFRIES‐FT

BELVOIR AD/Guard

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax

Prince William County

20119 3

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Dumfries

Fauquier County

20119 6

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Dumfries

Fauquier County

20119 4

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Dumfries

Fauquier County

20119 6

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Dumfries

Fauquier County

20119 1

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime Dumfries

Fauquier County

20120 176

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

20120 1

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Select Not Enrolled Fairfax Fairfax County

20120 124

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

20120 40

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax Fairfax County

20120 2

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life Prime

MTF

Prime Fairfax Fairfax County

20120 238

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

20120 29

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax Fairfax County

20120 1

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life Prime

MTF

Prime Fairfax Fairfax County

20120 1

CBMH

DUMFRIES‐FT

BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

20120 1

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

20120 1

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

20121 61

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

20121 55

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

20121 8

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax Fairfax County

20121 1

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life Prime

MTF

Prime Fairfax Fairfax County

20121 93

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

20121 6

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax Fairfax County

20121 2

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life Prime

MTF

Prime Fairfax Fairfax County

20121 2

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE Young Adult Prime

MTF

Prime Fairfax Fairfax County

20121 1

CBMH

DUMFRIES‐FT

BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

20121 1

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

20121 2

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax Fairfax County

20121 4

DUMFRIES‐FT

BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

20121 1

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax Fairfax County

20124 136

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax Fairfax County

20124 1

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE Young Adult Prime

MTF

Prime

Dumfries/Fairf ax Fairfax County

20124 78

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax Fairfax County

20124 37

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime

Dumfries/Fairf ax Fairfax County

20124 1

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life Prime

MTF

Prime

Dumfries/Fairf ax Fairfax County

20124 178

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax Fairfax County

20124 25

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime

Dumfries/Fairf ax Fairfax County

20124 4

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE Young Adult Prime

MTF

Prime

Dumfries/Fairf ax Fairfax County

20124 3

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax Fairfax County

20124 1

DUMFRIES‐FT

BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime

Dumfries/Fairf ax Fairfax County

20124 4

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax Fairfax County

20136 98

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax

Prince William County

20136 2

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Select Not Enrolled

Dumfries/Fairf ax

Prince William County

20136 1

CBMH FAIRFAX‐

FT BELVOIR Retirees

Direct Care Only TRICARE Plus

MTF

Prime

Dumfries/Fairf ax

Prince William County

20136 74

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax

Prince William County

20136 11

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime

Dumfries/Fairf ax

Prince William County

20136 2

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life Prime

MTF

Prime

Dumfries/Fairf ax

Prince William County

20136 155

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax

Prince William County

20136 8

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime

Dumfries/Fairf ax

Prince William County

20136 2

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life Prime

MTF

Prime

Dumfries/Fairf ax

Prince William County

20136 2

FT BELVOIR Other

TRICARE Young Adult Prime

MTF

Prime

Dumfries/Fairf ax

Prince William County

20136 34

CBMH

DUMFRIES‐FT

BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax

Prince William County

20136 50

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax

Prince William County

20136 11

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime

Dumfries/Fairf ax

Prince William County

20136 91

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax

Prince William County

20136 6

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime

Dumfries/Fairf ax

Prince William County

20136 3

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE Young Adult Prime

MTF

Prime

Dumfries/Fairf ax

Prince William County

20136 1

CBMH

DUMFRIES‐FT

BELVOIR AD/Guard

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax

Prince William County

20137 2

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax

Fauquier County

20137 2

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax

Fauquier County

20137 3

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Fairfax

Fauquier County

20137 2

FT BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax

Fauquier County

20137 1

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE for Life Prime

MTF

Prime Fairfax

Fauquier County

20143 6

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime Fairfax

Prince William County

20143 3

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax

Prince William County

20143 1

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax

Prince William County

20143 7

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Fairfax

Prince William County

20143 1

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax

Prince William County

20147 78

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime Fairfax

Loudoun County

20147 54

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax

Loudoun County

20147 25

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax

Loudoun County

20147 1

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life Prime

MTF

Prime Fairfax

Loudoun County

20147 70

FT BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Fairfax

Loudoun County

20147 19

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax

Loudoun County

20147 2

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE Young Adult Prime

MTF

Prime Fairfax

Loudoun County

20147 1

CBMH FAIRFAX‐

FT BELVOIR AD/Guard

TRICARE

Eligible Prime

MTF

Prime Fairfax

Loudoun County

20147 2

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax

Loudoun County

20147 1

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax

Loudoun County

20148 157

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime Fairfax

Loudoun County

20148 1

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE Young Adult Prime

MTF

Prime Fairfax

Loudoun County

20148 77

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax

Loudoun County

20148 8

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax

Loudoun County

20148 128

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Fairfax

Loudoun County

20148 6

FT BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax

Loudoun County

20148 1

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life Prime

MTF

Prime Fairfax

Loudoun County

20148 1

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax

Loudoun County

20148 2

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Fairfax

Loudoun County

20148 1

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax

Loudoun County

20151 79

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

20151 1

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE Young Adult Prime

MTF

Prime Fairfax Fairfax County

20151 52

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

20151 22

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax Fairfax County

20151 2

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life Prime

MTF

Prime Fairfax Fairfax County

20151 103

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

20151 17

FT BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax Fairfax County

20151 3

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life Prime

MTF

Prime Fairfax Fairfax County

20151 2

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE Young Adult Prime

MTF

Prime Fairfax Fairfax County

20151 381

CBMH FAIRFAX‐

FT BELVOIR AD/Guard

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

20151 8

CBMH

DUMFRIES‐FT

BELVOIR AD/Guard

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

20152 142

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime Fairfax

Loudoun County

20152 90

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax

Loudoun County

20152 15

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax

Loudoun County

20152 165

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Fairfax

Loudoun County

20152 9

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax

Loudoun County

20152 1

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life Prime

MTF

Prime Fairfax

Loudoun County

20152 1

DUMFRIES‐FT

BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax

Loudoun County

20152 3

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Fairfax

Loudoun County

20155 124

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime Fairfax

Prince William County

20155 138

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax

Prince William County

20155 2

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Select Not Enrolled Fairfax

Prince William County

20155 30

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax

Prince William County

20155 2

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life Prime

MTF

Prime Fairfax

Prince William County

20155 247

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Fairfax

Prince William County

20155 3

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE

Eligible Select Not Enrolled Fairfax

Prince William County

20155 15

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax

Prince William County

20155 1

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life Prime

MTF

Prime Fairfax

Prince William County

20155 1

DUMFRIES‐FT

BELVOIR

AD/Guard Family Member

Direct Care Only

Direct Care Only Not Enrolled Fairfax

Prince William County

20155 5

CBMH

DUMFRIES‐FT

BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime Fairfax

Prince William County

20155 19

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax

Prince William County

20155 6

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax

Prince William County

20155 1

CBMH

DUMFRIES‐FT

BELVOIR Other

Direct Care Only TRICARE Plus

MTF

Prime Fairfax

Prince William County

20155 30

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Fairfax

Prince William County

20155 4

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax

Prince William County

20164 46

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime Fairfax

Loudoun County

20164 18

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax

Loudoun County

20164 7

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax

Loudoun County

20164 27

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Fairfax

Loudoun County

20164 8

FT BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax

Loudoun County

20164 1

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life Prime

MTF

Prime Fairfax

Loudoun County

20164 10

CBMH FAIRFAX‐

FT BELVOIR AD/Guard

TRICARE

Eligible Prime

MTF

Prime Fairfax

Loudoun County

20164 1

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax

Loudoun County

20164 1

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax

Loudoun County

20164 1

CBMH

DUMFRIES‐FT

BELVOIR AD/Guard

TRICARE

Eligible Prime

MTF

Prime Fairfax

Loudoun County

20165 29

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime Fairfax

Loudoun County

20165 31

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax

Loudoun County

20165 11

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax

Loudoun County

20165 47

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Fairfax

Loudoun County

20165 9

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax

Loudoun County

20165 2

DUMFRIES‐FT

BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax

Loudoun County

20166 27

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime Fairfax

Loudoun County

20166 1

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE Young Adult Prime

MTF

Prime Fairfax

Loudoun County

20166 24

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax

Loudoun County

20166 6

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax

Loudoun County

20166 1

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life Prime

MTF

Prime Fairfax

Loudoun County

20166 31

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Fairfax

Loudoun County

20166 2

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax

Loudoun County

20169 132

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime Fairfax

Prince William County

20169 112

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax

Prince William County

20169 19

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax

Prince William County

20169 1

FT BELVOIR Retirees

TRICARE for Life Prime

MTF

Prime Fairfax

Prince William County

20169 211

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Fairfax

Prince William County

20169 14

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax

Prince William County

20169 1

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life Prime

MTF

Prime Fairfax

Prince William County

20169 3

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE Young Adult Prime

MTF

Prime Fairfax

Prince William County

20169 9

CBMH

DUMFRIES‐FT

BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime Fairfax

Prince William County

20169 8

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax

Prince William County

20169 2

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax

Prince William County

20169 16

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Fairfax

Prince William County

20169 2

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax

Prince William County

20170 78

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

20170 52

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

20170 1

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Select Not Enrolled Fairfax Fairfax County

20170 11

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax Fairfax County

20170 1

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life Prime

MTF

Prime Fairfax Fairfax County

20170 95

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

20170 14

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax Fairfax County

20170 1

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life Prime

MTF

Prime Fairfax Fairfax County

20170 4

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE Young Adult Prime

MTF

Prime Fairfax Fairfax County

20170 1

CBMH FAIRFAX‐

FT BELVOIR AD/Guard

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

20171 223

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

20171 91

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

20171 35

FT BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax Fairfax County

20171 173

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

20171 21

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax Fairfax County

20171 3

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life Prime

MTF

Prime Fairfax Fairfax County

20171 2

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE Young Adult Prime

MTF

Prime Fairfax Fairfax County

20171 1

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

20171 3

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

20175 23

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime Fairfax

Loudoun County

20175 16

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax

Loudoun County

20175 2

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax

Loudoun County

20175 1

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life Prime

MTF

Prime Fairfax

Loudoun County

20175 22

FT BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Fairfax

Loudoun County

20175 1

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax

Loudoun County

20175 1

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life Prime

MTF

Prime Fairfax

Loudoun County

20175 1

CBMH FAIRFAX‐

FT BELVOIR AD/Guard

TRICARE

Eligible Prime

MTF

Prime Fairfax

Loudoun County

20175 2

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax

Loudoun County

20175 1

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Fairfax

Loudoun County

20176 18

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime Fairfax

Loudoun County

20176 32

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax

Loudoun County

20176 9

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax

Loudoun County

20176 1

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life Prime

MTF

Prime Fairfax

Loudoun County

20176 44

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Fairfax

Loudoun County

20176 10

FT BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax

Loudoun County

20176 1

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life Prime

MTF

Prime Fairfax

Loudoun County

20176 2

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE Young Adult Prime

MTF

Prime Fairfax

Loudoun County

20176 1

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Fairfax

Loudoun County

20181 11

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax

Prince William County

20181 9

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax

Prince William County

20181 3

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime

Dumfries/Fairf ax

Prince William County

20181 13

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax

Prince William County

20181 1

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime

Dumfries/Fairf ax

Prince William County

20181 51

CBMH

DUMFRIES‐FT

BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax

Prince William County

20181 48

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax

Prince William County

20181 13

DUMFRIES‐FT

BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime

Dumfries/Fairf ax

Prince William County

20181 82

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax

Prince William County

20181 9

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime

Dumfries/Fairf ax

Prince William County

20181 2

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE for Life Prime

MTF

Prime

Dumfries/Fairf ax

Prince William County

20181 2

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE Young Adult Prime

MTF

Prime

Dumfries/Fairf ax

Prince William County

20187 11

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime Fairfax

Fauquier County

20187 22

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax

Fauquier County

20187 6

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax

Fauquier County

20187 2

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life Prime

MTF

Prime Fairfax

Fauquier County

20187 30

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Fairfax

Fauquier County

20187 4

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax

Fauquier County

20187 1

FT BELVOIR Other

TRICARE Young Adult Prime

MTF

Prime Fairfax

Fauquier County

20187 4

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax

Fauquier County

20187 2

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax

Fauquier County

20187 13

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Fairfax

Fauquier County

20187 2

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax

Fauquier County

20190 31

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

20190 22

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

20190 3

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax Fairfax County

20190 1

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life Prime

MTF

Prime Fairfax Fairfax County

20190 33

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

20190 2

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE

Eligible Select Not Enrolled Fairfax Fairfax County

20190 3

FT BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax Fairfax County

20190 2

CBMH FAIRFAX‐

FT BELVOIR AD/Guard

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

20191 51

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

20191 45

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

20191 17

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax Fairfax County

20191 60

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

20191 20

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax Fairfax County

20191 2

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life Prime

MTF

Prime Fairfax Fairfax County

20194 23

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

20194 1

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE Young Adult Prime

MTF

Prime Fairfax Fairfax County

20194 16

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

20194 4

FT BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax Fairfax County

20194 21

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

20194 1

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax Fairfax County

20198 1

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime Fairfax

Fauquier County

20198 1

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax

Fauquier County

20198 1

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Fairfax

Fauquier County

20198 1

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax

Fauquier County

20198 2

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Fairfax

Fauquier County

20201 2

CBMH FAIRFAX‐

FT BELVOIR AD/Guard

TRICARE

Eligible Prime

MTF

Prime Fairfax

District of Columbia

20472 1

CBMH

DUMFRIES‐FT

BELVOIR AD/Guard

TRICARE

Eligible Prime

MTF

Prime Fairfax

District of Columbia

20520 1

CBMH FAIRFAX‐

FT BELVOIR AD/Guard

TRICARE

Eligible Prime

MTF

Prime Fairfax

District of Columbia

20530 1

FT BELVOIR AD/Guard

TRICARE

Eligible Prime

MTF

Prime Fairfax

District of Columbia

20536 4

CBMH FAIRFAX‐

FT BELVOIR AD/Guard

TRICARE

Eligible Prime

MTF

Prime Fairfax

District of Columbia

20585 1

CBMH

DUMFRIES‐FT

BELVOIR AD/Guard

TRICARE

Eligible Prime

MTF

Prime Fairfax

District of Columbia

20616 1

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime Dumfries Charles County

20640 1

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Dumfries Charles County

20640 1

CBMH FAIRFAX‐

FT BELVOIR AD/Guard

TRICARE

Eligible Prime

MTF

Prime Dumfries Charles County

20744 2

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime Fairfax

Prince George's County

20744 1

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax

Prince George's County

20744 3

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Fairfax

Prince George's County

20744 1

CBMH

DUMFRIES‐FT

BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime Fairfax

Prince George's County

20744 3

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax

Prince George's County

20744 2

DUMFRIES‐FT

BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax

Prince George's County

20744 1

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Fairfax

Prince George's County

20744 1

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax

Prince George's County

20745 1

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime Fairfax

Prince George's County

20745 6

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax

Prince George's County

20745 3

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Fairfax

Prince George's County

20745 4

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax

Prince George's County

20745 3

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Fairfax

Prince George's County

20745 1

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax

Prince George's County

20814 1

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime Fairfax

Montgomery County

20814 1

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax

Montgomery County

20814 1

FT BELVOIR AD/Guard

Direct Care Only

Direct Care Only Not Enrolled Fairfax

Montgomery County

20814 4

CBMH FAIRFAX‐

FT BELVOIR AD/Guard

TRICARE

Eligible Prime

MTF

Prime Fairfax

Montgomery County

20815 1

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax

Montgomery County

20816 1

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax

Montgomery County

20816 4

CBMH FAIRFAX‐

FT BELVOIR AD/Guard

TRICARE

Eligible Prime

MTF

Prime Fairfax

Montgomery County

20817 1

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime Fairfax

Montgomery County

20817 1

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax

Montgomery County

20817 1

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax

Montgomery County

20817 1

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax

Montgomery County

20817 2

CBMH FAIRFAX‐

FT BELVOIR AD/Guard

TRICARE

Eligible Prime

MTF

Prime Fairfax

Montgomery County

20837 1

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax

Montgomery County

20852 2

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime Fairfax

Montgomery County

20852 1

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax

Montgomery County

20852 2

CBMH FAIRFAX‐

FT BELVOIR AD/Guard

TRICARE

Eligible Prime

MTF

Prime Fairfax

Montgomery County

20852 1

CBMH

DUMFRIES‐FT

BELVOIR AD/Guard

TRICARE

Eligible Prime

MTF

Prime Fairfax

Montgomery County

20854 8

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime Fairfax

Montgomery County

20854 3

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax

Montgomery County

20854 2

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Fairfax

Montgomery County

22003 297

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax Fairfax County

22003 1

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE Young Adult Prime

MTF

Prime

Dumfries/Fairf ax Fairfax County

22003 90

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax Fairfax County

22003 53

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime

Dumfries/Fairf ax Fairfax County

22003 210

FT BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax Fairfax County

22003 50

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime

Dumfries/Fairf ax Fairfax County

22003 1

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life None Not Enrolled

Dumfries/Fairf ax Fairfax County

22003 3

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE Young Adult Prime

MTF

Prime

Dumfries/Fairf ax Fairfax County

22003 2

CBMH FAIRFAX‐

FT BELVOIR AD/Guard

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax Fairfax County

22003 6

CBMH

DUMFRIES‐FT

BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax Fairfax County

22003 1

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax Fairfax County

22003 1

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime

Dumfries/Fairf ax Fairfax County

22015 779

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax Fairfax County

22015 211

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax Fairfax County

22015 132

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime

Dumfries/Fairf ax Fairfax County

22015 522

FT BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax Fairfax County

22015 115

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime

Dumfries/Fairf ax Fairfax County

22015 5

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life Prime

MTF

Prime

Dumfries/Fairf ax Fairfax County

22015 9

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE Young Adult Prime

MTF

Prime

Dumfries/Fairf ax Fairfax County

22015 19

CBMH

DUMFRIES‐FT

BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax Fairfax County

22015 7

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax Fairfax County

22015 2

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime

Dumfries/Fairf ax Fairfax County

22015 10

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax Fairfax County

22015 3

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime

Dumfries/Fairf ax Fairfax County

22015 1

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE Young Adult Prime

MTF

Prime

Dumfries/Fairf ax Fairfax County

22025 6

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime Dumfries

Prince William County

22025 1

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Dumfries

Prince William County

22025 1

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime Dumfries

Prince William County

22025 2

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime Dumfries

Prince William County

22025 489

CBMH

DUMFRIES‐FT

BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime Dumfries

Prince William County

22025 1

CBMH

DUMFRIES‐FT

BELVOIR

AD/Guard Family Member

TRICARE Young Adult Prime

MTF

Prime Dumfries

Prince William County

22025 291

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Dumfries

Prince William County

22025 179

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime Dumfries

Prince William County

22025 6

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE for Life Prime

MTF

Prime Dumfries

Prince William County

22025 528

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Dumfries

Prince William County

22025 155

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime Dumfries

Prince William County

22025 9

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE for Life Prime

MTF

Prime Dumfries

Prince William County

22025 8

DUMFRIES‐FT

BELVOIR Other

TRICARE Young Adult Prime

MTF

Prime Dumfries

Prince William County

22026 2

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime Dumfries

Prince William County

22026 4

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Dumfries

Prince William County

22026 3

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Dumfries

Prince William County

22026 1

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime Dumfries

Prince William County

22026 351

CBMH

DUMFRIES‐FT

BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime Dumfries

Prince William County

22026 1

CBMH

DUMFRIES‐FT

BELVOIR Retirees

Direct Care Only TRICARE Plus

MTF

Prime Dumfries

Prince William County

22026 271

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Dumfries

Prince William County

22026 43

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime Dumfries

Prince William County

22026 7

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE for Life Prime

MTF

Prime Dumfries

Prince William County

22026 442

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Dumfries

Prince William County

22026 46

DUMFRIES‐FT

BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime Dumfries

Prince William County

22026 3

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE for Life Prime

MTF

Prime Dumfries

Prince William County

22026 4

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE Young Adult Prime

MTF

Prime Dumfries

Prince William County

22027 1

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

22027 1

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE Young Adult Prime

MTF

Prime Fairfax Fairfax County

22027 6

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

22027 1

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax Fairfax County

22027 9

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

22030 1

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

Direct Care Only

Direct Care Only Not Enrolled

Dumfries/Fairf ax Fairfax city

22030 322

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax Fairfax city

22030 156

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax Fairfax city

22030 51

FT BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime

Dumfries/Fairf ax Fairfax city

22030 2

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life Prime

MTF

Prime

Dumfries/Fairf ax Fairfax city

22030 287

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax Fairfax city

22030 49

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime

Dumfries/Fairf ax Fairfax city

22030 5

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life Prime

MTF

Prime

Dumfries/Fairf ax Fairfax city

22030 1

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE Young Adult Prime

MTF

Prime

Dumfries/Fairf ax Fairfax city

22030 9

CBMH FAIRFAX‐

FT BELVOIR AD/Guard

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax Fairfax city

22030 1

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime

Dumfries/Fairf ax Fairfax city

22030 1

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime

Dumfries/Fairf ax Fairfax city

22031 220

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

22031 89

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

22031 30

FT BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax Fairfax County

22031 2

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life Prime

MTF

Prime Fairfax Fairfax County

22031 1

CBMH FAIRFAX‐

FT BELVOIR Other

Direct Care Only TRICARE Plus

MTF

Prime Fairfax Fairfax County

22031 166

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

22031 31

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax Fairfax County

22031 1

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life Prime

MTF

Prime Fairfax Fairfax County

22031 3

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE Young Adult Prime

MTF

Prime Fairfax Fairfax County

22031 1

CBMH FAIRFAX‐

FT BELVOIR AD/Guard

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

22032 493

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax Fairfax County

22032 185

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax Fairfax County

22032 91

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime

Dumfries/Fairf ax Fairfax County

22032 1

FT BELVOIR Retirees

TRICARE for Life Prime

MTF

Prime

Dumfries/Fairf ax Fairfax County

22032 2

CBMH FAIRFAX‐

FT BELVOIR Other

Direct Care Only TRICARE Plus

MTF

Prime

Dumfries/Fairf ax Fairfax County

22032 381

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax Fairfax County

22032 110

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime

Dumfries/Fairf ax Fairfax County

22032 5

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life Prime

MTF

Prime

Dumfries/Fairf ax Fairfax County

22032 7

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE Young Adult Prime

MTF

Prime

Dumfries/Fairf ax Fairfax County

22032 4

CBMH FAIRFAX‐

FT BELVOIR AD/Guard

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax Fairfax County

22032 1

CBMH

DUMFRIES‐FT

BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax Fairfax County

22032 2

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax Fairfax County

22033 210

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

22033 109

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

22033 26

FT BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax Fairfax County

22033 1

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life Prime

MTF

Prime Fairfax Fairfax County

22033 173

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

22033 24

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax Fairfax County

22033 2

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life Prime

MTF

Prime Fairfax Fairfax County

22033 5

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE Young Adult Prime

MTF

Prime Fairfax Fairfax County

22033 3

CBMH

DUMFRIES‐FT

BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

22033 2

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

22033 1

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax Fairfax County

22039 221

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax Fairfax County

22039 107

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax Fairfax County

22039 45

FT BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime

Dumfries/Fairf ax Fairfax County

22039 3

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life Prime

MTF

Prime

Dumfries/Fairf ax Fairfax County

22039 273

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax Fairfax County

22039 43

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime

Dumfries/Fairf ax Fairfax County

22039 2

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE Young Adult Prime

MTF

Prime

Dumfries/Fairf ax Fairfax County

22039 27

CBMH

DUMFRIES‐FT

BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax Fairfax County

22039 29

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax Fairfax County

22039 20

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime

Dumfries/Fairf ax Fairfax County

22039 71

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime

Dumfries/Fairf ax Fairfax County

22039 17

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime

Dumfries/Fairf ax Fairfax County

22039 1

CBMH

DUMFRIES‐FT

BELVOIR Other

TRICARE for Life Prime

MTF

Prime

Dumfries/Fairf ax Fairfax County

22041 5

FT BELVOIR

AD/Guard Family Member

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

22041 10

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

22041 3

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax Fairfax County

22041 1

CBMH FAIRFAX‐

FT BELVOIR Retirees

TRICARE for Life Prime

MTF

Prime Fairfax Fairfax County

22041 18

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

22041 3

CBMH FAIRFAX‐

FT BELVOIR Other

TRICARE for Life TRICARE Plus

MTF

Prime Fairfax Fairfax County

22041 99

CBMH FAIRFAX‐

FT BELVOIR AD/Guard

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

22041 1

CBMH

DUMFRIES‐FT

BELVOIR Retirees

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

22041 8

CBMH

DUMFRIES‐FT

BELVOIR AD/Guard

TRICARE

Eligible Prime

MTF

Prime Fairfax Fairfax County

22042 44

CBMH FAIRFAX‐

FT BELVOIR

AD/Guard Family Member

T…

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File details come from the government source that posted it. Updated .