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<h2><strong>EXTENDED CARE HEALTH OPTION</strong></h2>
<p>The Extended Care Health Option (ECHO) provides financial assistance to beneficiaries with special needs, such as moderate or severe mental retardation, a serious physical disability, or an extraordinary physical or psychological condition, for an integrated set of services and supplies.</p>
<h4><strong>Who Qualifies for ECHO?</strong></h4>
<ul>
<li>Active duty family members</li>
<li>Family members of activated National Guard/Reserve members</li>
<li>Family members who are covered under the <a href="http://www.tricare.mil/tamp" target="_blank">Transitional Assistance Management Program</a></li>
<li>Children or spouses of former service members who are<strong> </strong><a href="http://www.tricare.mil/Plans/Eligibility/Other.aspx" target="_blank">victims of abuse</a> and qualify for the Transitional Compensation Program</li>
<li>Family members of deceased active duty sponsors while they are considered <a href="http://www.tricare.mil/survivors" target="_blank">"transitional survivors"</a></li>
<li>In certain cases, children may remain eligible for ECHO beyond the usual <a href="http://www.tricare.mil/children" target="_blank">age limits</a>; If you or your provider believes a qualifying condition exists, talk to a case manager or your regional contractor to determine eligibility for ECHO benefits</li>
</ul>
<h4><strong>What Does ECHO Cover?</strong></h4>
<p>While all ECHO benefits must be pre-approved, they include some of the following services:</p>
<ul>
<li>Training</li>
<li>Rehabilitation</li>
<li>Special education</li>
<li>Assistive technology devices</li>
<li>Institutional care in private nonprofit, public and state facilities (may include transport to and from)</li>
<li>Home health care</li>
<li>Respite care for the primary caregiver</li>
<li>Incontinence supplies (diapers)</li>
</ul>
<p>{fontweight=500:<strong><em>Note</em></strong>:}<em> ECHO coverage overseas does not give you access to Home Health Care Services or Respite Care Services for Caregivers. Those services are only available within the U.S. and U.S. territories.</em></p>
<h4><strong>Additional ECHO Information</strong></h4>
<p>For more information on ECHO, please visit <a href="https://www.tricare.mil/Plans/SpecialPrograms/ECHO" target="_blank">https://www.tricare.mil/Plans/SpecialPrograms/ECHO</a> or refer to the <a href="https://tricare.mil/-/media/Files/TRICARE/Publications/FactSheets/ECHO_FS.pdf?la=en&hash=473076A4AC46423A93FAA6A1FE748AC0C0E54B1CB628E08131908BB701BEA266" target="_blank">Extended Care Health Option Fact Sheet</a>.</p>
<p><strong>{color=#033787;fontsize=21;fontweight=500:ECHO Registration}</strong></p>
<p><strong>{color=#033787;marginbottom=20;fontsize=21;fontweight=500:Prerequisite for ECHO Registration}</strong></p>
<p>Active duty sponsors with family members seeking ECHO registration must enroll in their service’s <strong>Exceptional Family Member Program (EFMP)</strong>, unless waived in specific situations, and register for ECHO with International SOS Government Services, LLC to be eligible for ECHO benefits.</p>
<h4><strong>How Do You Register for ECHO?</strong></h4>
<p><strong>To register for ECHO, you must complete and submit the </strong><a href="/beneficiaries/tco-media/documents/ECHO-Registration-Form-May2025" target="_blank"><strong>TOP ECHO Registration Form</strong></a><strong> which includes:</strong></p>
<ul>
<li>Instructions to the sponsor</li>
<li>Sponsor information</li>
<li>Beneficiary information</li>
<li>EFMP verification -- signed by EFMP office with start or end date</li>
<li>Provider information and signature, including qualifying diagnosis with date of diagnosis</li>
<li>Required ECHO services</li>
</ul>
<p><strong>NOTE:</strong> There is no retroactive registration for ECHO. Prior authorization must be obtained from the TOP contractor for all ECHO services.</p>
<p>If the EFMP office is not able to access or sign the TOP ECHO Registration Form, one of the following may be acceptable to verify EFMP status and should include the dependent beneficiary's name and EFMP enrollment date when sent, in addition to the TOP ECHO Registration Form:</p>
<ul>
<li>EFMP Enrollment Letter</li>
<li>Q-Code Letter</li>
<li>An electronically generated EFMP verification from an official Branch of Service EFMP website</li>
<li>Form DD-2792: Family Member Medical Summary, signed and stamped by the EFMP office in Section 10 (10a-10f), and the date of enrollment of EFMP documented in the TOP ECHO Registration Form Part 4</li>
</ul>
<p>For more information about EFMP, contact your Service Branch’s EFMP representative or designated EFMP website resource.</p>
<p>Once the TOP ECHO Registration Form has been completed, please submit to International SOS via email, fax, or postal mail, along with any supporting EFMP documentation, if needed.</p>
<table border="0" style="color: rgb(68, 68, 68);" width="0">
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<tr style="height: 15.1pt;">
<td colspan="1" rowspan="1" style="padding: 6pt; width: 67.6pt; height: 15.1pt;" width="90"><p style="margin: 6pt 0in 6pt 0.1in;"><span style="font-weight: 700;">Email:</span></p></td>
<td colspan="1" rowspan="1" style="padding: 6pt; width: 223.55pt; height: 15.1pt;" width="298"><p style="margin: 6pt 0in 6pt 0.1in;"><a style="color: rgb(11, 92, 171);" href="mailto:TRICAREenrollments@top.internationalsos.com" target="_blank">TRICAREenrollments@top.internationalsos.com</a></p></td>
</tr>
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<td colspan="1" rowspan="1" style="padding: 6pt; width: 67.6pt; height: 13.9pt;" width="90"><p style="margin: 6pt 0in 6pt 0.1in;"><span style="font-weight: 700;">Fax: </span></p></td>
<td colspan="1" rowspan="1" style="padding: 6pt; width: 223.55pt; height: 13.9pt;" width="298"><p style="margin: 6pt 0in 6pt 0.1in;">+1-215-773-2740</p></td>
</tr>
<tr style="height: 13.9pt;">
<td colspan="1" rowspan="1" style="padding: 6pt; width: 67.6pt; height: 13.9pt;" width="90"><p style="margin: 6pt 0in 6pt 0.1in;"><span style="font-weight: 700;">Postal Mail:</span></p></td>
<td colspan="1" rowspan="1" style="padding: 6pt; width: 223.55pt; height: 13.9pt;" width="298"><p style="margin: 6pt 0in 6pt 0.1in;">International SOS Government Services, LLC</p><p style="margin: 6pt 0in 6pt 0.1in;">PO Box 760217</p><p style="margin: 6pt 0in 6pt 0.1in;">San Antonio, TX 78245</p></td>
</tr>
</tbody>
</table>
<p><strong><em>Note:</em></strong><em> The TOP ECHO Registration Form and any supporting documents may be sent via postal mail to the above address. Please bear in mind, sending mail from overseas involves multiple postal systems and can lead to extensive delays. If you intend to physically mail your ECHO documentation, please call or email International SOS and provide notice. Please note that the 90-day provisional ECHO registration only occurs once and cannot be renewed, so delays may result in a lapse of ECHO registration.</em></p>
<p>If you have any questions or need assistance, please <a href="/contact-us" target="_blank">contact</a> the TOP Beneficiary Support Center (BSC) (+1-215-942-8393 Option #2 / +1-877-451-8659 Option #2).</p>