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Member Resources

Empowering your health journey—manage coverage and optimize benefits.

Explore a wealth of resources to help you make the most of your health plan. Whether you're new or a current member, you'll find detailed guides on benefits usage, after-hours and emergency care, prescription services, reimbursements, and more—all designed to empower you on your healthcare journey.

Your Plan Documents

Find key documents and forms, including reimbursement.

2025 Member Handbook
Handbook [PDF] — Guide to 2025 US Family Health Plan benefits, services, and policies.
Permission for Member Services to Discuss My Health Information
Form [PDF] — Allow Member Services to speak with your chosen family or friends about your care.
TRICARE Appeals Authorization and Appointment of Representative
Form [PDF] — Appoint a representative to act on your behalf during TRICARE appeals. This authority applies only to appeal-related matters and remains valid through the resolution of your case.
Transition of Care Form
Form [PDF] — Prevent care gaps when transitioning to Martin’s Point US Family Health Plan.
 
Active-Duty Families & Medicare Part B Retirees
SOB [PDF] — View 2025 benefits with comprehensive coverage and no copays for essential services.
Retirees, Survivors, Families & TRICARE Young Adult
SOB [PDF] — See 2025 coverage details, costs, and services available.
 
Electronic Payment Authorization Form
Form [PDF] — Set up automatic payments by EFT or credit card with annual, quarterly, or monthly options.
Enrollment Fee Allotment Authorization Form
Form [PDF] — Authorize TRICARE Prime enrollment fee allotment or make an initial payment.
Prescription Setup & Payment Guide
Guide [PDF] — Start mail-order prescriptions and set up convenient payment options.
Monthly Allotment Authorizations

Set up a monthly allotment from your military retirement pay for TRICARE Prime enrollment fees. This form ensures a seamless and automated payment process. Make sure to review sponsor requirements and important details for allotment setup.

Set Up Monthly Allotment
 
Medical Reimbursement Request Form
Form [PDF] — Request a refund for out-of-pocket medical expenses.
Travel Reimbursement Voucher
Form [PDF] — Get reimbursed for travel costs related to medical care.

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Benefits and Programs

Explore added services and programs for managing your care including health care checklists, emergency care, and pharmacy documents. 

Looking for Prescription Drug or Discount Programs & Extra Services?

For detailed information on these benefits, please visit the Pharmacy & Prescription Drug and Discount Programs & Extra Services hub pages.

 
Mail Order Pharmacy Quickstart Guide
Guide [PDF] — Step-by-step guide for starting your Martin’s Point mail-order pharmacy service. 
Martin’s Point USFHP Mail Order Pharmacy Form
Form [PDF] — Set up and manage your prescription deliveries through USFHP Mail Order Pharmacy.
Martin’s Point Alternate Address Form
Form [PDF] — Specify an alternate address for mail-order prescription deliveries.
Caremark Prescription Reimbursement Claim Form
Form [PDF] — Submit claims for prescriptions filled outside the mail-order service.
 
Preventive Care Checklist
Checklist [PDF] — Single-sheet guide with a checklist, medication tracker, and tips for productive doctor visits.
Pediatric Preventive Care Checklist
Checklist [PDF] — Track your child’s health screenings and vaccination schedule with this easy-to-follow guide.
Health Coach Service
Learn More — Learn about our Health Coach Service and how it can help you reach your wellness goals.
Guide [PDF] — Download the Health Coach Service guide to explore personalized support and coaching options.

When immediate medical attention is needed, choose the right care setting to ensure you get the help you need quickly and efficiently.

  • Emergency Room (ER): For life-threatening conditions, such as severe injuries or symptoms that could indicate a heart attack or stroke, the ER is your safest choice.
Find a Local Hospital/ER

 

  • Urgent Care Clinics and PCP: For less severe issues that still require prompt attention, like minor injuries or illnesses, your Primary Care Provider (PCP) or an urgent care clinic can provide fast, quality care at a lower cost.
Find a Local Urgent Care Clinic

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Additional Services and Support

Additional plan details including third-party vendors, state resources, and more.

Quality Program Summary [PDF]

Learn about our commitment to healthcare quality and member satisfaction with this program summary.

US Family Health Plan | Notice of Privacy Practices [PDF]

Learn how your personal health information is used and kept secure with our Privacy Practices notice.

Health Plan Member Rights and Responsibilities Statement [PDF]

Know your rights and responsibilities as a US Family Health Plan member for a better healthcare experience.

Our page connects you directly with trusted partners, making it easier than ever to manage your benefits. From exclusive discounts to personalized support, our vendors are here to help you get the most out of your membership. Direct access to the services and solutions you need. Explore what’s available and take control of your health and wellness today!

Explore Our Trusted Third-Party Vendors

Grievances 

If you’re unhappy with a service, provider experience, or any aspect of your care, you have the right to file a grievance. It’s your way to let us know something didn’t go as expected. We take your concerns seriously and will investigate and respond.  

To file a grievance, call Member Services or send your concern in writing. You’ll receive a response within 30 calendar days. If more time is needed, we’ll let you know why.  

Appeals  

If a service or claim is denied and you disagree with the decision, you have the right to appeal. An appeal is a formal request for us to review and reconsider a decision we’ve made about your coverage.  

To start an appeal, submit a fax or written request. Appeals must be submitted within 90 days of the denial notice. We will review your case and send you a decision by mail.  

You can also authorize someone else, such as a provider or family member, to file an appeal for you. 

Appeals Department Fax: (207) 828-7849 
Mail Appeals to:  
P.O. Box 8832 
Portland, Maine 
04104 

Please call us at 1-888-674-8734 (TTY: 711), 8am–5pm, Monday through Friday to discuss your concerns.

For detailed information, visit:

Member Grievances and Appeals