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.
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.
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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.
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.
- 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.
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Additional Services and Support
Additional plan details including third-party vendors, state resources, and more.
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!
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: