Help me understand TRICARE® Prime
The Martin's Point US Family Health Plan is a TRICARE Prime option with extras.
We’re expanding our network of civilian doctors and hospitals in Pennsylvania, with more health systems being added! Search our list of active TRICARE® providers to find one near you.
Already have a provider? Call today to see if your provider is in network: 1-877-757-7087
What is TRICARE® Prime?
TRICARE Prime is a “managed care” health plan with a network of local, civilian health care providers and facilities.
Members choose a network primary care provider (PCP) who provides most of their care and coordinates referrals to specialists and hospitals.
(Members covered by a TRICARE Prime plan through a regional contractor may also receive care from a Military Treatment Facility. Martin's Point Health Care is not a regional contractor.)
Compare Martin's Point US Family Health Plan with other TRICARE® plans
Our TRICARE Prime option, the US Family Health Plan, is one of the top-rated health plans in the country.
Benefits include coverage for doctor visits, specialty care, hospitalizations, urgent and emergency care, preventive health care services, and prescriptions. Covered services provided by network PCPs, specialists, and health care facilities are covered at no or low cost.
Benefits |
US Family
|
TRICARE
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TRICARE
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|---|---|---|---|
| Standard TRICARE Health Benefits |  |
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| No Deductible | |
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| Low, Fixed Cost for Inpatient Hospitalization | |
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| No Separately Billed Charges for Inpatient Hospitalization | |
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| Free Annual Eye Exam | |
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| No Medical Copays for Active Duty | |
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| Hearing Aid Discounts | |
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| Eyewear Discounts | |
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| Gym Discounts (in some areas) | |
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| Free Maternity Program | |
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| Free Care Management Programs | |
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| Accredited by NCQA* | |
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| 5-Star NCQA Rating for Patient Experience* | |
*Savings depends on military status, current plan, and benefit usage. The National Committee on Quality Assurance (NCQA) has awarded the US Family Health Plan full accreditation through 2025 and a rating of 4.5 out of 5 stars for quality performance in Maine; and 4 out of 5 stars in New Hampshire, New York, Pennsylvania, and Vermont as part of its Private Health Insurance Plan Ratings in 2022. The plan also earned a rating of 5 out of 5 for Patient Experience measures.
TRICARE is a
registered trademark of the Department of Defense, Defense Health Agency. All rights reserved.
Get more benefits with the US Family Health Plan
Martin's Point offers the complete coverage of your TRICARE Prime benefits plus a lot of extras:
- Large network of civilian doctors in your community
- Easy referrals to specialists—your primary care provider will handle the paperwork
- Excellent health care and customer service
Have questions? We’re here to help.
Talk to one of our health plan benefit specialists today.