US Family Health Plan: A TRICARE® Prime Option
The US Family Health Plan pairs all of your TRICARE® Prime benefits.
This includes prescription drugs, with the convenience of a wide network of local civilian doctors to receive high-quality, low-cost health care. Plus, you’ll get additional services and discounts not available in other TRICARE® plans.
The US Family Health Plan is available to eligible military beneficiaries in Maine, New Hampshire, Vermont, upstate New York, and northern and western Pennsylvania.
Plan Benefits and Services
The US Family Health plan includes:
- No deductibles or cost shares for in-network preventive services
- Annual physicals, eye exams, laboratory tests, prenatal and postnatal maternity care at no additional cost
- Comprehensive prescription drug coverage
- Emergency and urgent care available anywhere in the world
- Mental health and substance abuse care through the Behavioral Health Care Program
- Patient advocates who will make sure you’re getting the best care possible during hospital stays
- Point-of-Service benefit for medically necessary, non-emergency, non-urgent care outside of network without a PCP referral. Learn More
Plan Extras and Discounts
Large Provider Network
Large network of civilian doctors in your local community.
Specialist Referrals
Easy referrals to specialists—your primary care provider will handle the paperwork.
24-Hour Nurse Line
Access to a 24-hour nurse line for health questions, with the option to call or send a secure message.
Mental Health Support
We offer comprehensive behavioral health benefits, designed to support you and your family.
Vision & Eyewear Discounts
Discounts on eyewear and additional eye care services.
Hearing Discounts
Discounts on hearing aids and batteries.
Wellness Discounts
Discounts on acupuncture, chiropractic massage therapy, naturopathy, nutrition, fitness centers, yoga, tai chi, and more.
Personalized Health Coaching
Access to a Health Coach for information and guidance for healthy living and managing health conditions like diabetes and asthma.
Plan Costs
Costs associated with the TRICARE® Prime Plan for 2025.
2025 Plan Year Costs
- No deductibles for all US Family Health Plan members
- No enrollment fees for active-duty family members
- Low enrollment fees for retirees and their families not in Medicare Part B
- For Medicare Part B participants: Applicants who show proof that they pay monthly Medicare Part B premiums are exempt from the enrollment fees
- Low out-of-pocket maximums for individuals and families
- Point-of-Service benefit has a deductible and coinsurance
See Active-Duty Summary of Benefits or Retiree Summary of Benefits document on the right-hand side of this page for benefit/cost information.
Prescription Drug Coverage
These costs are for prescription drugs covered in the US Family Health Plan formulary. See if your prescriptions are covered.
2025 Plan Year Costs
*For 90-day supply cost, multiply by three.