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  • US Family Health Plan

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.

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Plan Benefit Overview
  • 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
  • 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 referral from your PCP.
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Plan Discounts & 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
  • Access to a 24-hour nurse line for health questions, with the option to call or send a secure message
  • Discounts on eyewear and additional eye care services
  • Discounts on acupuncture, chiropractic massage therapy, naturopathy, nutrition, and more
  • Discounts on hearing aids and batteries

Plan Costs

2026 Plan Year 

Costs associated with the TRICARE Prime Plan for 2026, including prescription drug coverage:

2026 Plan Year | Cost Overview
  • 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 Summary of Benefits documents below for detailed benefit and cost information.

Active-Duty Families & Medicare Part B Retirees
Summary of Benefits [PDF]
Retirees, Survivors, Families & TRICARE Young Adult
 Summary of Benefits [PDF]
2026 Plan Year | Prescription Drug Costs
Tier
Retail Network Pharmacies

(ie: CVS, Hannaford, Walgreens)
Up to a 30-day supply*
Martin's Point On-Site &
Mail-Order Pharmacies

Up to a 90-day supply*
Generic (Tier 1) $16 $14
Brand Name (Tier 2)  $48 $44
Nonformulary (Tier 3)
Brand Name & Generic
  $85 $85
Non-Covered Drugs (Tier 4) 100% cost of the drug 100% cost of the drug

*For 90-day supply cost, multiply by three.


Learn about our plan's network and coverage:
Find a Provider Search Drug Formulary Find a Pharmacy

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