Help Me Understand TRICARE Prime®
Get to know TRICARE Prime and its options.
Before deciding if TRICARE Prime is the right plan for you, it’s important to understand the different types of TRICARE plans and how they compare.
What is TRICARE?
TRICARE is the Department of Defense’s (DoD) worldwide health care program for active duty and retired members of the uniformed services and their families. The DoD contracts with designated providers and regional contractors to administer TRICARE on its behalf.
Martin’s Point is one of the DoD’s designated providers. We provide the US Family Health Plan—a TRICARE Prime option.
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What are the types of TRICARE plans?
There are three main types of TRICARE:
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.
Our TRICARE Prime option, the US Family Health Plan, is one of the top-rated health plans in the country and is offered to active-duty families, and military retirees and their families up to age 65. Benefits include coverage for doctor visits, specialty care, hospitalizations, urgent and emergency care, preventive health care services, and prescriptions. Covered services provided by in-network PCPs, specialists, and health care facilities are covered at no or low cost and have no deductible.
Note: Members covered by a TRICARE Prime plan through a regional contractor may also receive care from a Military Treatment Facility. Martin's Point is not a regional contractor.
TRICARE Select |
TRICARE Select is a self-managed, preferred provider organization (PPO) plan. Referrals aren’t required for most primary and specialty appointments. Deductibles and co-pays or cost shares (a percentage) for covered services apply based on seeing an in- or out-of-network provider.
Martin’s Point does not provide TRICARE Select.
TRICARE For Life |
TRICARE For Life is Medicare-wraparound coverage. Coverage is only for those with Medicare Part A and Part B and who are TRICARE eligible. Coverage doesn’t extend to family members.
Martin’s Point does not provide TRICARE For Life.
How do TRICARE Prime and TRICARE Select compare?
Benefits |
Our TRICARE
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Other 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.
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