Help Me Understand TRICARE Prime®

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.)

What are my TRICARE Prime benefits?

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. 

Get TRICARE Prime benefits and more with the US Family Health Plan.

Our TRICARE Prime option, the US Family Health Plan, is one of the top-rated health plans in the country. We offer the complete coverage of your TRICARE Prime benefits plus a lot of extras:

• No enrollment fees for active-duty family members; low TRICARE Prime enrollment fees for retirees and their families
• No deductibles or cost shares for preventive services in network
• Large network of civilian doctors in your community*
• Value-added services like discounts for eyewear, hearing aids, and fitness centers
• Easy referrals to specialists—your primary care provider will handle the paperwork
• Annual physicals, laboratory tests, prenatal and postnatal maternity care at no additional cost
• Excellent health care and customer service

* For more flexibility to receive services from out-of-network providers, we offer a point-of-service (POS) benefit for an additional cost. Please see our POS benefit page for details.