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. 

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(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 Health Plan	TRICARE Prime®	TRICARE Select®
Standard TRICARE Health Benefits
No Deductible
Low, Fixed Cost for Inpatient Hospitalization
No Separately Billed Charges for Inpatient Hospitalization
Free Annual Eye Exam
No Medical Copays for Active Duty
Hearing Aid Discounts
Eyewear Discounts
Gym Discounts (in some areas)
Free Maternity Program
Free Care Management Programs
Accredited by NCQA*
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.