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.
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Plan Benefits and Services- 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 referral from your PCP.
For more information, please see the Point of Service Benefit page.
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US Family Health Plan 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
- Access to a Health Coach for information and guidance for healthy living and managing health conditions like diabetes and asthma
- Discounts on eyewear and additional eye care services
- Discounts on acupuncture, chiropractic massage therapy, naturopathy, nutrition, and more
- Discounts on hearing aids and batteries
- Discounts on fitness centers, yoga, tai chi, and more
Costs
Costs associated with the TRICARE® Prime Plan for the 2024 and 2025 plan years.
- 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.
- 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 Drugs
These costs are for prescription drugs covered in the US Family Health Plan formulary. See if your prescriptions are covered.
2024 Costs
*For 90-day supply cost, multiply by three.