US Family Health Plan, a TRICARE Prime® Option

The US Family Health Plan pairs all your TRICARE Prime benefits, including 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 and western New York, and northern Pennsylvania.

Prime 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.
     

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

  • 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 (2021)

These costs are for prescription drugs included in the US Family Health Plan formulary (list of covered drugs). See if your prescriptions are covered.

*For the cost of a 90-day supply at a retail pharmacy, multiply the 30-day cost by three.

 

Ready to enroll? Let’s get started

Get details on how to enroll by phone or online—it’s fast and easy.