For US Family Health Plan members.
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US Family Health Plan | FAQs
Member Portal
To register for a new account or access an existing account, visit the Member Portal Account Registration page.
Registration/Login
To register for your member portal account, you will need your Member ID (found on your health plan ID card). You cannot register for a member portal account until after your coverage begins.
To register for a new account or access an existing account, visit the Member Portal Account Registration page.
- In the top navigation of any page on the MartinsPoint.org website, click “Sign In | Register.”
- Then, click on the member portal account you are trying to access.
No, you must use different usernames and passwords if you are enrolled in both Generations Advantage and the US Family Health Plan as these are two separate accounts.
Visit our PCP Management page for answers to common questions about finding and managing your PCP information through the member portal.
Usernames
If you have forgotten your username, visit the Recover Your Username page.
Enter the email address associated with your account. You will receive an email with your username and links to log in to your account.
You can also click on “Forgot your Username” from the member portal log-in screen:
To change your username, follow these steps:
- Log in to your member portal account.
- Click on “Manage Account” in the upper right corner.
- Click “Change Username” on the right side and follow the prompts.
Yes. When creating a username, you must follow these requirements:
- Username must begin with a letter.
- It must contain between 6–128 characters.
- It may contain letters, numbers, and characters.
- It may not end with a space.
If you don’t receive the reset email within a few minutes, check your spam or junk folder. If it’s not there, try resending the reset request from the log-in page.
If you still don’t receive it, please contact Martin’s Point Member Services for help verifying your account and assisting with the reset process.
You can contact Martin’s Point Member Services for assistance with logging in or account issues.
US Family Health Plan: 1-888-674-8734 (TTY: 711)
Passwords
If you have forgotten your password, you can visit Forgot Password to reset it.
You can also click on “Forgot your Password" from the member portal log-in screen:
To change your password, follow these steps:
- Log in to your member portal account.
- Click on “Manage Account” in the upper right corner.
- Click “Change Password” on the right side and follow the prompts.
Yes. When creating a password, you must follow these requirements:
- Must be 9 characters or longer
- Must contain 3 of the 4 following types of characters:
- Numbers
- Upper Case Letters
- Lower Case Letters
- Special Characters: [space] ~ ! @ # $ % ^ & * ( )
No, your password does not expire. You may change your password whenever you like, but not more than once in a 24-hour period.
If you don’t receive the reset email within a few minutes, check your spam or junk folder. If it’s not there, try resending the reset request from the log-in page.
If you still don’t receive it, please contact Martin’s Point Member Services for help verifying your account and assisting with the reset process.
You can contact Martin’s Point Member Services for assistance with logging in or account issues.
US Family Health Plan: 1-888-674-8734 (TTY: 711)
Enrollment Fee Payments
Additional information can be found on the Payment Options page.
CREATED FAQs FROM PAGE ABOVE FOR BELOW, BUT LET ME KNOW IF YOU DEVELOP MORE TO ADD
You can set up automatic payments, which are withdrawn on the first of every month.
If you do not set up automatic payments, you can make one-time enrollment fee payments anytime.
You will need the following to set up automatic enrollment fee payments:
- Sponsor name (first and last)
- Sponsor date of birth
- Social Security Number OR
- Martin's Point Member ID and ARAC Number
Primary Care Providers (PCPs)
Explore our provider network for PCPs and specialists by using the Provider Directory Search Tool.
Yes. Having a PCP helps ensure you get preventive and routine services and that your overall care is coordinated with any specialty services you may need.
You can use your health plan's Provider Directory on the Martin’s Point website to search for a provider by name, specialty, or location.
Access your Provider Directory by using the links below, or by clicking the "Find a Provider" option under the Tricare Plans dropdown menu.
When using the Provider Directory, you will see a profile of each provider in your search results. An icon that says “Accepting new patients” will appear if a provider is accepting new patients to their practice (see image below).
We recommend calling the provider’s office to confirm that they are accepting new patients.
Once you have established care with your PCP, you should notify the plan. To do so, you can either:
- Log in to your member portal and add or change your PCP information.
- Contact Member Services
US Family Health Plan Member Services: 1-888-674-8734 (TTY: 711)
Yes. You can change your PCP anytime, for any reason. Once you’ve established care with your new PCP, you should notify the plan via the member portal or by calling Member Services.
Updated PCP information provided by phone typically takes one or two business days to reflect in our system.
US Family Health Plan Member Services:1-888-674-8734 (TTY: 711)
US Family Health Plan beneficiaries are encouraged to choose a PCP in our network, but it’s not required to stay enrolled.
You can see a provider outside the network, however doing so usually means you’ll pay more out of pocket, and some services may only be covered when received in-network. Choosing an in-network PCP helps keep your costs lower and makes it easier to coordinate your care.
If your designated PCP leaves the network, we’ll notify you by mail and provide you with the guidance needed to choose a new PCP.
In some cases, when members enroll and haven’t yet selected a PCP, we assign one to ensure they have access to care right away.
Members can change their PCP anytime and notify the health plan through the member portal or by calling Member Services once care has been established.
US Family Health Plan Member Services: 1-888-674-8734 (TTY: 711)
Yes. Member Services can assist in finding providers who are accepting new patients and help update the PCP on file.
US Family Health Plan Member Services: 1-888-674-8734 (TTY: 711)
No. Members can choose any provider within our network, which includes providers at our Martin’s Point Health Care Centers and other participating health care providers in the areas where our health plans are offered.
Using in-network providers ensures the best coverage and lowest out-of-pocket costs.
Yes. Nurse Practitioners (NPs), Family Nurse Practitioners (FNPs), and Physician Associates (PAs) are licensed providers who can serve as a PCP. They work closely with physicians and the care team to provide care.
Sometimes a doctor’s name appears as your PCP even though you regularly see a Nurse Practitioner (NP) or Physician Associate (PA) in their office.
That’s because your NP or PA works closely with the doctor as part of your care team. In some cases, the doctor’s name is listed for administrative or billing purposes, but you’ll continue to see your regular provider for your appointments and ongoing care.
Turning 65 with the US Family Health Plan
Your eligibility to remain a US Family Health Plan member after turning 65 will depend on when you enrolled in the plan and if you have grandfathered or non-grandfathered status.
For additional information, see the FAQs below or visit the Turning 65 page.
- Grandfathered Status: You enrolled in the US Family Health Plan at Martin's Point before October 1, 2012.
- Non-Grandfathered Status: You enrolled in the US Family Health Plan at Martin's Point on or after October 1, 2012.
You have the option of staying enrolled with the US Family Health Plan or disenrolling and using TRICARE For Life (TFL).
If you are continuing your membership with the US Family Health Plan, you are not required to enroll in Medicare Part B.
How do I confirm that I am a Grandfathered Member of the US Family Health Plan?
Please call Member Services at 888-674-8734 to determine if you are a Grandfathered Member of the US Family Health Plan.
How is my coverage affected if I move out of the Martin's Point US Family Health Plan service area?
If you move to another area that offers the US Family Health Plan and you "port" your coverage to that US Family Health Plan, you will not lose your Grandfathered status. If you move outside any of the US Family Health Plan service areas, you can explore your new options under the Regional Contractor and decide on the best coverage available for you and your eligible family members. If you move outside of the US Family Health Plan coverage area and decide to return in the future, you will have lost your grandfathered status and may not rejoin the US Family Health Plan.
If I stay with the US Family Health Plan, can I continue my vision and dental coverage through Benefeds?
Turning 65 does not impact your current coverage with BENEFEDS/FEDVIP programs.
Can I switch from the US Family Health Plan to TRICARE for Life (TFL) at any time?
As a Grandfathered Member of the US Family Health Plan, you may choose to disenroll at any time and use TRICARE for Life, as long as you are enrolled in Medicare Part B. If you are NOT enrolled in Medicare Part B, you will have to wait for the Medicare Annual Enrollment Period. If you are married, your spouse does not have to make the change at the same time if they have no reason to. If you choose to leave the US Family Health Plan, you may not re-enroll.
If I stay with the US Family Health Plan, do not enroll in Medicare Part B, and then move out of the area later, will I incur a penalty for not enrolling in Medicare Part B?
Medicare will penalize you 10% for every 12-month period you were not enrolled in Medicare Part B, from when you were first eligible. Medicare can tell you what your monthly cost will be at the time you enroll. This higher rate will be the amount you pay for the rest of your life. This is why Martin’s Point highly encourages you to enroll in Medicare Part B when you first become eligible.
If I am traveling outside of the area, what services am I covered for?
As a Grandfathered Member of the US Family Health Plan, you are covered for urgent and emergency care anywhere in the world. For any other non-urgent or non-emergent services, the Point of Service benefit will apply.
Do I need a new military ID when I turn 65?
Yes. Please plan to bring your new Medicare card with you when you renew your military ID card and show it to the DEERS operator who will make sure it is reflected in DEERS.
Am I required to enroll in Medicare Part B if I stay with the US Family Health Plan?
If you are continuing your membership with the US Family Health Plan, you are not required to enroll in Medicare Part B. However, we strongly recommend you consider enrolling in Medicare Part B as soon as you are eligible for the following reasons:
- Delay in accessing Medicare Part B and TRICARE benefits: If you ever disenroll from the US Family Health Plan, you will not be able to access other TRICARE benefits until you are enrolled in Medicare Part B. You will only be able to enroll in Medicare Part B during the General Enrollment Period (January through March each year), with coverage starting on July 1 of the year you sign up. You could be left without medical insurance coverage for an extended period of time should you decide to disenroll from the US Family Health Plan at a later date.
- Penalty in Medicare Part B premiums: If you wait to enroll until after you're first eligible, your Medicare Part B premium will increase by 10% for each 12-month period that you were originally eligible to enroll.
- Limited coverage for long-term care facilities: Long-term-care facility residents are not eligible for the US Family Health Plan in most cases. Without Medicare Part B, your coverage will be limited to Medicare Part A and you will be responsible for the costs of medical services provided by physicians, labs, etc.
Will my Martin's Point enrollment premium change if I decide to stay with the US Family Health Plan?
If you are a Grandfathered Member of the US Family Health Plan and you enroll in Medicare Part B, you will need to send us a copy of your Medicare card. Your monthly premium will go to $0 per month and all copays for medical services will become $0 (in network). The only copays you will have will be for prescription drugs. If you have a spouse or other eligible family members enrolled, their monthly premium will go to a single rate, and they will continue to have copays.
Can I use the VA if I stay enrolled with the US Family Health Plan?
You are always able to use the VA for any health care needs that you may qualify for. The VA is a separate earned benefit. For example, many service members use the VA to get their prescription medications as they may be less expensive than the TRICARE copays. You will need to retain a civilian Primary Care Provider in our network.
If I disenroll from the US Family Health Plan now, can I reenroll in the future?
If you choose to disenroll from the US Family Health Plan for any reason, you will not be able to re-enroll in the US Family Health Plan.
You will be disenrolled from the US Family Health Plan.
Your disenrollment will be effective on the last day of the month prior to the month you turn 65. TRICARE For Life (TFL) will be your TRICARE® option. You must enroll in Medicare Part B to maintain your TRICARE eligibility. To be covered by TFL, you must enroll in Medicare Part A and Part B (Original Medicare).
How do I confirm that I am a Non-Grandfathered Member of the US Family Health Plan?
Please call Member Services at 888-674-8734 to determine if you are a Non-Grandfathered Member of the US Family Health Plan.
How is my prescription coverage handled when I transition to TRICARE for Life (TFL)?
a. A retail network pharmacy may be used to fill prescriptions (30-day supply for first time fill).
b. Mail-Order Pharmacy (Express Scripts) is used for maintenance medications.
c. Contact Express Scripts to get established in their system. Once established, ask your provider to send your maintenance prescriptions to Express Scripts.
d. Wait until at least the first week of your birthday month to contact Express Scripts, as eligibility may not show until files sync between Medicare and Express Scripts.
e. Your copays for prescriptions will remain the same as you currently pay because all TRICARE beneficiaries pay the same copays.
When I transition to TFL, can I continue my vision and dental coverage through Benefeds?
Turning 65 does not impact your current coverage with BENEFEDS/FEDVIP programs.
When do I need to sign up for Medicare Part B?
Medicare’s initial enrollment period allows you to sign up for your Medicare Part B three months prior to your birthday month. If you use this 90-day enrollment window, it will ensure that Medicare Part B and, therefore, TFL eligibility will be in place the first day of your birthday month. This also allows time for you to update your military ID card.
Is Medicare Part B required for TRICARE for Life?
Yes. Medicare Parts A and B are mandatory in order to have TRICARE for Life; therefore, it is best to obtain your Medicare Parts A and B in a timely fashion to be effective on the first day of your birthday month.
Do I need to update my military ID card and when should I do this?
Yes, you will need to update your military ID card. Present your Medicare card to the DEERS operator as DEERS will reflect your immediate eligibility for TFL. We recommend that you contact your local ID facility to determine the best timing to schedule an appointment.
How do I pay my Medicare Part B premium?
If you are already drawing Social Security benefits, the premium is deducted monthly from this benefit. If you are not drawing Social Security, the Social Security office will provide you with information about your payment options. The initial payment required will be three months.
How do I know if my current US Family Health Plan network providers accept Medicare and TRICARE for Life?
If your provider accepts Medicare, then they are obligated to accept TRICARE for Life. If you have any concerns about this, you should speak with your provider’s office.
Why would I consider a Medicare Advantage plan?
There are additional benefits offered with Medicare Advantage plans that are not covered under traditional Medicare or TRICARE for Life. Many plans are available depending on your location. We suggest you reach out to a Medicare Advantage expert to explore what type of plan, if any, may work best for you.
Can I use the VA if I am enrolled in Medicare Part B and TRICARE for Life?
You are always able to use the VA for any health care needs that you may qualify for. The VA is a separate earned benefit. For example, many service members use the VA to get their prescription medications as they may be less expensive than the TRICARE copays.
How is the coverage for my other family members affected when I turn 65?
Family members remain enrolled in their current plan until such time as their eligibility changes. If they are enrolled in the US Family Health Plan, the monthly premium will drop to a single rate.
With TRICARE for Life, what is my out-of-country coverage?
Medicare does not cover out-of-country services. However, your TRICARE coverage would apply. Visit https://tricare.mil/Plans/HealthPlans/TFL and navigate to “Does TRICARE for Life work overseas?”
What steps do I need to take when transitioning to TRICARE for Life?
a. Obtain your Medicare Parts A and B.
b. Update your military ID card and present your Medicare card to the ID operator.
c. Update your providers with your TRICARE for Life information. Present your Medicare card and your military ID card when seeking medical care.