TRICARE® Young Adult Prime
TRICARE Young Adult (TYA) Prime is a premium-based health plan available for purchase by qualified dependents. The plan includes medical and prescription drug benefits, but excludes dental coverage.
You can purchase TYA from Martin’s Point through the US Family Health Plan, our TRICARE Prime® option.
Prime Benefits and Services
- No deductibles or cost shares for in-network preventive services
- Annual physicals and 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 primary care provider (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 PCP 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 about 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
Prescription Drugs
These costs are for prescription drugs covered in the US Family Health Plan formulary. See if your prescriptions are covered.
2023 Costs
*For 90-day supply cost, multiply by three.
2024 Costs
*For 90-day supply cost, multiply by three.
Costs
- Monthly Premiums
- 2023: $570 per month
- 2024: $637 per month
- No deductibles
- Low copays
- Low out-of-pocket maximum
- Point-of-Service benefit has a deductible and coinsurance
NOTE: Your copays and out-of-pocket maximums are determined by the status of your sponsor:
If your sponsor is active-duty military, see Active-Duty Summary of Benefits document in the right column for benefit/cost information. Refer to GROUP B information.
If your sponsor is retired military, see Retiree Summary of Benefits document in right column for benefit/cost information. Refer to GROUP B information
WHO IS ELIGIBLE?
If you are an adult-age dependent, you may purchase TYA coverage based on the eligibility established by your uniformed-service sponsor and where you live.
You may purchase TYA coverage if you are all of the following:
- A dependent of an eligible uniformed-service sponsor
- Unmarried
- At least age 21 but not yet 26 years old*
- Not eligible to enroll in an employer-sponsored health plan based on your own employment
- Not otherwise eligible for TRICARE program coverage
*If you are enrolled in a full-time course of study at an approved institution of higher learning and your sponsor provides more than 50 percent of your financial support, your eligibility may not begin until age 23 or upon graduation, whichever comes first.
Note: Special eligibility conditions may exist.