Plans & Benefits
Find out why over 46,000 military family members and retirees in the Northeast have chosen to get TRICARE Prime with extras through the Martin's Point US Family Health Plan.
.
Choose one of the highest-rated health insurance plans in the nation.
Making an informed choice is essential for your health coverage. The Department of Defense offers military families options that include the Martin’s Point US Family Health Plan and the TRICARE Young Adult (TYA) Prime Plan. As one of the top-rated health plans in the country, we deliver all the benefits of TRICARE Prime plus valuable added services—earning a 97% satisfaction rating from our members.*
Our plan protects you from costly medical bills with low or no-cost in-network care, while still providing options for out-of-network services when needed. Comprehensive benefits include coverage for doctor visits, specialty care, hospitalizations, urgent and emergency services, preventive care, and prescriptions. These plans come with extras for active-duty families as well as military retirees and their families up to age 65.
Compare your options and choose the coverage that best supports your unique healthcare needs.
The US Family Health Plan pairs all of your TRICARE® Prime benefits.
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.
2025 Plan Year 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 documents for benefit/cost information.
TRICARE Young Adult (TYA) Prime is a premium-based health plan available for purchase by qualified dependents.
Plan 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).
2025 Plan Year Costs
- Monthly Premium: $727
Other plan benefits include:
- No Deductibles
- Low Copays
- Low Out-of-Pocket Maximum
- Point-of-Service Benefit
NOTE: The Point-of-Service benefit has a deductible and coinsurance
Beyond comprehensive health benefits, our plan delivers exclusive extras—including unique services and discounts—that elevate your healthcare experience beyond other TRICARE® options.
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
Benefit or Service |
US Family
|
TRICARE®
|
TRICARE®
|
|---|---|---|---|
| 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 quality performance as part of its commercial Health Plan Ratings in 2023. This includes earning 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.
Help me understand TRICARE<sup>®</sup> Prime
Get more details about military health coverage and benefits under the Tricare Prime, including coverage information for doctor visits, specialty care, hospitalizations, preventative care, prescriptions, and more.
You can also explore plan comparisons of TRICARE Select, TRICARE Prime, and the Martin's Point US Family Health Plan.
Ready to enroll? Get started today!
Get details on how to enroll in the US Family Health Plan by phone or online—it’s fast and easy.
Have questions? We're here to help.
Whether you're exploring plan options or already a US Family Health Plan member, our team is ready to help.
Prospective Members: Call us at 1-877-757-7087
Current Members: Call Member Services at 1-888-674-8734