What is TRICARE Plus?

 

TRICARE Plus is a primary care program available at some military hospitals and clinics. You are eligible for TRICARE Plus if you are:

• Eligible for care in military hospitals and clinics (including dependent parents or parents-in-law).
• Not enrolled in TRICARE Prime.
• Not enrolled in an HMO (Health Maintenance Organization) or similar program (including an employer-sponsored HMO or Medicare Advantage (Medicare Part C) plan).

If you’re an active duty service member, you aren’t eligible for TRICARE Plus.

To learn more, visit the TRICARE Plus page.

 

Costs:

• There is no enrollment fee.
• You have no copayments for care you get from your primary care manager (PCM) at the military hospital or clinic to which you're enrolled.
• TRICARE Plus doesn’t pay for any care you get outside of the military hospital or clinic.

 

Providers:

• You will have a primary care manager at the military hospital or clinic to which you're enrolled.

 

Referrals and Authorizations:

You don’t need referrals or authorizations for care you get from your PCM.

 

Covered Services:

You may only get primary care services at the military hospital or clinic to which you're enrolled.

 

Pharmacy Benefits:

You may get prescriptions at the military pharmacy.

 

Dental Benefits:

None.

 

Vision Benefits:

None.