What is the US Family Health Plan (USFHP)?

 

The US Family Health Plan (USFHP) is a TRICARE Prime option. You must be TRICARE-eligible to enroll and live in a USFHP service area. If you’re an active duty service member, you can’t enroll. To learn more, visit the US Family Health Plan page.

 

Costs:

• If you are an active duty family member, you don’t pay an enrollment fee or out-of-pocket costs for covered services as long as you get care from USFHP providers.
• All others pay an annual enrollment fee and copayments.
• Use the TRICARE Compare Cost Tool to see your costs (from the Plan drop-down menu, choose TRICARE Prime.)

 

Providers:

• You’ll have a primary care manager (PCM) who provides most of your care.
• You can’t get care from TRICARE network providers or at military hospitals or clinics.

 

Referrals and Authorizations:

Your PCM helps you get appointments with specialists in the area and coordinates your care.

 

Covered Services:

Visit the Covered Services page to find out if your service is covered.

 

Pharmacy Benefits:

You may use USFHP participating pharmacies. You can’t use military pharmacies. 

 

Dental Benefits:

You get some dental preventive services. For a comprehensive dental plan, you can buy separate coverage. To learn more, visit the Dental Care page. 

 

Vision Benefits:

Available but depends on who you are (for example, active duty family member, retiree), and the type of vision care you need. To learn more, visit the Vision page. 

You may have the option to enroll in vision coverage through the Federal Employees Dental and Vision Insurance Program (FEDVIP). To learn more, visit BENEFEDS.com.