TRICARE Prime Option - US Family Health Plan

The US Family Health Plan is an additional TRICARE Prime option available through networks of community-based, not-for-profit healthcare systems in six areas of the U.S.

Who Can Participate

USFHP is available to the following beneficiaries who live in a USFHP service area:

  • Active duty family members
  • Retired service members and their family members
  • Family members of ActivatedCalled or ordered to active duty service for more than 30 days in a row. National Guard and Reserve members
  • Non-activated National Guard and Reserve members and their family members who qualify for care under the Transitional Assistance Management Program
  • Retired National Guard and Reserve members aged 60 and older and their family members*
  • Survivors
  • Medal of Honor recipients and their family members
  • Qualified former spouses

Where It’s Available

You must live in the one of the designated USFHP service areas to enroll. 

USFHP Service Area Designated Provider
  • Maryland
  • Washington, D.C.
  • Parts of Pennsylvania, Virginia, Delaware, and West Virginia 

Johns Hopkins Health Plans
  • Maine
  • New Hampshire
  • Vermont
  • Upstate and Western New York
  • Northern and Western Tier of Pennsylvania
  • Northeastern and Central Ohio

Martin's Point Health Care
  • Massachusetts, including Cape Cod
  • Rhode Island
  • Northern Connecticut 

Brighton Marine Health Center
  • New York City
  • Long Island
  • Lower Hudson Valley
  • New Jersey
  • Western Connecticut, including New London and Hartford
  • Eastern Pennsylvania

St. Vincent Catholic Medical Centers
  • Central Texas
  • Coastal Bend Texas
  • Northeast Texas
  • Southeast Texas
  • Central Louisiana

CHRISTUS Health
  • Western Washington State
  • Most of Central and Eastern Washington State
  • Northern Idaho
  • Western Oregon
  • Most of California

Pacific Medical Centers (PacMed Clinics)

How It Works

You’ll get all care (including prescription drug coverage) from a primary care provider that you choose from the network of private physicians affiliated with one of the not-for-profit healthcare systems listed above. Your PCP helps you get appointments with specialists in the area and coordinates your care.

Important: You won’t get care at military hospitals and clinics or from TRICARE network providers when enrolled USFHP.

What You Pay

  • Active duty family members pay no enrollment fees and no out-of-pocket costs for any type of care, as long as care is received from the USFHP provider.
  • All others pay annual enrollment fees and network copayments.

Learn more about USFHP costs.

Is the USFHP Right for you?

If you live in one of the six USFHP service areas, you may want to consider the USFHP. It’s a robust TRICARE Prime option that even offers enhanced coverage at each location.

How To Enroll

Visit USFHP Enrollment to learn more.

For information on disenrolling or ending plan coverage, visit Disenrolling From the USFHP.

Can I enroll in the US Family Health Plan if I’m Medicare-eligible? 

Before Oct. 1, 2012, the USFHP was also available to all Medicare-eligible beneficiaries aged 65 and older. On Oct. 1, 2012, this rule changed for all new USFHP enrollees, but existing enrollees aren’t affected.

If Enrolled Before Oct. 1, 2012

If you're already enrolled in the USFHP when you become eligible for Medicare (USFHP coverage began before October 2012), you can stay enrolled as long as there’s no break in coverage.

However, we strongly encourage you to enroll in Medicare Part B when you first become eligible.

  • If you disenroll from the USFHP or move to a non-USFHP area, you won’t be eligible for other TRICARE benefits if you don’t have Medicare Part B.
  • If you don’t enroll in Part B when first eligible, you may be required to pay the Medicare Part B late-enrollment penalty.

New Enrollments on or After Oct. 1, 2012

Beginning Oct. 1, 2012, Medicare-eligible beneficiaries aged 65 and older can no longer enroll in the USFHP. If you’re under age 65 and using Medicare due to a disability or other reason, you can remain enrolled in the USFHP until you age out. At that time, you’ll transition to TRICARE For Life.

Last Updated 5/15/2025