TRICARE Young Adult

TRICARE Young Adult (TYA) is a plan that qualified adult children can purchase after eligibility for "regular" TRICARE coverage ends at age 21 (or 23 if enrolled in college, learn more). How you get your care will depend on the option you choose: Prime or Select.

TRICARE Young Adult is an option for unmarried, adult children who have "aged out" of regular TRICARE coverage. The plan provides comprehensive medical and pharmacy benefits. You should review all of your health plan options (military or commercial) before deciding if TRICARE Young Adult is the right plan for you.

Note: You aren't eligible for TRICARE Young Adult if you're eligible for employer-sponsored health plan.

Who Can Participate?

You may qualify to purchase TRICARE Young Adult if you're:

• An unmarried, adult child of an eligible sponsorEligible sponsors for TRICARE Young Adult includes: 
  • Active duty service members
  • Retired service members
  • Activated Guard and Reserve members
  • Non-activated Guard and Reserve members using TRICARE Reserve Select
  • Retired Guard and Reserve members using TRICARE Retired Reserve
  • Unremarried former spouses registered in DEERS under their own Social Security number
• At least age 21 but not yet 26 years old.
  • If enrolled in a full 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.
• Not eligible to enroll in an employer-sponsored health plan based on your own employment
• Not otherwise eligible for TRICARE coverage

Note: You can enroll in TRICARE Young Adult without a valid ID card. When your coverage begins, and you're notified by your regional contractor, visit any ID card office to get a new ID card. You should show your ID card when you go to the doctor.

The US Family Health Plan is available to beneficiaries who live in a designated US Family Health Plan area. You'll get all care (including prescription drug coverage) from a primary care provider that you select from the network of private physicians affiliated with one of the not-for-profit health care systems. Your primary care provider assists you in getting appointments with specialists in the area and coordinates your care.

You won't get care at military hospitals and clinics or from TRICARE network providers when enrolled in the US Family Health Plan. You must live in the one of the designated US Family Health Plan service areas to enroll.

Learn more about each service area, the designated provider, who can participate, and how to get care.

My sponsor isn't eligible for TRICARE anymore. Can I still buy TRICARE Young Adult coverage?

Plan	How to get care?	Who can participate?	What you pay?
TRICARE Young Adult Prime Option	The TRICARE Young Adult-Prime Option works the same as TRICARE Prime. You'll have an assigned primary care manager (PCM) who provides most of your care: military or network provider refers you to specialists for care he or she can't provide works with your regional contractor for authorization and to find a specialist in the network file claims for you Learn more about how to get care with TRICARE Prime.	Children of active duty sponsors in all U.S. locations and in all overseas areas (if command-sponsored) Children of retired sponsors only in Prime Service AreasGeographic areas in the U.S. where we offer TRICARE Prime. They ensure medical readiness of active duty by adding to the capability and capacity of military hospitals and clinics. Prime Service Areas were also built around the Base Realignment and Closure sites. Or, if you live in an area where the US Family Health Plan is offered, you can select the US Family Health Plan for your Prime Option Disclaimer: If your sponsor is using TRICARE Reserve you can't select the Prime Option.	To participate, you'll pay: Monthly premiums TRICARE Prime copayments Any care received without a PCM referral is subject to point of service fees. >>Learn More
TRICARE Young Adult Select Option	The TRICARE Young Adult-Select Option works just like TRICARE Select:   Visit any TRICARE-authorized ProviderAn authorized provider is any individual, institution/organization, or supplier that is licensed by a state, accredited by national organization, or meets other standards of the medical community, and is certified to provide benefits under TRICARE. There are two types of TRICARE-authorized providers: Network and Non-Network. DS If you see a network provider, you'll pay less out of pocket and the provider will file claims for you. You don’t need a referral for any type of care, but some services may require pre-authorization. Learn more about how to get care with TRICARE Select.	All dependent adult children who qualify for TRICARE Young Adult can use the Select Option.	To participate, you'll pay: Monthly premiums Annual deductible Cost Costs vary depending on the sponsor's military status. >>Learn More
US Family Health Plan	The US Family Health Plan is an additional TRICARE Prime option available through networks of community-based, not-for-profit health care systems in six areas of the United States.	The US Family Health Plan is available to beneficiaries who live in a designated US Family Health Plan area. You'll get all care (including prescription drug coverage) from a primary care provider that you select from the network of private physicians affiliated with one of the not-for-profit health care systems. Your primary care provider assists you in getting appointments with specialists in the area and coordinates your care. You won't get care at military hospitals and clinics or from TRICARE network providers when enrolled in the US Family Health Plan. You must live in the one of the designated US Family Health Plan service areas to enroll. >>Learn more about getting care with USFHP.	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 US Family Health Plan provider. All others pay annual enrollment fees and network copayments. >>Learn more

How to Enroll:

TRICARE Young Adult:

Visit the TRICARE Young Adult Enrollment page. If you're looking to enroll in TYA US Family Health Plan, visit the USFHP enrollment page.

You may live in a different region than your sponsor. If you're not sure, view the regions page to see which states are in each region.

For information on disenrolling or ending plan coverage, visit the Ending TRICARE Young Adult Coverage page.

For More Information:

To learn more about TRICARE Young Adult and TRICARE Prime:

• Search Frequently Asked Questions; use "TRICARE Young Adult" as your search term.
• Contact a Beneficiary Counseling and Assistance Coordinator