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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 meets or exceeds the requirements for minimum essential coverageBasic health care coverage that meets the Affordable Care Act requirement. under the Affordable Care Act.

Who Can Participate?

The US Family Health Plan is available to the following beneficiaries who live in a designated US Family Health Plan area:

*Before October 1, 2012, the US Family Health Plan was also available to all Medicare-eligible beneficiaries age 65 and older. On October 1, 2012, this rule changed for all NEW US Family Health Plan enrollees, but existing enrollees are not affected. >>Learn More

Where Can You Use It?

You must live in the one of the designated US Family Health Plan service areas to enroll. 

US Family Health Plan Service Area     Designated Provider
  • Maryland
  • Washington D.C.
  • Parts of Pennsylvania, Virginia, Delaware and West Virginia 

Johns Hopkins Medicine

  • Maine
  • New Hampshire
  • Vermont
  • Upstate and Western New York
  • Northern Tier of Pennsylvania

Martin's Point Health Care

  • Massachusetts, including Cape Cod
  • Rhode Island
  • Northern Connecticut 

Brighton Marine Health Center

  • New York City
  • Long Island
  • Southern Connecticut
  • New Jersey
  • Philadelphia and area suburbs

St. Vincent Catholic Medical Centers 

  • Southeast Texas
  • Southwest Louisiana


Puget Sound area of Washington state

Pacific Medical Centers (Pacmed Clinics) 

How it Works

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 listed above. 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.

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 US Family Health Plan provider. All others pay annual enrollment fees and network copayments. >>Learn More

Is the US Family Health Plan Right for You?

If you live in one of the six designated areas, you may want to consider the US Family Health Plan. It's a robust Prime option that even offers enhanced coverage at each location. Visit for more information.

How to Enroll—3 Options

  1. Online via the Beneficiary Web Enrollment website
  2. Call 1-800-748-7347
  3. Mail the enrollment form to the US Family Health Plan site (mailing addresses on the form):

>>Visit the US Family Health Plan Enrollment Page to Learn More

For information on disenrolling or ending plan coverage, visit the Disenrolling in the US Family Health Plan page.

Last Updated 2/16/2018

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