Active Duty Family Members
Why members give us top marks for satisfaction:
- Urgent care appointments on the same day you call
- A personal care civilian doctor who knows you and your health conditions
- Baby delivery at non-military hospitals
- A team of specialists who work together to keep you healthy
- Helpful and caring Member Services representatives and case managers
- No “balance billing”
- No red tape or confusing paperwork
- Fast, hassle-free referrals to specialists
Understand eligibility requirements for our plan.
US Family Health Plan is a permanent part of the Military Health System.
For active duty family members, US Family Health Plan is FREE!
- No deductibles
- Free doctor office visits
- Free annual physical, screening mammogram and routine eye exam
- Free baby delivery in civilian hospitals
- Small copay for generic drugs at local contracted pharmacies or when delivered by mail-order
- Discounts on preventive health services that are not covered by TRICARE.
You can save save money by switching to USFHP. Or you can keep your current employer’s insurance and use USFHP as a great supplement to help pay all your deductibles and cost shares. This works for most employers’ plans.
The Summary of Benefits is a list of healthcare services your family may need. The services are covered by the Plan as long as your USFHP primary care provider (PCP) provides or authorizes them. It is important to understand how to take advantage of your coverage and get the care you need. This will help you avoid unnecessary costs or paperwork.
How much does US Family Health Plan (USFHP) cost?
For an active duty family member, US Family Health Plan is free. You pay no enrollment fees.
I am covered through my employer's plan. Why should I join USFHP?
Among other reasons, cost. US Family Health Plan is free. So if you are paying anything out of your paycheck for your healthcare, USFHP is a better deal.
Or you can choose to keep your current employer’s insurance and use USFHP as a great supplement. It can help pay your deductibles and cost shares, as long as the claim is for a covered expense under TRICARE. This works for most employers’ plans.
What is the difference between TRICARE Prime and the USFHP?
Your covered benefits under US Family Health Plan are the same as TRICARE Prime. The major differences are in how your TRICARE Prime benefit is administered and delivered. USFHP is local and we know our area. You can expect personal service from our team. For instance, they will advocate on your behalf to ensure you get your health care appointments when you need them. And, when you are referred to a specialist, authorizations are fast. With USFHP, you will always be referred to our network of civilian specialists. The nurse case managers will step in to guide you through the health care system when you need extra help managing your health conditions. Finally, our Member Services representatives are ready to help you with questions about using your benefits.
What additional advantages and features does USFHP offer?
Our members receive discounts on a variety of lifestyle enriching services that are not covered TRICARE benefit. Included are discounted tickets for travel, family attractions, cultural, sporting, and recreational events. Members also get discounted eyeglasses and memberships at select fitness clubs. Plus, you can save on nutritional supplements, nutrition counseling, complementary and alternative medicine. This includes services like chiropractic, massage, acupuncture, and naturopathic treatments. And much more!
When can I join, and when will my coverage start?
If you are an active duty family member who is already covered under TRICARE Prime, you can transfer to USFHP at any time. Enrollment is easy. Call the US Family Health Plan Enrollment at 800-585-5883, option 1 or call our General Information Line at 866-418-7346 if you prefer assistance with the process.
If you are an active duty family member currently covered under TRICARE Select, you can transfer to USFHP during the TRICARE Open Enrollment season. Open Season is an annual period when you can enroll in a health insurance plan for the next year. With TRICARE, Open Season will occur each fall, beginning on the Monday of the second full week in November to the Monday of the second full week in December.
Exceptions are covered under TRICARE's qualifying life events (QLE) such as the birth or adoption of a child, change of sponsor status, marriage, divorce, or annulment. Our Enrollment team can help you navigate the QLEs if you have any questions.