Members

The hallmark of US Family Health Plan is assuring access for eligible beneficiaries to our outstanding health care and maintaining high levels of patient satisfaction. US Family Health Plan has features that differentiate it within the Military Health System (MHS): strong, continuous patient-physician relationships, especially with primary care physicians; emphasis on medical care delivery and not insurance as our principal mission; and integrating effective and supportive care management into care delivery.

Eligibility
To enroll in the Plan, you must:

• be an eligible beneficiary of the Military Health System (MHS)
  
• live in the zip code-defined area served by one of the six US Family Health Plans
  
• be eligible for military health care benefits in the Defense Enrollment Eligibility Reporting System (DEERS).

Eligible beneficiaries include:

• Husbands, wives, unmarried dependent children (until their 21st birthday, or their 23rd birthday if full-time students), or other enrolled and eligible dependents of active duty service members
  
• Retirees, their eligible spouses or survivors, eligible unmarried dependent children, and enrolled and eligible dependent parents
  
• Eligible former spouses of active duty or retired service members
  
• Unremarrried widows or widowers, or children of deceased active duty or retired service members
  
• National Oceanic Service (NOS) members who retired prior to July 19, 1963, or have had continuous service since prior to that date
  
• Dependents of NOS members listed above
  
• Retired lighthouse keepers and their dependents
  
• Medal of Honor recipients

US Family Health Plan members may transfer their health care coverage to a US Family Health Plan provider in another area of the country or to one of the regional TRICARE Prime programs. When making a permanent move to a region that offers US Family Health Plan or TRICARE Prime, you should contact the plan you are enrolled in first to see what options are available to you. Retirees and their family members may transfer enrollment twice during an enrollment year, as long as the second transfer is back to the original region or enrollment.

Enrollment Transfers
Eligible beneficiaries living in an area serviced by both a US Family Health Plan and a regional TRICARE Prime program may transfer enrollment from one plan to the other once in a 12-month period. No change in residence is necessary for the transfer to take place.

Enrollment Fee
There is no enrollment fee for active duty families.

There is no enrollment fee for any individual who is Medicare-eligible and paying for Medicare Part B coverage. Members will be asked to provide proof of coverage in Medicare Part B in lieu of enrollment fee payment.

All other must pay the standard TRICARE enrollment fee for the program they choose to join.