Understand the TRICARE® Options
TRICARE is a health care program managed by the Defense Health Agency (DHA) that provides comprehensive coverage to uniformed service members and their families.
Choose TRICARE Prime® From Johns Hopkins USFHP
As a member of Johns Hopkins USFHP, you’ll get all the TRICARE Prime benefits—including full medical and mental health services, prescription drug coverage, and preventive and routine care—plus extras like discounted services, care management, dental cleanings, and more.
Active-duty family members pay no enrollment fees or out-of-pocket costs for any type of care received through the Johns Hopkins provider network.
TRICARE Prime Benefits
Cost for Active-Duty Family Members
Cost for Retirees and their Family Members / Survivors
Premium Fees
$0
$289.08 individual / $578.16 family
Outpatient Services (subject to medical review)
Cost for Active-Duty Family Members
Cost for Retirees and their Family Members / Survivors
Office visits
$0
$20
Maternity care
(prenatal, postnatal)
$0
$30
Well-child care (birth to age 6)
$0
$0
Routine physical examinations6
$0
$0
X-ray and lab tests1
$0
$0
Ambulatory surgery
(same day)
All surgical procedures (regardless of where they are performed; excluding some venipuncture and fetal monitoring procedures) and birthing centers (prenatal care, outpatient delivery, and postnatal care)
$0
$60
Physical Therapy
(when medically necessary)
$0
$30
Cardiac Rehabilitation
$0
$30
Inpatient Services (subject to medical review)
Cost for Active-Duty Family Members
Cost for Retirees and their Family Members / Survivors
Hospitalization
(semi-private room and board)
$0
$150/admission
Physician services
$0
$0
General nursing services
$0
$0
Diagnostic tests including lab and X-ray
$0
$0
Operating room, anesthesia and supplies
$0
$0
Medically necessary supplies and services
$0
$0
Physical therapy (when medically necessary)
$0
$0
Mental Health Services (subject to medical review)
Cost for Active-Duty Family Members
Cost for Retirees and their Family Members / Survivors
Outpatient care individual
$0
$30/visit
Outpatient group / family therapy
$0
$30/visit
Partial hospitalization mental health
$0
$30/visit
Inpatient hospital psychiatric care
$0
$150/admission
Substance Abuse Treatment (subject to medical review)
Cost for Active-Duty Family Members
Cost for Retirees and their Family Members / Survivors
Outpatient care individual
$0
$30/visit
Outpatient group / family therapy
$0
$30/visit
Inpatient services
$0
$150/admission
Inpatient rehabilitation / Partial hospitalization program
$0
$30/day
Other Service (subject to medical review)
Cost for Active-Duty Family Members
Cost for Retirees and their Family Members / Survivors
Ambulance services5 (when medically necessary)
$0
$40/occurrence
Dental Care - basic preventive
Reduced fees
Reduced fees
Durable medical equipment
$0
20%
Emergency room services2 (including out of the area)
$0
$60
Urgent care center
$0
$30
Routine eye examination (1 per year)
$0
$0
Radiation/chemotherapy office visits
$0
$30
Prescription drug co-pays3 (Rite Aid retail)
(up to a 30-day supply)
$11 generic
$28 brand name
$53 non-preferred brand name
$11 generic
$28 brand name
$53 non-preferred brand name
Prescription drug co-pays3 (Home delivery only)
(up to a 90-day supply)
$7 generic
$24 brand name
$53 non-preferred brand name
$7 generic
$24 brand name
$53 non-preferred brand name
Skilled nursing facility care
$0
$30/day
Home health care (part-time skilled nursing care)
$0
$0
Out of area (emergency services only)
$0
$60
Catastrophic cap7
$1,000/enrollment year
$3,000/enrollment year
See How TRICARE Plans Compare
Plans
Johns Hopkins US Family Health Plan
A TRICARE Prime® option
TRICARE Select®
Coverage
Active-Duty Family Members
Retirees up to age 65
Active-Duty Family Members
Retirees up to age 65
Annual Premium Fees3
None
$289.08 individual / $578.16 family
None
None
Annual Deductible
None
None
$50 ind / $100 fam (E1-E4)
$150 ind / $300 fam (E5+)
$150 ind / $300 fam
Routine Physical Exam1
$0
$0
$0
$0
Office Visit (Primary Care)
Network Provider
$0
$20
$27
$35
Specialty Care
Network Provider
$0
$30
$34
$45
Emergency Room Visit
$0
$60
$87
$116
Hospital Admission
$0
$150 per admission
$18.60 per day or $25 per admission, whichever is more
$250 per day, or up to 25% hospital charge, whichever is less, plus 20% separately billed services
Prescription Drugs-Retail
Rite Aid Retail
(up to a 30 day supply)
Any Retail
Network Pharmacy
Generic
$11
$11
$11
$11
Brand Name
$28
$28
$28
$28
Non-Formulary
(unless est. as med. necessity)
$53
$53
$53
$53
Prescription Drugs-
Home Delivery
Home Delivery & Rite Aid Retail2
(up to a 90 day supply for maintenance medications)
Home Delivery Only
Generic
$7
$7
$7
$7
Brand Name
$24
$24
$24
$24
Non-Formulary
(unless est. as med. necessity)
$53
$53
$53
$53
Durable Medical Equipment
$0
20% of negotiated fee
15% of negotiated fee
20% of negotiated fee
Mental Health Outpatient Visit
$0
$30
$34
$45
Catastrophic Cap3
$1000 per family per plan year
$1000 per family per plan year
$1000 per family per plan year
$1000 per family per plan year