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
Johns Hopkins USFHP includes 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
Group A* / Group B**
Group A*
Group B**
Annual Enrollment Fees
$0
$303 individual
$606 family
$366 individual
$732 family
Annual Deductibles
$0
$0
$0
Outpatient Services (subject to medical review)
Cost for Active-Duty
Family Members
Cost for Retirees and their
Family Members / Survivors
Group A* / Group B**
Group A*
Group B**
Preventative visit
$0
$0
$0
Office Visits (Primary Care)
$0
$21
$21
Specialty office visits
$0
$31
$31
Maternity care
(prenatal, postnatal)
$0
$0
$0
Well-child care (birth to age 6)
$0
$0
$0
Routine physical examinations6
$0
$0
$0
X-ray and lab tests1
$0
$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
$63
$63
Physical Therapy
(when medically necessary)
$0
$31
$31
Cardiac Rehabilitation
$0
$31
$31
Inpatient Services (subject to medical review)
Cost for Active-Duty
Family Members
Cost for Retirees and their
Family Members / Survivors
Group A* / Group B**
Group A*
Group B**
Hospitalization
(semi-private room and board)
$0
$158/admission
$158/admission
Physician services
$0
$0
$0
General nursing services
$0
$0
$0
Diagnostic tests including lab and X-ray
$0
$0
$0
Operating room, anesthesia and supplies
$0
$0
$0
Medically necessary supplies and services
$0
$0
$0
Physical therapy (when medically necessary)
$0
$0
$0
Mental Health Services (subject to medical review)
Cost for Active-Duty
Family Members
Cost for Retirees and their
Family Members / Survivors
Group A* / Group B**
Group A*
Group B**
Outpatient care individual
$0
$31/visit
$31/visit
Outpatient group / family therapy
$0
$31/visit
$31/visit
Partial hospitalization, mental health
$0
$31/visit
$31/visit
Inpatient hospital psychiatric care
$0
$158/admission
$158/admission
Substance Abuse Treatment (subject to medical review)
Cost for Active-Duty
Family Members
Cost for Retirees and their
Family Members / Survivors
Group A* / Group B**
Group A*
Group B**
Outpatient care individual
$0
$31/visit
$31/visit
Outpatient group / family therapy
$0
$31/visit
$31/visit
Inpatient services (up to 7 days for detoxification per year)
$0
$158/admission
$158/admission
Residential Treatment Facility
$0
$31/day
$31/day
Partial hospitalization, substance abuse
$0
$31/visit
$31/visit
Other Service (subject to medical review)
Cost for Active-Duty
Family Members
Cost for Retirees and their
Family Members / Survivors
Group A* / Group B**
Group A*
Group B**
Ambulance, outpatient ground5 (when medically necessary)
$0
$42/occurrence
$42/occurrence
Ambulance outpatient air5 (when medically necessary)
$0
$21/occurrence
$21/occurrence
Dental Care (basic preventative)
Reduced fees
Reduced fees
Reduced fees
Durable medical equipment
$0
20%
20%
Emergency room services2 (including out of the area)
$0
$63
$63
Urgent Care Center
$0
$31
$31
Routine eye examination (1 per Plan year)
$0
$0
$0
Radiation / chemotherapy office visits
$0
$31
$31
Prescription drug co-pays3 (up to a 30-day supply - Walgreens Retail)
$13 generic
$33 brand name
$60 non-preferred brand name
$13 generic
$33 brand name
$60 non-preferred brand name
$13 generic
$33 brand name
$60 non-preferred brand name
Prescription drug co-pays3 (up to a 90-day supply for maintenance medications - Home Delivery & Walgreens Retail)
$10 generic
$29 brand name
$60 non-preferred brand name
$10 generic
$29 brand name
$60 non-preferred brand name
$10 generic
$29 brand name
$60 non-preferred brand name
Skilled nursing facility care
$0
$31/day
$31/day
Home health care (part-time skilled nursing care)
$0
$0
$0
Out of area (emergency services only)
$0
$63
$63
Catastrophic cap (Maximum out-of-pocket expense per family)
$1,000/enrollment year (Group A*)
$1,058/enrollment year (Group B**)
$3,000/enrollment year
$3,703/enrollment year