Here’s a way to be healthy and happy: Take advantage of all the great extras and discounts Johns Hopkins USFHP offers beyond traditional coverage.
Choose TRICARE Prime® From Johns Hopkins USFHP
Johns Hopkins USFHP includes comprehensive Tricare Prime® 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.
2023 Medical Benefits & Costs
Looking for 2024 Medical Benefits?
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
$351.96 individual
$703.92 family
$426 individual
$852 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
$24
$24
Specialty office visits
$0
$36
$36
Maternity care
(prenatal, postnatal)
$0
$0
$0
Well-child care (birth to age 6)
$0
$0
$0
Routine physical examinations1
$0
$0
$0
X-ray and lab tests2
$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
$73
$73
Physical Therapy
(when medically necessary)
$0
$36
$36
Cardiac Rehabilitation3
$0
$36
$36
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
$182/admission
$182/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
$36/visit
$36/visit
Outpatient group / family therapy
$0
$36/visit
$36/visit
Partial hospitalization, mental health
$0
$36/visit
$36/visit
Inpatient hospital psychiatric care
$0
$182/admission
$182/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
$36/visit
$36/visit
Outpatient group / family therapy
$0
$36/visit
$36/visit
Inpatient services (up to 7 days for detoxification per year)
$0
$182/admission
$182/admission
Residential Treatment Facility
$0
$36/day
$36/day
Partial hospitalization, substance abuse
$0
$36/visit
$36/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 ground4 (when medically necessary)
$0
$48/occurrence
$48/occurrence
Ambulance outpatient air4 (when medically necessary)
$0
$20/occurrence
$20/occurrence
Dental Care (basic preventative)
Reduced fees
Reduced fees
Reduced fees
Durable medical equipment
$0
20%
20%
Emergency room services5 (including out of the area)
$0
$73
$73
Urgent Care Center
$0
$36
$36
Routine eye examination (1 per Plan year)
$0
$0
$0
Radiation / chemotherapy office visits
$0
$36
$36
Prescription drug co-pays6 (up to a 30-day supply - Walgreens Retail)
$14 generic
$38 brand name
$68 non-preferred brand name
$14 generic
$38 brand name
$68 non-preferred brand name
$14 generic
$38 brand name
$68 non-preferred brand name
Prescription drug co-pays6 (up to a 90-day supply for maintenance medications - Home Delivery & Walgreens Retail)
$12 generic
$34 brand name
$68 non-preferred brand name
$12 generic
$34 brand name
$68 non-preferred brand name
$12 generic
$34 brand name
$68 non-preferred brand name
Skilled nursing facility care
$0
$36/day
$36/day
Home health care (part-time skilled nursing care)
$0
$0
$0
Out of area (emergency services only)
$0
$73
$73
Catastrophic cap (Maximum out-of-pocket expense per family)
$1,000/enrollment year (Group A*)
$1,217/enrollment year (Group B**)
$3,000/enrollment year
$4,262/enrollment year
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