Frequently Asked Questions

How does the US Family Health Plan compare to TRICARE Prime? top ^

The US Family Health Plan offers the same benefits and cost structure as TRICARE Prime. In addition, USFHP offers:

  • Experience – Over thirty years of providing healthcare to military beneficiaries
  • Quality – Comprehensive healthcare provided by some of the best providers and hospitals in the nation!
  • Conveniences – Large network of healthcare providers with accessible locations and hours.
    No forms to fill out and one payor for all your expenses
  • Choice – Members select physicians and healthcare sites
  • Access – Timely appointments with healthcare providers
  • Service – Personal attention from member services and healthcare providers
  • Value – Minimal costs to members and lowest fees of all the TRICARE options

What will it cost to belong? top ^

For military retirees and their eligible family members, the fee for the 12-month enrollment period is $282.60 per individual membership or $565.20 per family membership. (2 or more family members). You may pay all at once or choose quarterly with no additional charges. Your first enrollment fee payment is due no later than the end of the first month of your membership. (Enrollment Fees are subject to change annually).

How much will it cost for care? top ^

First, there are no deductibles to meet with US Family Health Plan, and no waiting periods. Your benefits take effect the first of month following the month you join if your application is received by the 20th of the month. After your enrollment fee, if any, your only costs are the relatively small copayments you pay when you receive medical services.

How small? They are still small compared with the costs under TRICARE Standard, Extra or Medicare. However, it’s important to note that many services – such as annual physical examinations, well child care, vision and hearing testing, require no copayments at all.

The US Family Health Plan pharmacy benefit is excellent and, for many people offers significant savings over other plans. With traditional Medicare coverage, there are no outpatient pharmacy benefits. With Medicare HMOs, the pharmacy benefit is limited.

What’s more, if you think of what it might cost you in the time and trouble of filling out paperwork, you save here too: with the US Family Health Plan, there are no claim forms.

Who is eligible for the US Family Health Plan? top ^

You’re eligible for the plan if you are in any of the following categories:

  • Eligible Family Members of Active Duty Uniformed Service Members
  • Unmarried children up to age 21 or until their 23rd birthday if they are a full-time student
  • Retirees and their eligible family members
  • National Oceanic and Atmospheric Administration (NOAA) retirees and their eligible family members
  • Un-remarried husbands and wives and qualified unmarried children of deceased retired service members
  • Eligible family members of deceased or retired NOS members

If you have questions about eligibility, please call (800)-241-4848.

What happens if my military status changes during the middle of the plan year? top ^

When you retire and change your status from active duty to retiree, you will have to pay the applicable enrollment fee. The fee will be prorated based on the date of your retirement. Active duty sponsors who retire mid-plan year can join the USFHP at that time.

Who can answer questions on eligibility, benefits or providers in the network? top ^

If you have questions regarding eligibility, benefits or providers in the network, call the Member Services Department at (800)241-4848. Member Services Representative are available to answer your questions Monday through Friday, 9:00am-5:00pm.

Bills or written inquiries should be mailed to the address below. Only Physician / Provider claims and related information should be mailed to the address on the back of the ID Card:

US Family Health Plan Member Services
Saint Vincent Catholic Medical Centers
5 Penn Plaza
9th Floor
New York, NY 10001

When will the enrollment fees be due, if applicable? top ^

All enrollees must pay their applicable enrollment fees in accordance with the government’s fiscal year, which begins on October 1st and ends on September 30th of the following year. The enrollment fee, for retirees who do not pay for Medicare Part B coverage, is due by the first day of the new enrollment year (October 1st) for continuing members who chose to pay annually or by the first day of the enrollment quarter for those who choose to pay quarterly (October 1st, January 1st, April 1st and July 1st).

If you are a new applicant, your initial payment for your enrollment fee should be sent with your application.

How do I enroll? top ^

Enrollment is easy. Click Here

You can enroll at any time.

Who can I call to get additional information? top ^

Please feel free to call us Monday through Friday between 8am-5pm at (800)-241-4848.