Frequently Asked Questions

A: For military retirees and their eligible family members, the fee for the 12-month enrollment is $289.08 per individual membership or $578.16 per family membership (2 or more family members). You may pay all at once or choose to pay 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. 

There are no deductibles to meet with USFHP, and there are no waiting periods. After your enrollment fee, if any, your only costs are the relatively small co-payments you pay when you receive medical services. Many services – such as annual physical examinations, child care, vision, and hearing testing require no co-payments at all.

A: All enrollees must pay their applicable enrollment fees in accordance with the government’s calendar 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 (January 1st) for members who chose to pay annually or by the first day of the enrollment quarter for those who choose to pay quarterly (January 1st, April 1st, July 1st, and October 1st).

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

A:

In order to enroll in the Plan, you must be:

  • An eligible beneficiary of the Military Health System
  • A resident of New Jersey, parts of Pennsylvania, parts of Connecticut, or parts of New York (New York City, Westchester, Orange, Rockland, Suffolk, Nassau, Putnam, and Dutchess counties)
  • Show as eligible in the Defense Enrollment Eligibility Reporting System (DEERS) database, and maintain a valid military identification card

An eligible individual must also be one of the following:

  • Eligible Active Duty family members. This includes activated members of the National Guard and Reserve and their family members
  • Uniformed Services retirees under the age of 65
  • Eligible family members of Uniformed Services retirees under the age of 65
  • Eligible family members of deceased Active Duty or retired Uniformed Services members under the age of 65
  • Certain former spouses of active duty or retired service members may be eligible if they remained unmarried

Active Duty personnel and military beneficiaries age 65 and over are not eligible for USFHP.

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

A: Enrollment is easy! Enroll at any time here.

Learn more about our enrollment options here.

A: 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 USFHP anytime.

A: USFHP offers the same benefits and cost structure as TRICARE Prime. In addition, USFHP offers:

  • Value – Minimal costs to members and low fee
  • Convenience – We offer a large network of healthcare providers with accessible locations and hours
  • Experience – Over thirty years of providing healthcare to military families 
  • Quality – Comprehensive healthcare provided by the best providers and hospitals in the country
  • Choice – Members select physicians and healthcare sites
  • Enhanced Benefits – Choice of one of the three enhanced benefits (Eyeglasses, Preventive Dental Services, Gym Reimbursement)

A: If you have an address change, please notify us (800-241-4848 or usfamily@svcmcny.org) to update your record and confirm if US Family Health Plan provides coverage in your area.

A: If you travel outside of our coverage and need medical attention, you have access to urgent/emergency care. Please refer to Member Handbook for more information.

A: If you have OHI, please contact customer service to update your record and set the appropriate coordination of benefits.

A: For access to your detailed claim(s) information, make PCP changes, submit claims/member reimbursement, member ID cards and more, please register for member portal access https://member.usfhp.net

A: To find a Provider or search for healthcare services near you, please visit our Provider Locator here.
A: To print an ID card or request a replacement card, please visit our Member Portal. We also offer a mobile app for quick access to your ID card at your fingertips! Search the Apple App Store or Google Play Store for the USFHP Member app.
A: If you would like to learn more about how to use the new portal, we offer a self-help tutorial on the bottom of the Member Portal log-in page. For further assistance, please contact Customer Service at (800) 241-4848.