TRICARE Prime is a health care option for active duty service members (ADSMs),
retirees, family members, and certain others. It’s similar to a managed care or health
maintenance organization option, which means your access to specialty care is managed
by your primary care manager (PCM).
Other TRICARE Prime options include:
• TPR, a TRICARE Prime option for ADSMs living and working in remote locations
(outside of a PSA) and their family members.
• USFHP, a TRICARE Prime option where care is provided through networks of community-
based, not-for-profit health care systems in six areas of the United States. For more
information, go to www.tricare.mil/usfhp.
QUALIFYING FOR A TRICARE PRIME OPTION
To get TRICARE Prime, you must live in a PSA. You may also get TRICARE Prime
if you live within 100 miles of an available PCM and waive your drive-time access
standards. To find out if you live in an area where you can get TRICARE Prime, go to
www.tricare.mil/planfinder. For more information about drive-time access standards, go to
www.tricare.mil/primeaccess.
TPR is an option for ADSMs and active duty family members (ADFMs) living and working
in remote areas.
ENROLLING IN A TRICARE PRIME OPTION
You must take action to enroll in a TRICARE Prime option:
• ADSMs must use TRICARE Prime or TPR.
• ADFMs can choose to enroll in TRICARE Prime, TPR, USFHP, or TRICARE Select.
• Retirees and retiree family members may enroll in TRICARE Prime or USFHP. If neither
is available, you can enroll in TRICARE Select.
You can only enroll in or change enrollment to TRICARE Prime (if you live in a PSA)
following a Qualifying Life Event (QLE) or during the annual fall TRICARE Open Season.
You have three options to enroll in a TRICARE Prime program:
• Log in to milConnect at https://milconnect.dmdc.osd.mil and click on the “Manage
health benefits” button.
• Call your regional contractor.
• Submit a TRICARE Prime Enrollment, Disenrollment, and Primary Care Manager (PCM)
Change Form (DD Form 2876) to your regional contractor. You can find this form
at www.tricare.mil/forms.
For more information on enrollment, visit www.tricare.mil/enroll.
TRICARE Prime® Options
HELPFUL TERMS
Qualifying Life Event
A certain change in your life,
such as marriage, birth of a
child, or retirement from
active duty, which may mean
different TRICARE options
are available to you. A QLE
opens a 90-day period for
you to make eligible
enrollment changes. A QLE
for one family member
means all family members
may make enrollment
changes. To learn more, visit
www.tricare.mil/lifeevents.
TRICARE Open Season
The annual period when you
can enroll in or change your
health care coverage plan for
the following year. To learn
more, visit www.tricare.mil/
openseason.
AUTOMATIC
ENROLLMENT
If you’re an ADSM, a family
member of a new ADSM,
a new family member of
a current ADSM, or your
military sponsor has been
called to active duty, you’ll
be automatically enrolled
in TRICARE Prime if you
live in a PSA. Otherwise,
ADFMs will be automatically
enrolled in TRICARE Select.
ADSMs must remain
enrolled in TRICARE Prime.
All others automatically
enrolled have up to 90 days
to change enrollment if
eligible for other TRICARE
plans. You may also be
eligible to enroll in the
USFHP if you live in an area
where the plan is offered.
HEALTH CARE OPTIONS
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