Orlando Harmon
Tricare is a US government-managed health insurance program for military personnel, retirees, and their families. It offers comprehensive coverage, health plans, special programs, prescriptions, and dental plans. Tricare is available worldwide and is considered the gold standard for medical coverage. It brings together the healthcare resources of the
| Characteristics | Values |
|---|---|
| Type | Government-managed health insurance |
| Managed by | Pentagon's Defense Health Agency |
| Available for | Current and former service members, retirees, and their families worldwide |
| Plans | TRICARE Prime, TRICARE Select, TRICARE Young Adult, TRICARE Reserve Select, TRICARE Retired Reserve, TRICARE for Life, TRICARE Overseas, US Family Health Plan |
| Coverage | Comprehensive coverage, health plans, special programs, prescriptions, and dental plans |
| Eligibility | Determined by the service personnel office; can be checked online or over the phone |
| Payment methods | EFT, credit card, debit card |
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What You'll Learn
Who is eligible for Tricare?
Tricare is a health care program for service members, retirees, and their families worldwide. It is the uniformed services healthcare program for active-duty service members, active-duty family members, National Guard and Reserve members, and their families, retirees and retiree family members, survivors, and certain former spouses worldwide.
Those eligible for Tricare include active-duty service members and their families, who are covered by Tricare Overseas if they are stationed OCONUS. Family members of active-duty service members may be eligible for the Tricare Dental Program. Meanwhile, Reserve and National Guard members when activated are covered by active-duty dental benefits, and when not activated, they can enroll in the Tricare Dental Program. Tricare Reserve Select is a premium-based health plan for selected reserve members and their families who qualify.
Children enrolled in Tricare under a parent's plan may purchase Tricare Young Adult when their coverage ends at age 21 (or 23 if enrolled in college) if they meet certain eligibility requirements. To check your eligibility, you must first make sure your information is fully updated in DEERS, after which you can log in to milConnect to check if you're eligible for Tricare.
Tricare offers several services for beneficiaries with special needs, including applied behavior analysis, cancer clinical trials, durable medical equipment, home health care, hospice care, mental health care, and skilled nursing facility care. The Extended Care Health Option provides financial assistance to Tricare beneficiaries with special needs.
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Tricare's prescription coverage
Tricare is a health care program for service members, retirees and their families worldwide. It offers comprehensive coverage, health plans, special programs, prescriptions and dental plans.
Tricare offers prescription drug coverage with most Tricare health plans. The Tricare Formulary is a list of generic and brand-name prescription drugs that are covered. Tricare covers most prescription drugs approved by the Food and Drug Administration (FDA). Prescription drugs may be covered under the pharmacy benefit or the medical benefit. The formulary is reviewed and updated each quarter. After each review, some drugs may move from one category to another.
The Tricare Pharmacy Program provides prescription drugs for eligible beneficiaries in a safe, easy and affordable way. There are four pharmacy options: military pharmacies, home delivery, network pharmacies and non-network pharmacies. Each option is available worldwide, but there are some limits overseas.
If you use the US Family Health Plan, you have separate pharmacy coverage. Dental coverage is also separate from Tricare's medical coverage and is based on who you are. You can use the Tricare Covered Services tool to see if something is covered or not. You can search by keyword or browse common categories.
Tricare offers several services for beneficiaries with special needs, including applied behaviour analysis, cancer clinical trials, durable medical equipment, home health care, hospice care, mental health care and skilled nursing facility care.
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Dental coverage
TRICARE is a health care program for service members, retirees, and their families worldwide. It offers comprehensive health plans, including dental coverage, which is separate from its medical coverage.
Children under age one are automatically added to the family plan on the first day of the month after they reach age one. Adult children enrolled in TRICARE Young Adult do not qualify for dental benefits.
TRICARE offers several services for beneficiaries with special needs, including applied behavior analysis, cancer clinical trials, durable medical equipment, home health care, hospice care, mental health care, and skilled nursing facility care. The Extended Care Health Option provides financial assistance to TRICARE beneficiaries with special needs.
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Tricare Prime
TRICARE is a health care program for service members, retirees, and their families worldwide. It offers comprehensive coverage, health plans, special programs, prescriptions, and dental plans. TRICARE is available worldwide, and your benefits are the same no matter where you live.
If you are on active duty, you must enroll in TRICARE Prime. All others can choose to enroll in TRICARE Prime or TRICARE Select. TRICARE Prime typically offers fewer out-of-pocket costs than TRICARE Select, but it offers less freedom of choice for providers. If you have other health insurance, TRICARE Prime might not be right for you.
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Tricare Select
TRICARE is a healthcare program for service members, retirees, and their families worldwide. It offers comprehensive coverage, health plans, special programs, prescriptions, and dental plans. TRICARE Select is a self-managed preferred provider organization (PPO) plan available in the US.
Costs for TRICARE Select vary based on the sponsor's military status. There are enrollment fees, and you may have to pay copayments and cost-shares. If you have other health insurance, such as Medicare or an employer-sponsored plan, TRICARE Select may be a good option. You can use any TRICARE-authorized provider, which includes both network and non-network providers. However, using a non-network provider may result in higher costs and the need to file your own claims.
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Frequently asked questions
Tricare is a government-managed health insurance program for service members, retirees, and their families worldwide. It is managed by the Pentagon's Defense Health Agency.
Those eligible for Tricare include active-duty service members, active-duty family members, National Guard and Reserve members and their family members, retirees and retiree family members, survivors, and certain former spouses worldwide. Your service personnel office determines your Tricare eligibility.
Tricare provides comprehensive coverage, health plans, special programs, prescriptions, and dental plans. It offers several services for beneficiaries with special needs, including applied behavior analysis, cancer clinical trials, durable medical equipment, home health care, hospice care, mental health care, and skilled nursing facility care.
