What is Tricare Prime?

Tricare Prime is a managed care option available in Prime Service Areas. 

Additional Prime options for active duty service members and their families include:

-Tricare Prime Remote

-Tricare Prime Overseas

-Tricare Prime Remote Overseas

Who can participate in Tricare Prime?

-Active Duty service members and their families

-Retired service members and their families 

-Activated Guard/Reserve members and their families

-Non-activated Guard/Reserve members and their families who qualify for care under The Transitional Assistance Management Plan

-Retired Guard/Reserve members at age 60 and their families

-Survivors

-Medal of Honor recipients and their families

-Qualified formal spouses

How it works:

You have an assigned Primary Care Manager (PCM) who will provide most of your care. 

-Military or network provider

-Refers you to a specialist if he or she can't provide the care you need

-Works with your regional contractor for referrals/authorization

-Accepts your copayment and files claims for you

What you pay:

-Active Duty service members pay nothing out-of-pocket

-Active Duty daily members pay nothing unless using the point-of-service option

-All other beneficiaries pay annual enrollment fees and network copayments 

Is Prime right for you?

If you are on active duty, you have to enroll in Tricare Prime. All others can choose to enroll in Tricare Prime or Tricare Select. Tricare Prime offers fewer out-of-pocket costs than Tricare Select, but less freedom of choice for providers. If you have other health insurance, Tricare Prime might not be right for you. 

How to Enroll:

1. Online via the Beneficiary Web Enrollment Website

2. Call your regional contractor:

East Region: 1-800-444-5445

West Region: 1-844-866-9378

3. Mail the enrollment form to your regional contractor (mailing addresses on the form)

Forms can be found at: https://tricare.mil/Plans/HealthPlans/Prime