The only paperwork you’ll ever have to do.

There is a national enrollment form for all TRICARE Prime plans, including US Family Health Plan. You can download it here, print it, fill it out, sign it, and mail it back to us. Or you can call 1-888-815-5510 and we’ll send you a form by mail.

Download Enrollment Form

The annual enrollment fee for Plan Year 2017 (October 1, 2016 through September 30, 2017) for retirees and retiree family members is:

Annual Quarterly Monthly
Individual $ 282.60 $ 70.65 $ 23.55
Family $ 565.20 $ 141.30 $ 47.10

When you enroll in our plan, you choose a doctor to be your Primary Care Provider (PCP). The term you’ll see on the standard form is Primary Care Manager (PCM) but they both mean the same thing.

If you wish to pay your enrollment fee by allotment from your military retirement pay, please download and complete the allotment authorization form and submit it with your enrollment application.

If you have questions or need assistance, feel free to call 1-888-815-5510. We’re here Monday through Friday from 8:30 am to 5:00 pm, and we’re happy to help.

Need Some Help?

Our local staff is happy to assist you.

Contact Us