Composite Scores	Spcecialty Care Rating
Beneficiary Category	October 2020	January 2021	April 2021	Rate of Change*
Benchmark	81	81	81	0
All Users	76b	77b	78b	+1
Prime Enrollees	75b	76b	76b	+1
Enrollees with Military PCM	74b	75b	74b	0
Enrollees with Civilian PCM	75	78	79	+2
Select Enrollees	80	81	84a	+2
Purchased Care Users	78	79	82	+2
Active Duty	72b	74b	71b	0
Active Duty Dependents	77b	76b	79	+1
Retirees and Dependents	78	79	83	+2

Source: April 2021 Health Care Survey of DOD Beneficiaries

The reference period is the preceding 12 months.

^a Indicates score significantly exceeds benchmark

^b Indicates score significantly falls short of benchmark

* Estimated Quarterly Rate of Change