Composite Scores	Specialty Care Rating
Beneficiary Category	January 2021	April 2021	October 2021	Rate of Change*
Benchmark	81	81	80	0
All Users	77b	78b	75b	-1
Prime Enrollees	76b	76b	73b	-1
Enrollees with Military PCM	75b	74b	69b	-2b
Enrollees with Civilian PCM	78	79	82	+2
Select Enrollees	81	84a	80	-1
Purchased Care Users	79	82	81	0
Active Duty	74b	71b	70b	-1
Active Duty Dependents	76b	79	72b	-2
Retirees and Dependents	79	83	82	+1

Source: October 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