Back to Top Skip to main content

TRICARE Prime versus TRICARE Select: Should you change or keep your plan?

Take Command of Your Health Take Command of Your Health

Recommended Content:

TRICARE Health Program | TRICARE Changes and You

TRICARE Open Season is from Nov. 12 through Dec. 10, 2018. This is the annual period when you can enroll in or change your TRICARE Prime or TRICARE Select plan. If you miss open season, you’ll only be able to make enrollment changes within 90 days of a Qualifying Life Event or during the next TRICARE Open Season in fall 2019. If you don’t want to change your plan, you don’t need to do anything during TRICARE Open Season.

To help you pick the program that’s right for you during TRICARE Open Season, here’s an overview of the differences between TRICARE PrimeA managed care option available in Prime Service Areas in the United States; you have an assigned primary care manager who provides most of your care.TRICARE Prime and TRICARE SelectStarting on January 1, 2018, TRICARE Select replaces TRICARE Standard and Extra. TRICARE Select is a self-managed, preferred provider network plan. TRICARE Select is a fee-for-service option in the United States that allows you to get care from any TRICARE-authorized provider.  Enrollment is required to participate. TRICARE Select.

TRICARE Prime: A Managed Care Plan

TRICARE Prime is a managed care option, similar to a health maintenance organization program, which offers affordable and comprehensive health care coverage. You will be assigned a provider who is your primary care manager (PCM). Your PCM will:

  • Manage your health care
  • Provide your routine health care
  • Get any referrals or authorizations you need
  • Refer you to a specialist when you need it
  • File your medical claims

Active duty service members (ADSMs) must enroll in TRICARE Prime. Active duty family members (ADFMs) may choose to enroll in TRICARE Prime or TRICARE Select. There are a few TRICARE Prime plans available, including: TRICARE Prime, TRICARE Prime RemoteA managed care option for active duty service members and their families who live in designated remote locations in the U.S. (usually more than 50 miles or one hour's drive time from a military hospital or clinic).TRICARE Prime Remote, TRICARE Prime OverseasA managed care option for active duty service members and command-sponsored family members in overseas areas near military hospitals and clinics.TRICARE Prime Overseas, TRICARE Prime Remote OverseasA managed care option for active duty service members and command-sponsored family members in designated remote overseas locations.TRICARE Prime Remote Overseas and TRICARE Young AdultA premium-based plan for qualified adult children.TRICARE Young Adult-Prime.

TRICARE Select: A Preferred Provider Plan

TRICARE Select is a self-managed, preferred provider option. You manage your own health care without a PCM and choose which TRICARE-authorized providers you see. You don’t need referrals, but your regional contractor must authorize some services. Network providers will file claims for you. You may have to file your own claims if you get non-network care. For help with filing claims, visit the Filing Claims page. 

You may enroll in TRICARE Select anywhere in the U.S. if you aren’t an active duty service member. If you live overseas, you may enroll in TRICARE Overseas Program Select.

TRICARE Prime Costs

There are no out-of-pocket costs if you’re an ADSM. And there are no costs if you’re an ADFM, unless you use the point-of-service option. All other beneficiaries pay:

  • An annual enrollment fee
  • Copayments

For more information, visit the TRICARE Costs page.

TRICARE Select Costs

When you receive care within the TRICARE network, you have fewer costs if you use TRICARE Select. When you use TRICARE Select, you can expect to pay:

  • An annual enrollment fee (for certain beneficiaries)
  • An annual deductible
  • A fixed fee for some outpatient services
  • A cost-share (a part of the total cost of each service you receive)

For more information, visit the TRICARE Costs page.

What Do I Need to Do During Open Season?

There are a few things you need to do during open season if you want to change your plan.

For more information about TRICARE Open Season, visit the Open Season page on the TRICARE website. Find more about TRICARE Prime and TRICARE Select under Health Plans. Take command of your benefit this fall, and make any changes to your TRICARE health coverage before TRICARE Open Season ends on Dec. 10, 2018.

You also may be interested in...

Download Letter to Beneficiaries

Publication
6/24/2020

This message replaces guidance issued on March 31. It explains actions military pharmacies are taking to keep services and visits safe during the COVID-19 pandemic, and it outlines your pharmacy options as a TRICARE beneficiary.

Recommended Content:

Coronavirus | COVID Pharmacy Guidance | TRICARE Health Program

TRICARE Program Effectiveness

Congressional Testimony
6/9/2020

S. 1124 NDAA Conference Report for FY 1996; Sec. 717, As modified by S. 1356, NDAA Conference Report for FY 2016, Sec. 713

Recommended Content:

TRICARE Health Program

Communication to ABA Providers Regarding Continued Temporary Authorization to Utilize Telehealth for CPT Code 97156 During the COVID-19 National Emergency

Publication
6/3/2020

TRICARE is announcing the continuation of the temporary exception to policy regarding the use of synchronous telehealth (TH) capabilities (both audio and video) for Applied Behavior Analysis (ABA) Family Adaptive Behavior Treatment Guidance services specifically during this COVID-19 pandemic.

Recommended Content:

Autism Care Demonstration | Coronavirus | TRICARE Health Program

DHA increases access to telehealth during COVID-19 pandemic

Article
5/19/2020
Medical personnel sitting at desk talking into laptop monitor

Use of telehealth role increases to prevent COVID-19 spread

Recommended Content:

TRICARE Health Program | Coronavirus

TRICARE Improper Medical Claims Payments

Congressional Testimony
4/24/2020

S. 1790, SASC Report for FY 2020, 116-48, Pg. 213-214

Recommended Content:

TRICARE Health Program

Benefits Eligibility for 32 USC 502(f) Missions

Publication
4/14/2020

A chart outlining the various Benefits Eligibility for 32 USC 502(f) Missions

Recommended Content:

Coronavirus | TRICARE Health Program

TRICARE Coverage of Continuous Glucose Monitors

Congressional Testimony
4/9/2020

S. 1790, SASC Report for FY 2020, 116-48, Pg. 213

Recommended Content:

TRICARE Health Program

Decision Memorandum on TRICARE Implementation of the "Families First Coronavirus Response Act"

Publication
4/7/2020

The Families First Coronavirus Response Act, Public Law 116-127, Division F, Section 6006(a), limits TRICARE authority to impose copayment or other cost-sharing for novel coronavirus (COVID-19) testing and related provider visits that result in orders for or administration of Food and Drug Administration (FDA) approved, cleared, or authorized diagnostic products. In order for the Defense Health Agency (DHA) to implement, the Assistant Secretary of Defense for Health Affairs (ASD(HA)) must acknowledge the self-executing authority of the statute and direct the Director, DHA, or designee, to issue guidance implementing the statutory provisions.

Recommended Content:

TRICARE Health Program | Coronavirus

Possible changes at MTF pharmacies in response to COVID-19

Article
3/31/2020
A military pharmacist choosing medication from a shelf

Find out the latest pharmacy policies at MTFs

Recommended Content:

Coronavirus | Public Health | TRICARE Health Program

Tiered Telehealth Health Care Support for COVID-19

Publication
3/31/2020

This memorandum establishes guidance for the use of Telehealth (TH) Information Technology (IT) tools in support of the clinical care required for patients across the spectrum of COVID-19 illness

Recommended Content:

TRICARE Health Program | Public Health | Coronavirus

Pharmacy Guidance for Market MTFs

Publication
3/31/2020

Message to Pharmacy Beneficiaries regarding military pharmacy services during the COVID-19 pandemic.

Recommended Content:

Coronavirus | Pharmacy Division | TRICARE Health Program

Policy Exception for Telehealth Use for ABA during COVID-19 Pandemic

Publication
3/30/2020

Communication to ABA Providers Regarding Temporary Authorization to Utilize Telehealth for CPT Code 97156 During the COVID-19 National Emergency

Recommended Content:

Coronavirus | Autism Care Demonstration | TRICARE Health Program

Q & A: Policy Exception for Telehealth Use for ABA during COVID-19 Pandemic

Publication
3/30/2020

Question and Answer: TRICARE Autism Care Demonstration (ACD): Regarding Temporary Authorization to Utilize Telehealth for CPT Code 97156 during the COVID-19 National Emergency

Recommended Content:

Coronavirus | Autism Care Demonstration | TRICARE Health Program

Report on Requirement for Certain Former Members of the Armed Forces to Enroll in Medicare Part B to be Eligible for TFL; TRICARE Access Study; and Improving Health Care Choices for Severely Injured Service Members

Congressional Testimony
3/2/2020

H.R. 5515, NDAA Conference Report for FY 2019, 115-874, Sec. 734; H.R. 5515, HASC Report for FY 2019, 115-676 ,Pg. 132; S 2987, SASC Report for FY 2019, 115-262, Pg. 223

Recommended Content:

TRICARE Health Program

MHS Minute February 2020

Video
2/25/2020
MHS Minute February 2020

Thanks for tuning in to the MHS Minute! This month, we highlight a historical moment in #MilitaryHealth history, as Defense Health Agency (DHA) established the first four health care markets in the military medical enterprise. We also take a look at the Military Health System (MHS) response to Novel Coronavirus -- learn more about what Madigan Army Medical Center is doing to combat the threat of illness by going to mamc.health.mil.

Recommended Content:

MHS Transformation | TRICARE Health Program | Coronavirus
<< < 1 2 3 4 5  ... > >> 
Showing results 1 - 15 Page 1 of 17

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

Some documents are presented in Portable Document Format (PDF). A PDF reader is required for viewing. Download a PDF Reader or learn more about PDFs.