What is the difference between TRICARE Prime and TRICARE Select?

Asked by: Miss Anita Jacobi  |  Last update: February 11, 2022
Score: 4.3/5 (68 votes)

With TRICARE Prime, your provider will file claims for you in most cases. Under TRICARE Select, you aren't required to have a PCM. You manage your own health care and can receive care from any provider. However, you can save money with TRICARE Select if you see a TRICARE-authorized network provider.

Who is Tricare Select for?

Tricare Select is a fee-for-service insurance plan that lets you see any doctor. This plan is available to family members, veterans, and retirees.

What does Tricare Select not cover?

In general, TRICARE excludes services and supplies that are not medically or psychologically necessary for the diagnosis or treatment of a covered illness (including mental disorder), injury, or for the diagnosis and treatment of pregnancy or well-child care.

Can I switch from Tricare Prime to select?

If you're already enrolled in a TRICARE Prime option or TRICARE Select, you can switch plans and switch between individual and family enrollment.

Does Tricare Select have a monthly fee?

How much is the TRICARE Select Group A enrollment fee? The fee is: $12.50 per month or $150 annually for an individual plan. $25 per month or $300 annually for a family plan.

MILITARY RETIREMENT TRICARE

30 related questions found

Is TRICARE Select worth it?

TRICARE Select is a good option for those military family members and other eligible enrollees who need a care provider not in in the TRICARE network and don't want to change their existing services.

How much is TRICARE Prime for retirees?

Enrollment fees

A working-age retiree in Tricare Prime will pay a $323 annual enrollment fee for an individual, an increase of $20 per year, and $647 for a family, an increase of $41.

Can TRICARE Select use military hospitals?

One of the advantages of TRS, TRR and TRICARE Select programs is an almost unrestricted choice of providers. ... Military Hospitals and Clinics – As a TRICARE beneficiary, you have access to some of the best medical care in the country. You can get care at military hospitals and clinics on a space available basis.

What does TRICARE Select pay for?

Tricare Select is a fee-for-service insurance plan that lets you see any doctor. If you visit a network doctor you normally will only have to pay a small copay when you visit. This plan is available to family members, veterans, and retirees.

Is TRICARE Select the same as TRICARE for Life?

The TRICARE Select health plan is similar to a preferred provider organization (PPO) for eligible beneficiaries not enrolled in TRICARE Prime (except ADSMs and TRICARE For Life beneficiaries). ... TRICARE can't reimburse care delivered by a provider who isn't an authorized TRICARE provider.

Is TRICARE Select the same as TRICARE Standard?

In 2018, TRICARE Select replaced TRICARE Standard and Extra. TRICARE Select is a self-managed, preferred provider, and fee-for-service health care plan available in the United States to: Active duty Family members. Retired Service members and their Families.

Is TRICARE Prime a PPO or HMO?

TRICARE Prime is a Health Maintenance Organization (HMO) medical plan. HMOs provide guaranteed access to health care by assigning you to a specific facility for your care.

How does TRICARE Select work?

Under TRICARE Select, you pay a copayment (fixed fee) for most outpatient services from a TRICARE network provider. If desired, you can get care from a TRICARE-authorized non-network provider, but you'll pay a cost-share. ... You'll pay an annual deductible and cost-shares for TRICARE covered services.

What is TRICARE Select?

TRICARE Select is a self-managed, preferred provider organization (PPO) plan available in the United States. You must show eligible for TRICARE in the Defense Enrollment Eligibility Reporting System. You need to register in DEERS to get TRICARE.. Enrollment is required, learn more on the Select Enrollment Page.

Is TRICARE free for retired military?

Tricare Health Plans

All retirees have to pay a deductible amount of $150 per individual (no more than $300 per family). Tricare Retired Reserve - Retired Guard or Reservists and their family members can purchase Tricare Retired Reserve until they reach age 60, there is an enrollment fee, and copays for treatment.

Does TRICARE Select Cover vision?

TRICARE vision coverage depends on who you are, your health plan, and your age. It includes an annual routine eye exam for active duty family members (ADFMs) using TRICARE Prime and TRICARE Select. ... TRICARE Select retirees and their family members don't have coverage for eye exams.

Does TRICARE Select cover prescriptions?

TRICARE covers most prescription drugs approved by the U.S. Food and Drug Administration (FDA). Prescription drugs may be available as part of the pharmacy or medical benefit.

Can you go to any doctor with TRICARE Prime?

If you're looking for a doctor, TRICARE can help. Your coverage enables you to visit several types of providers. You may get care from a provider at a military hospital or clinic or from a civilian TRICARE-authorized provider.

Can you go to the ER with TRICARE Select?

TRICARE covers emergency care to include professional and institutional charges and services and supplies that are ordered or administered in an emergency department.

Can I keep TRICARE Prime after age 65?

Medicare is a health insurance program for people: Age 65 or older. ... (If you have Medicare due to a disability, you can continue your TRICARE Prime enrollment [if you qualify]. If you do, your Prime enrollment fees are waived.

Do you lose TRICARE at 65?

TRICARE and Medicare beneficiaries who are age 65 must have Medicare Part A and Part B to remain TRICARE-eligible and be able to use TFL. TRICARE beneficiaries who aren't eligible for premium-free Medicare Part A at age 65 on their own work history or their spouse's work history remain eligible to enroll in USFHP.

Is TRICARE Prime primary or secondary?

Ending Other Health Insurance Coverage

If you lose your other health insurance, TRICARE becomes your primary payer. If you have TRICARE for Life, TRICARE becomes the second payer.