Scenario 1: I am an active duty family member with young children. I’m new to the area and don’t know much about the doctors or hospitals here. I want affordable health care that will cover office visits when my children are sick or when they need their immunizations.
Enrolling in TRICARE Prime or TRICARE Prime Remote for Active Duty Family Members (TPRADFM) is probably the best option for you. When you enroll, you’ll select or be assigned a primary care manager (PCM) at an MTF or a network PCM if you are not near an MTF. Your PCM will guide and manage your health care and the health care for your children. When you or your children need specialty care, your PCM will refer you to an appropriate specialist. Note: You can select a different provider as a PCM for each individual family member if you wish.
Your office visits at the MTF will cost you nothing, you’ll have priority access for appointments, and you won’t have to worry about claims or costly deductibles.
Under TRICARE Prime, immunizations are covered under clinical preventive services. As part of TRICARE Prime’s enhanced benefit, you can go to any network provider without a referral for clinical preventive services and pay nothing out of pocket.
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