Related Benefits Articles

  • Child
    US Family Health Plan
    Military.com
    The Uniformed Services Family Health Plan option is available near selected civilian medical facilities around the country.
  • College student using a laptop outdoors.
    TRICARE Young Adult Prime
    Military.com
    TRICARE Young Adult Prime health insurance program is similar to the TRICARE Prime program.
  • TRICARE Pharmacy Costs
    TRICARE Pharmacy Program
    Military.com
    TRICARE provides a world-class pharmacy benefit to all eligible Uniformed Services members, retirees, and their families.
  • TRICARE
    TRICARE Eligibility
    Military.com
    TRICARE is a health benefit program for all uniformed services.
  • Pen and Calculator
    TRICARE Cost Co-Pay Schedule
    Military.com
    These tables show cost-shares or copayments and annual deductibles for families who use civilian providers with TRICARE.

Most Popular TRICARE Benefits Articles

  • Tricare
    TRICARE Benefits Overview
    Military.com
    Do you understand your TRICARE benefits? Find the TRICARE coverage plan that best suits your family's needs.
  • Military families don’t need extraordinary acts of thanks -- just a helping hand. U.S. Army MWR photo
    Defense Enrollment Eligibility Reporting System (DEERS)
    Military.com
    DEERS is a computerized database of military sponsors, families and others worldwide who are entitled to TRICARE benefits.
  • Doctor with an elderly patient.
    TRICARE for Life
    Military.com
    If you have Medicare part A & B, TRICARE for life can pay your Medicare copay.
  • Long military marriages
    TRICARE for Retirees
    Military.com
    So you are set to retire, but do you know what is going to happen with your health care? Can you really stand to lose your mili...
  • Doctor examines servicemember
    The TRICARE Prime Program
    Military.com
    TRICARE Prime is a managed service healthcare program for servicemembers, reserve component members, dependents, and some retir...
headerLegislativeCenter

Legislative Center

Border Jobs for Veterans Act

H.R. 2835

Understanding Health Care Reform's Effect on TRICARE

The  Affordable Care Act requires you to maintain basic health care coverage—called  minimum essential coverage. If you don't have minimum essential coverage, you may have to pay a  fee for each month you aren’t covered. See our TRICARE and the Affordable Care Act page for more information.

Minimum Essential Coverage

Typically, you don’t have minimum essential coverage from TRICARE if you’re only eligible for care at military hospitals and clinics (also known as “direct care”) and not covered by another TRICARE plan.

Qualifying for Premium Assistance

In some cases, it may be cheaper to purchase coverage through the Health Insurance Marketplace. You may qualify for assistance to lower your monthly premium in the Marketplace.  You may do so to complement your TRICARE plan or replace it, depending on what fits your budget and meets your needs.

Yes, You May Qualify for Assistance No, You Don't Qualify

If you are eligible to purchase one of the plans below and you choose not to purchase one, you may qualify for assistance to lower your monthly premium for plans purchased through the Health Insurance Marketplace:

  • TRICARE Reserve Select
  • TRICARE Retired Reserve
  • TRICARE Young Adult (Prime and Standard)
  • Continued Health Care Benefit Program

You should compare these plans with Health Insurance Marketplace plans to see what fits your budget and meets your needs.

If you’re using the following plans, you don’t qualify for assistance to lower your premiums on plans purchased through the Health Insurance Marketplace:

  • TRICARE Prime
  • TRICARE Prime Remote
  • TRICARE Prime Overseas
  • TRICARE Prime Remote Overseas
  • TRICARE Standard and Extra
  • TRICARE Standard Overseas
  • TRICARE For Life
  • TRICARE Reserve Select
  • TRICARE Retired Reserve
  • TRICARE Young Adult
  • Continued Health Care Benefit Program
  • Transitional Assistance Management Program
  • US Family Health Plan

 

 

 

Related Topics

TRICARE

Military News App by Military.com

Download the new Military.com News App for Android on Google Play or for Apple devices on iTunes!

© 2016 Military Advantage