Tricare East is one of the three regions of the Tricare health insurance program, which is sponsored by the US Department of Defense. It provides medical coverage to eligible military personnel, retirees, and their families. Understanding the benefits and coverage of Tricare East can be overwhelming, but we'll break it down in simple terms.
The Tricare East region is managed by Humana Military, a subsidiary of Humana Inc. It covers a vast area, including the eastern United States, and provides access to a wide network of healthcare providers. Tricare East offers various plans, including Tricare Prime, Tricare Select, and Tricare Reserve Select, each with its own set of benefits and costs.
Tricare East Benefits
Tricare East benefits include:
- Comprehensive medical coverage, including doctor visits, hospital stays, and prescriptions
- Access to a large network of healthcare providers, including military and civilian doctors
- Preventive care services, such as vaccinations and screenings
- Mental health and substance abuse treatment
- Coverage for pre-existing conditions
Tricare Prime Benefits
Tricare Prime is a managed care option that offers comprehensive coverage at a lower cost. Benefits include:
- Primary care physician (PCP) assignment
- Referrals to specialists
- Coverage for prescription medications
- Preventive care services
- Hospital stays and surgical procedures
Tricare Select Benefits
Tricare Select is a self-funded option that offers more flexibility in choosing healthcare providers. Benefits include:
- Access to a wide network of healthcare providers
- No PCP assignment required
- No referrals needed for specialists
- Coverage for prescription medications
- Preventive care services
Plan | Monthly Premium | Deductible | Out-of-Pocket Maximum |
---|---|---|---|
Tricare Prime | $0 - $25.48 | $0 - $150 | $0 - $1,000 |
Tricare Select | $0 - $150.44 | $150 - $250 | $1,000 - $3,000 |
Key Points
- Tricare East offers comprehensive medical coverage to eligible military personnel and their families.
- The region is managed by Humana Military and covers a vast area, including the eastern United States.
- Tricare Prime and Tricare Select are two popular plans offered by Tricare East, each with its own set of benefits and costs.
- Tricare East benefits include preventive care services, mental health and substance abuse treatment, and coverage for pre-existing conditions.
- It's essential to carefully evaluate your options to choose the best Tricare East plan for your needs and budget.
Tricare East Coverage
Tricare East coverage includes:
- Doctor visits and hospital stays
- Prescription medications
- Preventive care services, such as vaccinations and screenings
- Mental health and substance abuse treatment
- Coverage for pre-existing conditions
Preventive Care Services
Tricare East covers various preventive care services, including:
- Annual physical exams
- Vaccinations and immunizations
- Screenings for cancer and other diseases
- Health education and counseling
Mental Health and Substance Abuse Treatment
Tricare East provides coverage for mental health and substance abuse treatment, including:
- Counseling and therapy sessions
- Medication management
- Inpatient and outpatient treatment
What is Tricare East?
+Tricare East is one of the three regions of the Tricare health insurance program, which provides medical coverage to eligible military personnel, retirees, and their families.
What are the benefits of Tricare East?
+Tricare East benefits include comprehensive medical coverage, access to a large network of healthcare providers, preventive care services, mental health and substance abuse treatment, and coverage for pre-existing conditions.
What is the difference between Tricare Prime and Tricare Select?
+Tricare Prime is a managed care option that offers comprehensive coverage at a lower cost, while Tricare Select is a self-funded option that offers more flexibility in choosing healthcare providers.