A plan similar to a civilian Health Maintenance Organization (HMO)
that provides the lowest out-of-pocket cost, in return for the requirement
that enrollees use only doctors, hospitals and other health care providers
who are part of the TRICARE network.
Enrollees are assigned a Primary Care Physician, known generally as a
"Gatekeeper" who supervises all medical care and is the one who
authorizes referrals for specialty care.
Enrollees are charged an annual enrollment fee of $230 per person or
$460 per family and are charged pre-established co-payments depending
on the type of medical care received.
This option may be best for individuals who want guaranteed access to the
most benefits, and who live close to a military hospital or civilian
TRICARE PRIME network.