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Plan Overview & Eligibility

Keep your TRICARE benefits - when you enroll in the Kaiser Permanente TRICARE Prime option - plus enjoy:

  • The Kaiser Permanente network of over 600 doctors in our 25 facilities and Kaiser Permanente contracted providers when in the metro Atlanta area. Most facilities provide many services including doctors, lab, x-ray, and pharmacy – all under one roof.
  • The same costs and benefits as TRICARE Prime with some pharmacy enhancements/differences and other minor variations. See our pharmacy section and minimal variations pdf for details.
  • Top-notch doctors
    • Choose your own Primary Care Physician (like a PCM) and change any time
    • See most specialists without a referral
    • All our available doctors welcome Kaiser Permanente TRICARE Prime option members.
    • Learn more.
  • Up to $400 per household each year in wellness rewards – $200 for you and $200 for your enrolled spouse.
  • $0 annual enrollment fee for the 1st year. After the 1st year the annual enrollment fee will be the same as TRICARE Prime.
  • Continued access to any TRICARE-authorized urgent care provider, any military hospital or clinic (if space is available), and the VA (if you are eligible) anywhere.
  • Access to Kaiser Permanente locations AND the TRICARE network when traveling outside of Georgia.
  • Complete TRICARE Prime health coverage through the Kaiser Permanente model of coordinated care.
  • Care coordinated for you – our doctors, specialists, pharmacies, hospitals, and other caregivers are all connected. Learn more.
  • No-cost care options, free programs, and discounts:
  • A free app to schedule appointments, refill prescriptions, view your medical record, and more.

Who is eligible

If you are eligible for TRICARE Prime and:

  • live in the metro Atlanta area (check ZIP Code below),
  • are under the age of 65, and not entitled to Medicare Part A and B,
  • do not have other health insurance,
  • are not enrolled in TRICARE Reserve Select (TRS), TRICARE Retired Reserve (TRR), TRICARE Young Adult (TYA), or Continued Health Care Benefit Program (CHCBP),
  • are not receiving services for an autism diagnosis, AND
  • are a retiree, family member of a retiree, or an active duty family member,

you may be eligible to enroll in this option.

Note: Active duty service members and TRICARE Young Adult Prime beneficiaries are not eligible for Kaiser Permanente, a TRICARE Prime Option.

To verify eligibility, call Humana Military at 1-877-414-9950.

Check if your ZIP Code is in the metro Atlanta covered service area.

Are you the only family member who wants to enroll or a student studying in Atlanta?

You can choose this option, if you qualify, even if other family members want to stay with their current TRICARE plan.

Switching plans is simple

If eligible, you can enroll in the Kaiser Permanente TRICARE Prime option during TRICARE Open Season, which begins November 8 and ends December 13, 2021, or up to 90 days after a Qualifying Life Event (QLE). From enrolling to getting started after you’ve enrolled, we help make it simple to switch.

Costs and coverage

Your costs and coverage are the same as TRICARE Prime. See the Kaiser Permanente, a TRICARE Prime option costs and benefits.

In addition, you’ll benefit from:

  • $0 annual enrollment fee for the 1st year. (After the 1st year the annual enrollment fee will be the same as TRICARE Prime.)
  • No-cost phone and video appointments, e-visits, and emailing your doctor
  • Up to $400 per household in wellness rewards
  • Discounts on acupuncture, chiropractic, and message therapy
  • No-cost telephone health coaching
  • Free online health programs and tools
  • Special rates on gym memberships and discounts on health and fitness products
  • A free app to schedule appointments, refill prescriptions, view your medical record, and more.

Active-duty family members pay no enrollment fees or out-of-pocket costs for any type of care received through the Kaiser Permanente provider network.

Pharmacies and medications

Prescription coverage is included in your plan and you can get prescriptions filled:

  • at any of our 24 pharmacies located in our metro Atlanta facilities.
  • through our home delivery/mail order (including a 90-day supply refilled at a reduced copay) with no cost for shipping (Express Scripts mail order is excluded.)
  • at any of our retail network pharmacies including Rite-Aid, Walgreens, Kroger, Walmart and Publix.

You can also continue to get your prescription filled at:

  • the VA or any military hospital or clinic.
  • any TRICARE-authorized retail pharmacy.

Some prescription drug costs may differ. To review costs, please use our Medication Lookup Toolarrowarrow. external link. If you have questions call us at  1-877-904-0015.

See details on the Kaiser Permanente TRICARE Prime option pharmacy benefit.

When you transfer your prescriptions to Kaiser Permanente, they become part of your electronic medical record so all our providers will have the latest information to help ensure that you get personalized, great care.