TRICARE Young Adult

TRICARE Young Adult is a plan that qualified adult children can buy after eligibility for regular TRICARE coverage ends at age 21 (or 23 if enrolled in college). TYA is an option for unmarried adult children who have aged out of regular TRICARE coverage.

TYA provides comprehensive medical and pharmacy benefits. How you get your care will depend on the option you choose: TYA-Prime or TYA-Select. TYA doesn’t include dental or vision coverage.

You should review all of your health plan options (military or commercial) before deciding if TYA is the right plan for you. Check the Health Insurance Marketplace to learn about other healthcare coverage options.

Note: You aren’t eligible for TYA if you’re eligible for an employer-sponsored health plan.

Who Can Participate

You may qualify to buy TYA if you’re:

• An unmarried, adult child of an eligible sponsor
• At least age 21 but not yet 26 years old
  • If you’re enrolled in a full course of study at an approved institution of higher learning and your sponsor provides more than 50% of your financial support, your eligibility may not begin until age 23 or upon graduation, whichever comes first.
• Not eligible to enroll in an employer-sponsored health plan based on your own employment
• Not otherwise eligible for TRICARE coverage

My sponsor isn’t eligible for TRICARE anymore. Can I still buy TRICARE Young Adult coverage?

TYA Options

Plan	Who Can Participate	How To Get Care	What You Pay
TRICARE Young Adult-Prime	Children of active duty sponsors in all U.S. locations Children in all overseas areas, if command-sponsored Children of retired sponsors only in Prime Service Areas If you live in an area where the Uniformed Services Family Health Plan is offered, you can choose USFHP for your TYA-Prime option. Note: You can’t choose the TYA-Prime option if your sponsor is using TRICARE Reserve Select or TRICARE Retired Reserve.	TYA-Prime works the same as TRICARE Prime. You’ll have an assigned primary care manager who provides most of your care. Your PCM: May be a military or civilian network provider Refers you to specialists for care your PCM can’t provide Works with your regional contractor for authorization and to find specialist in the networks Files claims for you Learn more about getting care with TRICARE Prime.	To participate, you’ll pay: Monthly premiums TRICARE Prime copayments Any care you get without a PCM referral is subject to point-of-service fees. Costs vary depending on the  sponsor’s military status. Learn more about TYA-Prime costs.
TRICARE Young Adult-Select	All dependent adult children who qualify for TYA can use the TYA-Select option.	TYA-Select works just like TRICARE Select: Visit any TRICARE-authorized provider. If you see a network provider, you’ll pay less out of pocket. The provider will file claims for you. You don’t need a referral for any type of care, but some services may require pre-authorization. Learn more about getting care with TRICARE Select.	To participate, you’ll pay: Monthly premiums Annual deductible Cost-shares Costs vary depending on the sponsor’s military status. Learn more about TYA-Select costs.

How To Enroll

Visit TRICARE Young Adult Enrollment to learn how to enroll.

Note You can enroll in TYA without a valid Uniformed Services ID card. When your coverage begins and you’re notified by your regional contractor, visit any ID card office to get a new ID card. You should show your ID card when you go to the doctor.

You may live in a different region than your sponsor. Need to find your region? Visit Regions to see which states are in each region.

For information on disenrolling or ending plan coverage, visit Ending TRICARE Young Adult Coverage.

More Information

To learn more about TYA:

• Search Frequently Asked Questions. Use “TRICARE Young Adult” as your search term.
• Read the TRICARE Young Adult Program Fact Sheet.
• Contact a Beneficiary Counseling and Assistance Coordinator.