TRICARE

TRICARE is a healthcare program that provides medical coverage to eligible military members, retirees, and their families. It is administered by the U.S. Department of Defense Military Health System. Here are some key features of TRICARE:

  • Eligibility: TRICARE covers active duty service members, their families, retirees, and some survivors. The specific eligibility requirements and benefits vary depending on the plan.

  • Coverage: TRICARE offers several different healthcare plans, including TRICARE Prime, TRICARE Select, and TRICARE For Life. These plans offer coverage for a wide range of healthcare services, including doctor visits, hospital stays, mental health care, prescription drugs, and more.

  • Costs: The costs of TRICARE coverage vary depending on the plan and the individual's status (active duty vs. retired, for example). Some plans require no out-of-pocket costs for eligible individuals, while others require copayments, deductibles, and other costs.

  • Providers: TRICARE members can choose from a network of approved healthcare providers, including doctors, hospitals, and other healthcare facilities. Some plans require members to use only in-network providers, while others allow for out-of-network care at a higher cost.

  • Benefits: In addition to basic healthcare coverage, TRICARE also offers a range of additional benefits, such as dental and vision coverage, wellness programs, and assistance with special needs and disabilities.

  • Coordination of benefits: TRICARE coordinates benefits with other healthcare plans, such as Medicare and employer-sponsored plans, to ensure that members receive the maximum coverage available to them.

Overall, TRICARE is a comprehensive healthcare program that provides coverage to military members and their families, and offers a range of benefits and services to ensure that they receive the care they need.

Next Up

Welcome to our latest release. We are excited for you to try the new features.
According to Mployer Insights’ 2026 analysis of 50,000+ employer health plans, prescription drugs account for over 25% of total benefit expenses, with Tier 4 specialty drugs driving the majority of high-cost claims. While Tier 4 copays average $123 with coinsurance requirements in 31% of plans, individual oncology therapies like Darzalex Faspro ($170,800/yr) and Keytruda ($158,200/yr) frequently exceed average individual stop-loss deductibles ($141,938). To mitigate exposure, self-funded employers are increasingly turning to independent, transparent PBM models and biosimilar substitution—which yields up to a 73% net cost reduction per patient.
Most U.S. employers now offer paid maternity leave beyond the legal minimum, but coverage varies widely once you look past the basics. According to Mployer Insights' 2026 analysis of more than 50,000 employer benefit plans, 68% of employers provide paid maternity leave on top of short-term disability, typically adding 8 extra weeks, and half now cover 100% of salary during the disability period. Support drops off from there: only 41% of employers offer paid bonding leave for non-birth parents, and advanced family-building benefits remain even less common, with just 28% covering IVF and 11% offering adoption financial assistance. The data suggests that while baseline maternity leave has become standard, more comprehensive family-building support is still the exception rather than the norm.