{"id":10498,"date":"2023-11-13T09:50:21","date_gmt":"2023-11-13T14:50:21","guid":{"rendered":"https:\/\/sandbox0.foxtrotdev.com\/?page_id=10498"},"modified":"2026-03-27T15:53:26","modified_gmt":"2026-03-27T19:53:26","slug":"my-benefits","status":"publish","type":"page","link":"https:\/\/sandbox0.foxtrotdev.com\/?page_id=10498","title":{"rendered":"My Benefits"},"content":{"rendered":"

[vc_row full_width=”stretch_row” css=”.vc_custom_1680622691814{background-color: #f2f3f7 !important;}”][vc_column][vc_column_text]USFHP members enjoy loads of valuable discounts to promote health and boost well-being. Check out all our discounted and no-cost services and start saving money.<\/p>\n

See Dental, Vision & Additional Discounts<\/a>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text css=””]<\/p>\n

Your 2026 Medical Benefits & Costs<\/h3>\n

The cost-shares, copays, and enrollment fees for Johns Hopkins USFHP are the same as TRICARE. Details may be found at Tricare.mil<\/a>.[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column]

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TRICARE Prime Benefits<\/h4>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>
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Cost for Active-Duty
\nFamily Members<\/h4>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>
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Cost for Retirees and their
\nFamily Members \/ Survivors<\/h4>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>
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\n\t\t\t\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>
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Group A* \/ Group B**<\/h5>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>
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Group A*<\/h5>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>
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Group B**<\/h5>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>
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Annual Enrollment Fees<\/strong><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$381.96 individual
\n$765 family<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$462.96 individual
\n$927 family<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>

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Annual Deductibles<\/strong><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>

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Outpatient Services (subject to medical review)<\/em><\/h4>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>
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Cost for Active-Duty
\nFamily Members<\/h4>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>
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Cost for Retirees and their
\nFamily Members \/ Survivors<\/h4>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>
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\n\t\t\t\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>
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Group A* \/ Group B**<\/h5>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>
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Group A*<\/h5>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>
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Group B**<\/h5>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>
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Preventative visit<\/strong><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>

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Office Visits<\/strong> (Primary Care)<\/em><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$26<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$26<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>

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Specialty office visits<\/strong><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$39<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$39<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>

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Maternity care<\/strong>
\n(prenatal, postnatal)<\/em><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>

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Well-child care<\/strong> (birth to age 6)<\/em><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>

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Routine physical examinations1<\/sup><\/strong><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>

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X-ray and lab tests2<\/sup><\/strong><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>

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Ambulatory surgery<\/strong>
\n(same day)<\/em><\/p>\n

All surgical procedures (regardless of where they are performed; excluding some venipuncture and fetal monitoring procedures) and birthing centers (prenatal care, outpatient delivery, and postnatal care)<\/em><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$79<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$79<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>

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Physical, Speech and Occupational therapy<\/strong>\u00a0(when medically necessary)<\/em><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$39<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$39<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>

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Cardiac Rehabilitation3<\/sup><\/strong><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$39<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$39<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>

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Inpatient Services (subject to medical review)<\/em><\/h4>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>
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\n\t\t\t

Cost for Active-Duty
\nFamily Members<\/h4>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>
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Cost for Retirees and their
\nFamily Members \/ Survivors<\/h4>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>
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\n\t\t\t\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>
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Group A* \/ Group B**<\/h5>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>
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Group A*<\/h5>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>
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Group B**<\/h5>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>
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Hospitalization
\n<\/strong>(semi-private room and board)<\/em><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$198\/admission<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$198\/admission<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>

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Physician services<\/strong><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>

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General nursing services<\/strong><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>

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Diagnostic tests including lab and X-ray<\/strong><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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\n\t\t\t

$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>

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Operating room, anesthesia and supplies<\/strong><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>

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Medically necessary supplies and services<\/strong><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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\n\t\t\t

$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>

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\n\t\t\t

Physical, Speech and Occupational therapy<\/strong>\u00a0(when medically necessary)<\/em><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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\n\t\t
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$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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\n\t\t
\n\t\t\t

$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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\n\t\t
\n\t\t\t

$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>

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\n\t\t\t

Mental Health Services (subject to medical review)<\/em><\/h4>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>
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\n\t\t
\n\t\t\t

Cost for Active-Duty
\nFamily Members<\/h4>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>
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\n\t\t
\n\t\t\t

Cost for Retirees and their
\nFamily Members \/ Survivors<\/h4>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>
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\n\t\t
\n\t\t\t\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>
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Group A* \/ Group B**<\/h5>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>
\n\t
\n\t\t
\n\t\t\t
Group A*<\/h5>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>
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\n\t\t
\n\t\t\t
Group B**<\/h5>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>
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Outpatient care individual<\/strong><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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\n\t\t
\n\t\t\t

$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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\n\t\t
\n\t\t\t

$39\/visit<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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$39\/visit<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>

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Outpatient group \/ family therapy<\/strong><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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\n\t\t
\n\t\t\t

$39\/visit<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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\n\t\t
\n\t\t\t

$39\/visit<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>

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\n\t\t\t

Partial hospitalization, mental health<\/strong><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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\n\t\t
\n\t\t\t

$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$39\/visit<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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\n\t\t
\n\t\t\t

$39\/visit<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>

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Inpatient hospital psychiatric care<\/strong><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

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\n\t\t
\n\t\t\t

$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$198\/admission<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$198\/admission<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

Substance Abuse Treatment\u00a0(subject to medical review)<\/em><\/h4>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>
\n\t
\n\t\t
\n\t\t\t

Cost for Active-Duty
\nFamily Members<\/h4>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>
\n\t
\n\t\t
\n\t\t\t

Cost for Retirees and their
\nFamily Members \/ Survivors<\/h4>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>
\n\t
\n\t\t
\n\t\t\t\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>
\n\t
\n\t\t
\n\t\t\t
Group A* \/ Group B**<\/h5>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>
\n\t
\n\t\t
\n\t\t\t
Group A*<\/h5>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>
\n\t
\n\t\t
\n\t\t\t
Group B**<\/h5>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>
\n\t
\n\t\t
\n\t\t\t

Outpatient care individual<\/strong><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$39\/visit<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$39\/visit<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

Outpatient group \/ family therapy<\/strong><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$39\/visit<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$39\/visit<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

Inpatient services<\/strong>\u00a0(up to 7 days for detoxification per year)<\/em><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$198\/admission<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$198\/admission<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

Partial hospitalization, substance abuse<\/strong><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$39\/visit<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$39\/visit<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

Other Service\u00a0(subject to medical review)<\/em><\/h4>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>
\n\t
\n\t\t
\n\t\t\t

Cost for Active-Duty
\nFamily Members<\/h4>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>
\n\t
\n\t\t
\n\t\t\t

Cost for Retirees and their
\nFamily Members \/ Survivors<\/h4>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>
\n\t
\n\t\t
\n\t\t\t\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>
\n\t
\n\t\t
\n\t\t\t
Group A* \/ Group B**<\/h5>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>
\n\t
\n\t\t
\n\t\t\t
Group A*<\/h5>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>
\n\t
\n\t\t
\n\t\t\t
Group B**<\/h5>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>
\n\t
\n\t\t
\n\t\t\t

Ambulance, outpatient ground4<\/sup><\/strong>\u00a0(when medically necessary)<\/em><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$52\/occurrence<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$52\/occurrence<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

Ambulance outpatient air4<\/sup><\/strong>\u00a0(when medically necessary)<\/em><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$20\/occurrence<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$20\/occurrence<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

Dental Care<\/strong> (basic preventative)<\/em><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

Reduced fees<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

Reduced fees<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

Reduced fees<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

Durable medical equipment<\/strong><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

20%<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

20%<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

Emergency room services5<\/sup><\/strong>\u00a0(including out of the area)<\/em><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$79<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$79<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

Urgent Care Center<\/strong><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$39<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$39<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

Routine eye examination<\/strong>\u00a0(1 per Plan year)<\/em><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

<\/div><\/div><\/div><\/div>
\n\t
\n\t\t
\n\t\t\t

Radiation \/ chemotherapy office visits<\/strong><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$39<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$39<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

Prescription drug co-pays6 <\/sup><\/strong>(up to a 30-day supply - Walgreens Retail)<\/em><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$16 generic
\n$48 brand name
\n$85 non-preferred brand name<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$16 generic
\n$48 brand name
\n$85 non-preferred brand name<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$16 generic
\n$48 brand name
\n$85 non-preferred brand name<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

Prescription drug co-pays6 <\/sup><\/strong>(up to a 90-day supply for maintenance medications - Mail Service & Walgreens Retail)<\/em><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$14 generic
\n$44 brand name
\n$85 non-preferred brand name<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$14 generic
\n$44 brand name
\n$85 non-preferred brand name<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$14 generic
\n$44 brand name
\n$85 non-preferred brand name<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

Skilled nursing facility care<\/strong><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$39\/day<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$39\/day<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

Home health care<\/strong>\u00a0(part-time skilled nursing care)<\/em><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

Out of area<\/strong>\u00a0(emergency services only)<\/em><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$0<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$79<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$79<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

Catastrophic cap<\/strong>\u00a0(Maximum out-of-pocket expense per family)<\/em><\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$1,000\/enrollment year (Group A*)
\n$1,324\/enrollment year (Group B**)<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$3,000\/enrollment year<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div>

\n\t
\n\t\t
\n\t\t\t

$4,635\/enrollment year<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>

*For enlistment or appointment prior to January 1, 2018<\/small><\/div><\/div><\/div><\/div>
**For enlistment or appointment after January 1, 2018<\/small><\/div><\/div><\/div><\/div>
1<\/sup><\/small><\/div>
Routine Physical Examinations \u2013 while there is no co-pay for a Routine Physical; an office visit co-pay may be assessed if other procedures (not considered routine) are conducted during the examination.<\/small><\/div><\/div><\/div><\/div>
2<\/sup><\/small><\/div>
If lab services are provided on the same day as the office visit and a co-pay is collected for the visit, no additional co-pay will be collected. No co-pay will be collected when services are billed and provided as clinical preventive services. Exceptions: Co-pay may be required for certain radiation oncology, vascular and pulmonary procedures and studies. Contact Customer Service for details.<\/small><\/div><\/div><\/div><\/div>
3<\/sup><\/small><\/div>
Outpatient treatment following the initial intake evaluation and testing is limited to a maximum of 36 sessions per cardiac event<\/small><\/div><\/div><\/div><\/div>
4<\/sup><\/small><\/div>
Upon arrival of the ambulance and member refuses transport, the member is liable\/responsible for services rendered<\/small><\/div><\/div><\/div><\/div>
5<\/sup><\/small><\/div>
Unless you are admitted to the hospital, in which case only the inpatient co-payment applies<\/small><\/div><\/div><\/div><\/div>
6<\/sup><\/small><\/div>
Prescription drug availability is limited to drugs prescribed by a Plan provider and covered as a Plan benefit. Availability of non-emergency prescriptions when out of the area is also limited<\/small><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>[\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]Copay Chart for Members with Medicare Part B<\/a><\/strong>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"TRICARE Prime Benefits Cost for Active-Duty Family Members Cost for Retirees and their Family Members \/ Survivors Group A* \/ Group B** Group A* Group B** Annual Enrollment Fees $0...","protected":false},"author":15,"featured_media":4496,"parent":351,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"class_list":["post-10498","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"yoast_head":"\nMember Benefits & Costs | Johns Hopkins US Family Health Plan<\/title>\n<meta name=\"description\" content=\"With Johns Hopkins US Family Health Plan, you get 100% of your TRICARE Prime\u00ae benefits with your choice of local doctors and hospitals.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Member Benefits & Costs | Johns Hopkins US Family Health Plan\" \/>\n<meta property=\"og:description\" content=\"With Johns Hopkins US Family Health Plan, you get 100% of your TRICARE Prime\u00ae benefits with your choice of local doctors and hospitals.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/sandbox0.foxtrotdev.com\/?page_id=10498\" \/>\n<meta property=\"og:site_name\" content=\"Johns Hopkins US Family Health Plan\" \/>\n<meta property=\"article:modified_time\" content=\"2026-03-27T19:53:26+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/sandbox0.foxtrotdev.com\/wp-content\/uploads\/2019\/10\/my-benefits-mobile-e1784828684908.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"412\" \/>\n\t<meta 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