Tricare Prime: Tricare Select: Annual Deductible: None: Group A: $50/individual or $100/family for E-4 & below; $150/$300 for E-5 & above. TRICARE ® Covered Services Take an active role in verifying your TRICARE coverage This fact sheet is. For additional information, please visit www.tricare.mil. TRICARE covers most care that is medically necessary. Considered proven. There are special rules and limitations. TRICARE Reserve Select $47.20 $238.99 TRICARE Retired Reserve $484.83 $1,165.01 TRICARE Young Adult Prime $459 Not available TRICARE Young Adult Select $257 Not available When enrolled in a premium-based health plan (TRS, TRR, TYA Prime, TYA Select, or CHCBP), you pay a monthly or quarterly premium and follow Group B deductibles and applicable.
- Copayments and cost-shares are subject to change at the beginning of each calendar year.
- Copayments are per occurrence or per visit.
- Cost-shares are a percentage of the contracted rate for network providers and the maximum TRICARE allowable for non-network providers on certain types of services.
- Beneficiaries have an out-of-pocket maximum for covered medical expenses; this is known as the catastrophic cap.
- Point of Service cost-shares and deductibles may apply to TRICARE Prime and TRICARE Prime Remote beneficiaries (excluding active duty service members).
- TRS members are covered under TRICARE Select. Benefits, cost-shares and deductibles are the same as Group B active duty family members. Enrollment Fees: $44.17/individual, $228.27/family (monthly) Annual Deductibles: E-4 and Below: $52/individual, $104/family.
- The Department of Defense (DOD) provides health care for 9.5 million military service members, retirees, and family members through military treatment facilities (MTFs) and a self-funded, self-administered insurance program called TRICARE.1 The mission of the military health care system is to maintain the health of military personnel, and their families, so that they are capable of carrying.
Tricare Select Specialist Copay Cards
Important Note: Active duty service members do not have any out-of-pocket costs for care.
2021 Costs
Active Duty Family Members | Retirees and Their Family Members | TRICARE Reserve Select (TRS) | TRICARE Retired Reserve (TRR) | TRICARE Young Adult (TYA) |
---|---|---|---|---|
Enlisted before 01/01/18 | Enlisted before 01/01/18 | All | All | All |
Enlisted on or after 01/01/18 | Enlisted on or after 01/01/18 |
2021 Cost Information by Benefit
Detailed information on copayments and cost-shares is listed below by benefit. You can also view this information using the cost links in our Benefits A-Z list.
Pharmacy
Tricare Reserve Select Cost
Mental Health
Active Duty Family Members | Retirees and Their Family Members | TRICARE Reserve Select (TRS) | TRICARE Retired Reserve (TRR) | TRICARE Young Adult (TYA) |
---|---|---|---|---|
Enlisted before 01/01/18 | Enlisted before 01/01/18 | All | All | All |
Enlisted on or after 01/01/18 | Enlisted on or after 01/01/18 |