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2020 Active Duty Family Members Costs (Group A)

Note: Visit our Copayment and Cost-Share Information page for 2019 costs.

View the cost information below for active duty family members (not including TRICARE Young Adult) with sponsors who enlisted before Jan. 1, 2018

Active duty service members must be enrolled in a TRICARE Prime plan and do not have any enrollment fees, out-of-pocket costs, network copayments or Point of Service fees. 

  TRICARE Prime TRICARE Select
Enrollment Fees $0 $0
Annual Deductibles $0 E-4 and below: $50/individual, $100/family
E-5 and above: $150/individual, $300/family
Catastrophic Cap $1,000 per calendar year $1,000 per calendar year

Note: Point of Service cost-shares and deductibles may apply to TRICARE Prime and TRICARE Prime Remote beneficiaries (excluding active duty service members).

Annual deductibles apply to outpatient services only.

 

Type of Care TRICARE Prime
TRICARE Select
Ambulance Services (Outpatient) $0 Network Provider: $68
Non-Network Provider: 20%
Ambulatory Surgery $0 $25
Ancillary Services $0 Network Provider: $0
Non-Network Provider: 20%
Durable Medical Equipment $0 Network Provider: 15%
Non-Network Provider: 20%
Emergency Room $0 Network Provider: $89
Non-Network Provider: 20%
Home Health Care $0 $0*
Hospice Care $0 $0
Hospitalization (Includes Mental Health) $0 $19.55 per day
($25 min charge)
Laboratory and X-Rays $0 Network Provider: $0
Non-Network Provider: 20%
Maternity Care
(Office Visits and Delivery Planned in an Inpatient Setting)
$0 $19.55 per day 
($25 min charge)
Office Visits (Primary Care) $0 Network Provider: $22
Non-Network Provider: 20%
Office Visits (Specialty Care) $0 Network Provider: $33
Non-network Provider: 20%
Outpatient Mental Health Visits $0 Network Provider: $33
Non-Network Provider: 20%
Partial Hospitalization $0 Network Provider: $33**
Non-Network Provider: 20%
Preventive Services (Eye Examinations) $0 Network Provider: $0
Non-network Provider: 20%
Preventive Services (All Other Covered Services) $0 $0
Residential Treatment Center $0 $19.55 per day
($25 min charge)
Skilled Nursing Facility $0 $19.55 per day 
($25 min charge)
Urgent Care Services $0 Network Provider: $22
Non-Network Provider: 20%

*Costs may apply for durable medical equipment (DME) and medications/drugs.

**Copayment information is calculated per day for partial hospitalization programs and intensive outpatient treatment. Opioid treatment program services copayment is applied on a weekly basis.