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2020 Active Duty Family Member Costs (Group B)

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 on or after 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 E4 and below: $52/individual, $104/family
E5 and above: $156/individual, $313/family
Catastrophic Cap $1,044 per calendar year $1,044 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: $15
Non-Network Provider: 20%
Ambulatory Surgery $0 Network Provider: $26
Non-Network Provider: 20%
Ancillary Services $0 Network Provider: $0
Non-Network Provider: 20%
Durable Medical Equipment $0 Network Provider: 10%
Non-Network Provider: 20%
Emergency Room $0 Network Provider: $41
Non-Network Provider: 20%
Home Health Care $0 $0*
Hospice Care $0 $0
Hospitalization (Includes Mental Health) $0 Network Provider: $62 per admission
Non-Network Provider: 20%
Laboratoy and X-Rays $0 Network Provider: $0
Non-Network Provider: 20%
Maternity Care (Delivery Planned in an Inpatient Setting) $0 Network Provider: $62 per admission
Non-Network Provider: 20%
Office Visits (Primary Care) $0 Network Provider: $15
Non-Network Provider: 20%
Office Visits (Specialty Care) $0 Network Provider: $26
Non-Network Provider: 20%
Outpatient Mental Health Visits $0 Network Provider: $26
Non-Network Provider: 20%
Partial Hospitalization $0 Network Provider Provider: $26**
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 Network Provider: $26 per day
Non-Network Provider: $52 per day
Skilled Nursing Facility $0 Network Provider: $26 per day
Non-Network Provider: $52 per day
Urgent Care Services $0 Network Provider: $20
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.