Welcome Logout

2020 Cost Information for Ambulatory Surgery (Same Day)

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

Ambulatory surgery costs apply to same day surgery in an outpatient hospital setting or ambulatory surgery center.

  • TRICARE Select, TRICARE Young Adult Select, TRICARE Reserve Select, and TRICARE Retired Reserve annual deductibles apply.
  • TRICARE Young Adult costs are based on the sponsor's status.
  • Transitional Assistance Management Program (TAMP) beneficiaries (service members and their family members) follow the active duty family member copayment/cost-share information, based on the TRICARE plan type.
  • The copayments below are for facility fees. There is no separate copayment for professional fees. 

A beneficiary's cost is determined by the sponsor's initial enlistment or appointment date:

  • Group A: Sponsor's enlistment or appointment date occurred prior to Jan. 1, 2018.
  • Group B: Sponsor's enlistment or appointment date occurred on or after Jan. 1, 2018.

TRICARE Prime and TRICARE Prime Remote (not including TRICARE Young Adult

Active Duty Family Members Retirees and Their Family Members

Group A: $0

Group B: $0

Group A: $62

Group B: $62

TRICARE Select (not including TRICARE Young Adult)

Active Duty Family Members Retirees and Their Family Members

Group A:

Network Provider: $25
Non-Network Provider: 20%

Group B: 

Network Provider: $26
Non-Network Provider: 20%

Group A:

Network Provider: 20%
Non-Network Provider: 25%

Group B:

Network Provider: $99
Non-Network Provider: 25%

TRICARE Reserve Select (TRS) and TRICARE Retired Reserve (TRR)

TRS TRR
Network Provider: $26
Non-Network Provider: 20%
Network Provider: $99
Non-Network Provider: 25%

 

TRICARE Young Adult (TYA)

TYA Prime TYA Select
Active Duty Family Members Retiree Family Members Active Duty Family Members Retiree Family Members
$0 $62 Network Provider: $26
Non-Network Provider: 20%
Network Provider: $99
Non-Network Provider: 25%