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2020 Cost Information for Office Visits

Note: Visit our Copayment and Cost-Share Information page to view 2019 costs. 
 
  • 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.
  • TRICARE Prime and TRICARE Young Adult Prime retirees have a separate copayment for allergy shots performed on a different day than the office visit, or performed by a different provider, such as an independent laboratory or radiology facility (even if performed on the same day as the related office visit).
  • 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. 

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)

Service Active Duty Family Members Retirees and Their Family Members
Primary Care Outpatient 
Office Visits

Group A: $0

Group B: $0

Group A: $20

Group B: $20

Specialty Care Outpatient
Office Visits

(this includes physical therapy, occupational
therapy and speech therapy)

Group A: $0

Group B: $0

Group A: $31

Group B: $31

TRICARE Select (not including TRICARE Young Adult)

Service Active Duty Family Members Retirees and Their Family Members
Primary Care Outpatient
Office Visits

Group A: 

Network Provider: $22
Non-Network Provider: 20%

Group B: 

Network Provider: $15
Non-Network Provider: 20%

Group A: 

Network Provider: $30
Non-Network Provider: 25%

Group B: 

Network Provider: $26
Non-Network Provider: 25%

Specialty Care Outpatient
Office Visits

(this includes physical therapy, occupational
therapy and speech therapy)

Group A: 

Network Provider: $33
Non-Network Provider: 20%

Group B: 

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

Group A: 

Network Provider: $45
Non-Network Provider: 25%

Group B: 

Network Provider: $41
Non-Network Provider: 25%

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

Service TRS TRR
Primary Care Outpatient 
Office Visits
Network Provider: $15
Non-Network Provider: 20%
Network Provider: $26
Non-Network Provider: 25%

Specialty Care Outpatient
Office Visits

(this includes physical therapy, occupational
therapy and speech therapy)

Network Provider: $26
Non-Network Provider: 20%
Network Provider: $41
Non-Network Provider: 25%

TRICARE Young Adult (TYA)

Service TYA Prime TYA Select
Active Duty Family Members Retiree Family Members Active Duty Family Members Retiree Family Members
Primary Care Outpatient Office Visits $0 $20 Network Provider: $15
Non-Network Provider: 20%
Network Provider: $26
Non-Network Provider: 25%

Specialty Care Outpatient Office Visits

(this includes physical therapy, occupational
therapy and speech therapy)

$0 $31 Network Provider: $26
Non-Network Provider: 20%
Network Provider: $41
Non-Network Provider: 25%

 

Retiree Family Members