2023 Cost Information for Skilled Nursing Facility
- Deductibles are not applied to inpatient services.
- 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.
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: $36 per day
Group B: $36 per day
|
TRICARE Select (not including TRICARE Young Adult)
| Active Duty Family Members |
Retirees and Their Family Members |
|---|
Group A: $21.30 per day ($25 minimum charge)
Group B:
Network Provider: $30 per day
Non-Network Provider: $60 per day
|
Group A:
Network Provider: Lesser of $250 per day or 25%, plus 20% of professional fees
Non-Network Provider: 25% of allowable charges
Group B:
Network Provider: $60 per day
Non-Network Provider: Lesser of $365 per day or 20% of allowable charges
|
TRICARE Reserve Select (TRS) and TRICARE Retired Reserve (TRR)
| TRS |
TRR |
|---|
Network Provider: $30 per day
Non-Network Provider: $60 per day |
Network Provider: $60 per day
Non-Network Provider: Lesser of $365 per day or 20% of allowable charges |
TRICARE Young Adult (TYA)
| TYA Prime |
TYA Select |
|---|
| Active Duty Family Members |
Retiree Family Members |
Active Duty Family Members |
Retiree Family Members |
| $0 |
$36 per day |
Network Provider: $30 per day
Non-Network Provider: $60 per day |
Network Provider: $60 per day
Non-Network Provider: Lesser of $365 per day or 20% of allowable charges |
