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2019 TRICARE Retired Reserve

Note: Visit our Copayment and Cost-Share Information page for 2020 costs.

  • The sponsor's enlistment date does not determine costs.
Enrollment Fees $451.51/individual, $1,083.40/family
(monthly)
Annual Deductibles Network Providers: $154/individual, $308/family
Non-Network Providers: $308/individual, $616/family
Catastrophic Cap $3,598 per calendar year

TRICARE Retired Reserve reminders:

  • Beneficiaries may be required to pay up to 15 percent above the TRICARE allowed amount when using a nonparticipating provider.
  • Annual deductibles apply to outpatient services only.
Type of Care Copayment/Cost-Share
Ambulance Services Network: $61
Non-Network: 25%
Ambulatory Surgery Network: $97
Non-Network: 25%
Ancillary Services Network: $0
Non-Network: 25%
Durable Medical Equipment Network: 20%
Non-Network: 25%
Emergency Room Network: $82
Non-Network: 25%
Home Health Care $0*
Hospice Care $0
Hospitalization (Includes Mental Health) Network: $179 per admission
Non-Network: 25% of allowable charges
Laboratory and X-Rays Network: $0
Non-Network: 25%
Maternity Care (Delivery Planned in an Inpatient Setting) Network: $179 per admission
Non-Network: 25% of allowable charges
Office Visits (Primary Care) Network: $25
Non-Network: 25%
Office Visits (Specialty Care) Network: $41
Non-Network: 25%
Outpatient Mental Health Visits Network: $41
Non-Network: 25%
Partial Hospitalization Network: $41**
Non-Network: 25%
Preventive Services (Eye Examinations) Not a covered benefit
Preventive Services (All Other Covered Services) $0
Residential Treatment Center Network: $51 per day
Non-Network: Lesser of $308 per day or 20% of allowable charges
Skilled Nursing Facility Network: $51 per day
Non-Network: Lesser of $308 per day or 20% or allowable charges
Urgent Care Services Network: $41
Non-Network: 25%

*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.