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2019 TRICARE Reserve Select

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

  • The sponsor's enlistment date does not determine costs.
Enrollment Fees $42.83/individual, $218.01/family
(monthly)
Annual Deductibles E-4 and Below: $51/individual, $102/family
E-5 and Above: $154/individual, $308/family
Catastrophic Cap $1,028 per calendar year

TRICARE Reserve Select 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 Provider: $15
Non-Network Provider: 20%
Ambulatory Surgery Network Provider: $25
Non-Network Provider: 20%
Ancillary Services Network Provider: $0
Non-Network Provider: 20%
Durable Medical Equipment Network Provider: 10%
Non-Network Provider: 20%
Emergency Room Network Provider: $41
Non-Network Provider: 20%
Home Health Care $0*
Hospice Care $0
Hospitalization (Includes Mental Health) Network Provider: $61 per admission
Non-Network Provider: 20% of allowable charges
Laboratory and X-Rays Network Provider: $0
Non-Network Provider: 20%
Maternity Care (Delivery Planned in an Inpatient Setting) Network Provider: $61 per admission
Non-Network Provider: 20% of allowable charges
Office Visits (Primary Care) Network Provider: $15
Non-Network Provider: 20%
Office Visits (Specialty Care) Network Provider: $25
Non-Network Provider: 20%
Outpatient Mental Health Visits Network Provider: $25
Non-Network Provider: 20%
Partial Hospitalization Network Provider: $25**
Non-Network Provider: 20%
Preventive Services (Eye Examinations) Network Provider: $0
Non-Network Provider: 20%
Preventive Services (All Other Covered Services) $0
Residential Treatment Center Network Provider: $25 per day
Non-Network Provider: $51 per day
Skilled Nursing Facility Network Provider: $25 per day
Non-Network Provider: $51 per day
Urgent Care Services 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.