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2019 TRICARE Young Adult

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

The amounts are based on the TYA enrollee's sponsor's status.

  • The sponsor's enlistment date does not determine costs.
  Active Duty Family Member Retiree Family Member
TYA Prime TYA Select TYA Prime TYA Select
Enrollment Fees $358 per member
(monthly)
$214 per member
(monthly)
$358 per member
(monthly)
$214 per member
(monthly)
Annual Deductibles $0 E-4 and below: $51/individual
E-5 and above: $154/individual
$0 Network Providers: $154/individual
Non-Network Providers: $308/individual
Catastrophic Cap $1,028 per calendar year $1,028 per calendar year $3,598 per calendar year $3,598 per calendar year

TRICARE Young Adult reminders:

  • Point of Service cost-shares and deductibles may apply to TYA Prime beneficiaries.
  • TRICARE Young Adult Select annual deductibles apply to outpatient services only.
Type of Care Active Duty Family Member Retiree Family Member
TYA Prime TYA Select TYA Prime TYA Select
Ambulance Services $0 Network: $15
Non-Network: 20%
$41 Network: $61
Non-Network: 25%
Ambulatory Surgery $0 Network: $25
Non-Network: 20%
$61 Network: $97
Non-Network: 25%
Ancillary Services $0 Network: $0
Non-Network: 20%
$0 Network: $0
Non-Network: 25%
Durable Medical Equipment $0 Network: 10%
Non-Network: 20%
20% Network: 20%
Non-Network: 25%
Emergency Room $0 Network: $41
Non-Network: 20%
$61 Network: $82
Non-Network: 25%
Home Health Care $0 $0* $0* $0*
Hospice Care $0 $0 $0 $0
Hospitalization
(Includes Mental Health)
$0 Network: $61 per admission
Non-Network: 20%
$154 per admission Network: $179 per admission
Non-Network: 25% of allowable charges
Laboratory and X-Rays $0 Network: $0
Non-Network: 20%
$0 Network: $0
Non-Network: 25%
Maternity Care (Delivery
Planned in an Inpatient Setting)
$0 Network: $61
Non-Network: 20%
$154 per admission Network: $179
Non-Network: 25%
Office Visits (Primary Care) $0 Network: $15
Non-Network: 20%
$20 Network: $25
Non-Network: 25%
Office Visits (Specialty Care) $0 Network: $25
Non-Network: 20%
$30 Network: $41
Non-Network: 25%
Outpatient Mental Health Visits $0 Network: $25
Non-Network: 20%
$30 Network: $41
Non-Network: 25%
Partial Hospitalization $0 Network: $25**
Non-Network: 20%
$30 per day** Network: $41**
Non-Network: 25%
Preventive Services
(Eye Examinations)
$0 Network: $0
Non-Network: 20%
$0 Not a covered benefit
Preventive Services (All Other
Covered Services)
$0 $0 $0 $0
Residential Treatment Center $0 Network: $25 per day
Non-Network: $51 per day
$30 per day Network: $51 per day
Non-Network: Lesser of $308
per day or 20% of allowable charges
Skilled Nursing Facilty $0 Network: $25 per day
Non-Network: $51 per day
$30 per day Network: $51 per day
Non-Network: Lesser of $308 
per day or 20% of allowable charges
Urgent Care Services $0 Network: $20
Non-Network: 20%
$30  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.