Copayment and Cost-Share Information

Important points to remember regarding copayments and cost-shares:

  • Copayments and cost-shares are subject to change at the beginning of each calendar year.
  • Copayments are per occurrence or per visit.
  • Cost-shares are a percentage of the allowed amount for certain types of services.
  • Beneficiaries have an out-of-pocket maximum for covered medical expenses; this is known as the catastrophic cap.

Important Note: Active duty service members do not have any out-of-pocket costs for care.

Active Duty Family Members Retirees and Their Family Members TRICARE Reserve Select (TRS) TRICARE Retired Reserve (TRR) TRICARE Young Adult (TYA)
Enlisted before
Enlisted before 01/01/18 All
All All
Enlisted on or after 01/01/18 Enlisted on or after 01/01/18

Cost Information by Benefit

Detailed information on copayments and cost-shares is listed below by benefit. You can also view this information using the cost links in our Benefits A-Z list, when applicable.