Costs

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Copayment and Cost-Share Information

  • 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 contracted rate for network providers and the maximum TRICARE allowable for non-network providers on certain types of services.
  • Beneficiaries have an out-of-pocket maximum for covered medical expenses; this is known as the catastrophic cap.
  • Point of Service cost-shares and deductibles may apply to TRICARE Prime and TRICARE Prime Remote beneficiaries (excluding active duty service members).

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

2020 Costs

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

2019 Costs

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

2019 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.