Note: Visit our Copayment and Cost-Share Information page to view 2020 costs.
- Note: Visit our Copayment and Cost-Share Information page to view 2020 costs. Ambulatory surgery costs apply to same day surgery in an outpatient hospital setting or ambulatory surgery center. TRICARE Select, TRICARE Young Adult Select, TRICARE Reserve Select, and TRICARE Retired Reserve annual deductibles apply.; TRICARE Young Adult costs are based on the sponsor's status.
- Military Benefit Association.
Ambulatory surgery costs apply to same day surgeryin an outpatient hospital setting or ambulatory surgery center.
- TRICARE Select, TRICARE Young Adult Select, TRICARE Reserve Select, and TRICARE Retired Reserve annual deductibles apply.
- TRICARE Young Adult costs are based on the sponsor's status.
- Transitional Assistance Management Program (TAMP) beneficiaries (service members and their family members) follow the active duty family member copayment/cost-share information, based on the TRICARE plan type.
- The copayments below are for facility fees. There is no separate copayment for professional fees.
A beneficiary's cost is determined by the sponsor's initial enlistment or appointment date:
2020 Retirees and Their Family Members Costs (Group A) Note: Visit our Copayment and Cost-Share Information page for 2021 costs. View the cost information below for retirees and their family members (not including TRICARE Young Adult) with sponsors who enlisted before Jan. You'll pay either our full copay rate or reduced copay rate. If you live in a high-cost area, you may qualify for a reduced inpatient copay rate no matter what priority group you're in. To find out if you qualify for a reduced inpatient copay rate, call us toll-free at 877-222-8387. We're here Monday through Friday, 8:00 a.m.
- Group A: Sponsor's enlistment or appointment date occurred prior to Jan. 1, 2018.
- Group B: Sponsor's enlistment or appointment date occurred on or after Jan. 1, 2018.
TRICARE Prime and TRICARE Prime Remote (not including TRICARE Young Adult
| Active Duty Family Members | Retirees and Their Family Members |
|---|---|
Group A: $0 Group B: $0 | Group A: $63 Group B: $63 |
TRICARE Select (not including TRICARE Young Adult)
| Active Duty Family Members | Retirees and Their Family Members |
|---|---|
Group A: Network Provider: $25 Group B: Network Provider: $26 | Group A: Network Provider: 20% Group B: Network Provider: $100 |
TRICARE Reserve Select (TRS) and TRICARE Retired Reserve (TRR)
| TRS | TRR |
|---|---|
| Network Provider: $26 Non-Network Provider: 20% | Network Provider: $100 Non-Network Provider: 25% |
TRICARE Young Adult (TYA)
| TYA Prime | TYA Select | ||
|---|---|---|---|
| Active Duty Family Members | Retiree Family Members | Active Duty Family Members | Retiree Family Members |
| $0 | $63 | Network Provider: $26 Non-Network Provider: 20% | Network Provider: $100 Non-Network Provider: 25% |
Note: Visit our Copayment and Cost-Share Information page to view 2020 costs.
Hospitalization/inpatient cost information is for medical or surgical care. Please see hospitalization for mental health services for additional inpatient cost information.
Tricare Copay 2020
- Deductibles are not applied to inpatient services.
- TRICARE Young Adult costs are based on the sponsor's status.
- Transitional Assistance Management Program (TAMP) beneficiaries (service members and their family members) follow the active duty family member copayment/cost-share information, based on the TRICARE plan type.
A beneficiary's cost is determined by the sponsor's initial enlistment or appointment date:
Tricare Select Copays
- Group A: Sponsor's enlistment or appointment date occurred prior to Jan. 1, 2018.
- Group B: Sponsor's enlistment or appointment date occurred on or after Jan. 1, 2018.
TRICARE Prime and TRICARE Prime Remote (not including TRICARE Young Adult)
Tricare Prime Copay 2021
| Active Duty Family Members | Retirees and Their Family Members |
|---|---|
Group A: $0 Group B: $0 | Group A: $158 per admission Group B: $158 per admission |
TRICARE Select (not including TRICARE Young Adult)
| Active Duty Family Members | Retirees and Their Family Members |
|---|---|
Group A: $20.15 per day ($25 minimum charge) Group B: Network Provider: $63 per admission | Group A: Network Provider: Lesser of $250 per day or 25%, plus 20% of professional fees Group B: Network Provider: $185 per admission |
TRICARE Reserve Select (TRS) and TRICARE Retired Reserve (TRR)
| TRS | TRR |
|---|---|
| Network Provider: $63 per admission Non-Network Provider: 20% | Network Provider: $185 per admission Non-Network Provider: 25% of allowable charges |
TRICARE Young Adult (TYA)
| TYA Prime | TYA Select | ||
|---|---|---|---|
| Active Duty Family Members | Retiree Family Members | Active Duty Family Members | Retiree Family Members |
| $0 | $158 per admission | Network Provider: $63 per admission Non-Network Provider: 20% | Network Provider: $185 per admission Non-Network Provider: 25% of allowable charges |