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

1. Tricare Prime Copay Increase
2. Is There A Copay For Tricare Prime
3. Tricare Prime Retired Copay

Ambulatory surgery costs apply to same day surgeryin an outpatient hospital setting or ambulatory surgery center.

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. Those on Tricare Prime pay a 50 percent cost share for medications after paying their point-of-service fee. Those on other Tricare programs will pay 20 percent of the total cost or $29, whichever. Tricare Prime is a managed care option available in Prime Service Areas worldwide. If you're on active duty you must enroll in Tricare Prime, your family members can choose to enroll or they can. 2021 Cost Information for Ambulance (Ground) Services Note: Visit our Copayment and Cost-Share Information page to view 2020 costs. TRICARE Select, TRICARE Young Adult Select, TRICARE Reserve Select, and TRICARE Retired Reserve annual deductibles apply.

• 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:

• 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)

Tricare Prime Copay Increase

Active Duty Family Members	Retirees and Their Family Members
Group A: Network Provider: $25 Non-Network Provider: $25 Group B: Network Provider: $26 Non-Network Provider: 20%	Group A: Network Provider: 20% Non-Network Provider: 25% Group B: Network Provider: $100 Non-Network Provider: 25%

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%

Costs

Find your TRICARE costs, including copayments,
enrollment fees, and payment options.

There are four TRICARE Prime options:

• TRICARE Prime
• TRICARE Prime Remote
• TRICARE Prime Overseas
• TRICARE Prime Remote Overseas

Active Duty Service Members

You must enroll in one of the Prime plans. You will have:

• No out-of-pocket costs
• No enrollment fees
• No network copayments
• No point-of-service fees

Active Duty Family Members*

If you enroll in one of the Prime plans, you will have:

• Minimal out-of-pocket costs
• No enrollment fees
• No network copayments
• Point-of-service fees if using the point-of-service option

Is There A Copay For Tricare Prime

*Includes family members of activatedCalled or ordered to active duty service for more than 30 days in a row. Guard/Reserve members

Retired Service Members, Their Families, and Other Beneficiaries

You can enroll in TRICARE Prime depending on where you live. You will pay:

• Annual enrollment fees
• Network copayments
• Point-of-service fees if using the point-of-service option

Last Updated 8/25/2020

Tricare Prime Retired Copay

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