Tricare Cost Co-Pay Schedule

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The following tables provide examples of cost-shares or copayments and annual deductibles for families who use civilian providers and facilities under each of the three Tricare options.

Tricare Categories

There are two separate categories of Tricare beneficiaries:

  1. Group A: where the service member entered active duty before 2018
  2. Group B: where the service member entered active duty in 2018 or later

Cost shares and deductibles for Active Duty, Guard and Reserve Family Members:

 

Tricare Prime

Tricare Select

Annual Deductible None

Group A:

$50/individual or $100/family for E-4 & below; $150/$300 for E-5 & above

Group B:

$52/individual or $102/family for E-4 & below; $156/$313 for E-5 & above

Annual Enrollment Fee None None
Primary Care Visit No cost

Group A: $22 Group B: $15

Specialist No cost Group A: $33 Group B: $26
Ambulance No cost Group A: $68 Group B: $15
Emergency Room No cost

Group A: $89 Group B: $41

Hospital No cost

$182

Cost Shares for Retirees (under 65), Their Family Members, and Others:

 

Tricare Prime

Tricare Select

Annual Deductible None

Group A:

$50/individual or $100/family for E-4 & below; $150/$300 for E-5 & above

Group B: $156/individual; $313/family

Annual Enrollment Fee $300/individual $600/family None
Primary Care Visit

$20

Group A: $30 Group B: $26

Specialist $31 Group A: $45 Group B: $41
Ambulance $41

Group A: $90 Group B: $62

Emergency Room $62

Group A: $118 Group B: $83

Hospital $156

$182

For more detailed information see our detailed Tricare program pages:

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