2024 Cost Information for Office Visits
- 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.
- TRICARE Prime and TRICARE Young Adult Prime retirees have a separate copayment for allergy shots performed on a different day than the office visit, or performed by a different provider, such as an independent laboratory or radiology facility (even if performed on the same day as the related office visit).
- 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:
- 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.
Note: 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.
TRICARE Prime and TRICARE Prime Remote (not including TRICARE Young Adult)
| Service |
Active Duty Family Members |
Retirees and Their Family Members |
|---|
Primary Care Outpatient
Office Visits |
Group A: $0
Group B: $0
|
Group A: $25
Group B: $25
|
Specialty Care Outpatient
Office Visits
(this includes physical, occupational
and speech therapy, and provisional coverage benefits)
|
Group A: $0
Group B: $0
|
Group A: $37
Group B: $37
|
TRICARE Select (not including TRICARE Young Adult)
| Service |
Active Duty Family Members |
Retirees and Their Family Members |
|---|
Primary Care Outpatient
Office Visits |
Group A:
Network Provider: $27
Non-Network Provider: 20%
Group B:
Network Provider: $18
Non-Network Provider: 20%
|
Group A:
Network Provider: $36
Non-Network Provider: 25%
Group B:
Network Provider: $31
Non-Network Provider: 25%
|
Specialty Care Outpatient
Office Visits
(this includes physical, occupational
and speech therapy, and provisional coverage benefits)
|
Group A:
Network Provider: $38
Non-Network Provider: 20%
Group B:
Network Provider: $31
Non-Network Provider: 20%
|
Group A:
Network Provider: $50
Non-Network Provider: 25%
Group B:
Network Provider: $50
Non-Network Provider: 25%
|
TRICARE Reserve Select (TRS) and TRICARE Retired Reserve (TRR)
| Service |
TRS |
TRR |
|---|
Primary Care Outpatient
Office Visits |
Network Provider: $18
Non-Network Provider: 20% |
Network Provider: $31
Non-Network Provider: 25% |
Specialty Care Outpatient
Office Visits
(this includes physical, occupational
and speech therapy, and provisional
coverage benefits)
|
Network Provider: $31
Non-Network Provider: 20% |
Network Provider: $50
Non-Network Provider: 25% |
TRICARE Young Adult (TYA)
| Service |
TYA Prime |
TYA Select |
|---|
| Active Duty Family Members |
Retiree Family Members |
Active Duty Family Members |
Retiree Family Members |
| Primary Care Outpatient Office Visits |
$0 |
$25 |
Network Provider: $18
Non-Network Provider: 20% |
Network Provider: $31
Non-Network Provider: 25% |
Specialty Care Outpatient Office Visits
(this includes physical,
occupational and speech therapy, and provisional coverage benefits)
|
$0 |
$37 |
Network Provider: $31
Non-Network Provider: 20% |
Network Provider: $50
Non-Network Provider: 25% |
