2024 Retirees and Their Family Members Costs (Group B)
Note: Visit our Copayment and Cost-Share Information page for 2023 costs.
View the cost information below for retirees and their family members (not including TRICARE Young Adult) with sponsors who enlisted on or after Jan. 1, 2018.
| |
TRICARE Prime |
TRICARE Select |
|---|
| Annual Enrollment Fees |
$438.96/individual, $879/family
|
$564.96/individual, $1,131/family
|
| Annual Deductibles |
$0 |
Network Providers: $188/individual, $377/family
Non-Network Providers: $377/individual, $754/family |
| Annual Catastrophic Cap |
$4,399 per calendar year |
$4,399 per calendar year |
Note: Point-of-service cost-shares and deductibles may apply to TRICARE Prime and TRICARE Prime Remote beneficiaries.
Annual deductibles apply to outpatient services only.
| Type of Care |
TRICARE Prime |
TRICARE Select |
|---|
| Ambulance Services - Outpatient (air) |
$20 |
25% |
| Ambulance Services - Outpatient (ground) |
$50 |
Network Provider: $75
Non-Network Provider: 25% |
| Ambulatory Surgery |
$75 |
Network Provider: $119
Non-Network Provider: 25% |
| Ancillary Services |
$0 |
Network Provider: $0
Non-Network Provider: 25% |
| Durable Medical Equipment |
20% |
Network Provider: 20%
Non-Network Provider: 25% |
| Emergency Room |
$75 |
Network Provider: $100
Non-Network Provider: 25% |
| Home Health Care |
$0* |
$0* |
| Hospice Care |
$0 |
$0 |
| Hospitalization (includes mental health) |
$188 per admission
|
Network Provider: $219 per admission
Non-Network Provider: 25% of allowable charges |
| Laboratory and X-Rays |
$0 |
Network Provider: $0
Non-Network Provider: 25% |
| Maternity Care - Inpatient Delivery Setting |
$188 per admission
|
Network Provider: $219 per admission
Non-Network Provider: 25% of allowable charges |
| Office Visits - Primary Care |
$25 |
Network Provider: $31
Non-Network Provider: 25% |
| Office Visits - Specialty Care |
$37 |
Network Provider: $50
Non-Network Provider: 25% |
| Outpatient Mental Health Visits |
$37 |
Network Provider: $50
Non-Network Provider: 25% |
| Partial Hospitalization |
$37 per day** |
Network Provider: $50**
Non-Network Provider: 25% |
| Preventive Services - Eye Examinations |
$0 |
Not a covered benefit |
| Preventive Services - All Other Covered Services |
$0 |
$0 |
| Residential Treatment Center |
$37 per day |
Network Provider: $62 per day
Non-Network Provider: Lesser of $377
per day or 20% of allowable charges |
| Skiilled Nursing Facilty |
$37 per day |
Network Provider: $62 per day
Non-Network Provider: Less of $377
per day or 20% of allowable charges |
| Urgent Care Services |
$37 |
Network Provider: $50
Non-Network Provider: 25% |
*Costs may apply for durable medical equipment and medications/drugs.
**Copayment information is calculated per day for partial hospitalization programs and intensive outpatient treatment. Opioid treatment program services copayment is applied on a weekly basis.
