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2023 TRICARE Young Adult

Note: Visit our Copayment and Cost-Share Information page for 2024 costs.

View the cost information below for TRICARE Young Adult (TYA) beneficiaries.

  • The amounts are based on the TYA enrollee's sponsor's active duty or retiree status.
  • The sponsor's enlistment date does not determine costs. Costs are based on those for Group B. 
     
  Active Duty Family Member Retiree Family Member
TYA Prime TYA Select TYA Prime TYA Select
Enrollment Fees $570 per member
(monthly)		 $291 per member
(monthly)		 $570 per member
(monthly)		 $291 per member
(monthly)
Annual Deductibles $0 E-4 and below: $60/individual
E-5 and above: $182/individual		 $0 Network Providers: $182/individual
Non-Network Providers: $365/individual
Catastrophic Cap $1,217 per calendar year $1,217 per calendar year $4,262 per calendar year $4,262 per calendar year

TRICARE Young Adult reminders:

  • Point of Service cost-shares and deductibles may apply to TYA Prime beneficiaries.
  • TRICARE Young Adult Select annual deductibles apply to outpatient services only.
Type of Care Active Duty Family Member Retiree Family Member
TYA Prime TYA Select TYA Prime TYA Select
Ambulance - Outpatient $0 Network: $18
Non-Network: 20%		 $48 Network: $73
Non-Network: 25%
Ambulatory Surgery $0 Network: $30
Non-Network: 20%		 $73 Network: $115
Non-Network: 25%
Ancillary Services $0 Network: $0
Non-Network: 20%		 $0 Network: $0
Non-Network: 25%
Durable Medical Equipment $0 Network: 10%
Non-Network: 20%		 20% Network: 20%
Non-Network: 25%
Emergency Room $0 Network: $48
Non-Network: 20%		 $73 Network: $97
Non-Network: 25%
Home Health Care $0 $0* $0* $0*
Hospice Care $0 $0 $0 $0
Hospitalization
(includes mental health)		 $0 Network: $73 per admission
Non-Network: 20%		 $182 per admission Network: $213 per admission
Non-Network: 25% of allowable charges
Laboratory and X-Rays $0 Network: $0
Non-Network: 20%		 $0 Network: $0
Non-Network: 25%
Maternity Care
- Inpatient Delivery Setting		 $0 Network: $73
Non-Network: 20%		 $182 per admission Network: $213
Non-Network: 25%
Office Visits - Primary Care $0 Network: $18
Non-Network: 20%		 $24 Network: $30
Non-Network: 25%
Office Visits - Specialty Care $0 Network: $30
Non-Network: 20%		 $36 Network: $48
Non-Network: 25%
Outpatient Mental Health Visits $0 Network: $30
Non-Network: 20%		 $36 Network: $48
Non-Network: 25%
Partial Hospitalization $0 Network: $30**
Non-Network: 20%		 $36 per day** Network: $48**
Non-Network: 25%
Preventive Services - 
Eye Examinations		 $0 Network: $0
Non-Network: 20%		 $0 Not a covered benefit
Preventive Services -
All Other Covered Services		 $0 $0 $0 $0
Residential Treatment Center $0 Network: $30 per day
Non-Network: $60 per day		 $36 per day Network: $60 per day
Non-Network: Lesser of $365
per day or 20% of allowable charges
Skilled Nursing Facilty $0 Network: $30 per day
Non-Network: $60 per day		 $36 per day Network: $60 per day
Non-Network: Lesser of $365
per day or 20% of allowable charges
Urgent Care Services $0 Network: $24
Non-Network: 20%		 $36  Network: $48
Non-Network: 25%

*Costs may apply for durable medical equipment (DME) 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.