2024 Copayment and Cost-Share Information
Overview
- 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.
- Point-of-service cost-shares and deductibles may apply to TRICARE Prime and TRICARE Prime Remote beneficiaries (excluding active duty service members).
- Important: Active duty service members do not have an out-of-pocket costs for care.
2024 Costs
