Prime Network Copayments

Active Duty Service Members

  • You pay nothing out-of-pocket for any type of care

Active Duty Family Members

  • You pay nothing out-of-pocket for any type of care
  • If you get care without a referral, you will pay point-of-service charges

All Other Beneficiaries

  • You pay the copayments below for care from TRICARE network providers
  • If you get care without a referral, you will pay point-of-service charges
  • Your costs are for care from civilian primary care managers (PCMs), or for care received with a PCM referral, when required
*Ancillary services include:
  • Diagnostic radiology and ultrasound
  • Diagnostic nuclear medicine
  • Pathology and laboratory services
  • Cardiovascular studies
  • Venipuncture
  • Collection of blood samples
  • Fetal monitoring

Last Updated 1/26/2015