With the point-of-service option, you:
The point-of-service option doesn't apply to:
*If you visit a network provider in another region without a referral from your PCM, you're using the point-of-service option.
When you use the point-of-service option, you’ll pay:
- Point-of-service fees instead of your regular copayment
- Any other fees charged by non-network providers
These fees don’t apply to your annual catastrophic cap.
You must pay this amount before cost sharing begins for outpatient services.
- Individual: $300
- Family: $600
Outpatient Services: 50% of TRICARE allowable charge
Hospitalization: 50% of TRICARE allowable charge