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Costs

Find your TRICARE costs, including copays,
enrollment fees, and payment options.

Costs for Active Duty Family Members

Active Duty Family Members are automatically enrolled in TRICARE Prime or TRICARE Select when they are entered into DEERS.  When a service is covered by TRICARE but not Medicare the regular costs for your TRICARE plan apply. Most commonly this happens for:

  • Extended inpatient hospital stays (longer than 150 days)
  • Care received outside of the U.S. and U.S. territories*

*Note: Overseas providers are generally non-network, except in specific locations.

If you have disenrolled from both TRICARE Prime and TRICARE Select, you must be enrolled in Medicare Part B to remain eligible for TRICARE For Life. If this is the case for you, the cost shares below apply for services that are covered by TRICARE but not Medicare.

These costs are effective 1/1/2018.
Service Cost
Annual Deductible Rank E4 and below: $50 per individual, but no more than $100 per family
Rank E5 and above: $150 per individual, but no more than $300 per family
Ambulance Services Network: 15% of negotiated feeThe discounted rate network providers agree to accept for covered services.
Non-Network: 20% of allowable chargeThe maximum amount TRICARE pays for each procedure or service.  This is tied by law to Medicare's allowable charges.
Ambulatory Surgery (same day) $25
Clinical Preventive Services

$0 for the following services:

  • Cancer screenings* (colorectal, breast, cervical, prostate)
  • Immunizations*
  • Well-child care for children under age 6 (birth through age 5)

*This includes the office visit for beneficiaries age 6 and older when a covered cancer screening or immunization is provided during the visit.

For all other preventive services:

  • Network: 15% of negotiated fee
  • Non-Network: 20% of allowable charge
DME, Pros. Dev., Med. Supp. Network: 15% of negotiated fee
Non-Network: 20% of allowable charge
Emergency Services Network: 15% of negotiated fee
Non-Network: 20% of allowable charge
Home Health Care Not available outside the U.S. or U.S. territories.
Hospice Care Not available outside the U.S. or U.S. territories.
Hospitalization (Inpatient Care) (Medical and Mental Health)

$18.60 per day ($25 minimum charge)

Immunizations $0
Laboratory & X-ray

Labs ordered during a preventive service visit: $0

  • Network: 15% of negotiated fee
  • Non-Network: 20% of allowable charge
Maternity (office visits & hospitalization for delivery planned in a hospital in an inpatient setting)

$18.60 per day ($25 minimum charge)

Note: This is one global fee for all of the maternity care and delivery.

Maternity (office visits for delivery planning in a TRICARE-authorized birthing center) Not available outside the U.S. or U.S. territories.
Maternity (office visits for delivery planned at home or other setting) Network: 15% of negotiated fee
Non-Network: 20% of allowable charge
Newborn care

The lower of the number of hospital days minus three multiplied by $18.60, or 25% of the total billed charges.

Note: If any family member is enrolled in TRICARE Prime, the newborn is also covered by Prime for up to the first 60 days and costs are $0.

Outpatient Visit (Medical and Mental Health) Network: 15% of negotiated fee 
Non-Network: 20% of allowable charge
Skilled Nursing (inpatient) Not available outside the U.S. or U.S. territories.

Urgent Care

Network: 15% of negotiated fee 
Non-Network: 20% of allowable charge

Last Updated 6/5/2018