Co-Pays & Cost Shares
Active duty service members pay nothing out-of-pocket for any type of care
Active duty family members only pay for care when using a Prime plan if they get care without a referral*, when they use TRICARE Select, or if they use a network pharmacy or TRICARE Home Delivery
- There is no cost for services received at an MTF except for a small per diem when using inpatient care
- For US Family Health Plan and TRICARE Prime Remote costs, choose "TRICARE Prime" from the pull-down menu
- You only have to pay the TRICARE For Life (TFL) Health Plan Costs listed if a service is covered by TRICARE and not by Medicare. If you are looking for Medicare and TRICARE covered service costs, download the TFL Cost Matrix.
- Visit the Cost Terms page for definitions to help you better understand TRICARE costs.
*TRICARE Prime includes a point-of-service option with higher costs when referral requirements are not followed or non-network providers are used without authorization from the TRICARE regional contractor (The point-of-service option is not available to active duty service members)