New Pharmacy Copays

• Starting February 1, 2018, TRICARE pharmacy copayments will change.

Dental and Vision Coverage

• Certain Enrollees will become eligible Federal Employees Dental and Vision Insurance Program (FEDVIP) beginning in 2019.

Changes

Overview

Accessing Care

• Urgent care is now easier to access. There is no limit to the number of urgent care visits most TRICARE Prime enrollees can make without a referral. Learn more about your plan's details on how to get urgent care.

Health Plans

• TRICARE Select replaced TRICARE Standard and TRICARE Extra.

Costs

• Many cost shares (percentage of allowed amount) were replaced with copays (fixed amount).
• You may need to pay an enrollment fee for TRICARE Select, depending on your plan and when you became eligible for TRICARE.

See your plan’s costs for more details.

Enrollment

• You must now be enrolled for most TRICARE plans to get or change coverage.

• If you were eligible for TRICARE Standard and TRICARE Extra on December 31, 2017, you were automatically enrolled in TRICARE Select.

Stateside Regions and Contractors

• Learn more about Stateside Regions and Contractors.
• The North and South Regions became the new East RegionUnder the new regional contracts, the East Region is a merger of the North and South Regions and includes: Alabama, Arkansas, Connecticut, Delaware, the District of Columbia, Florida, Georgia, Illinois, Indiana, Iowa (Rock Island area), Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Mississippi, Missouri (St. Louis area), New Hampshire, New Jersey, New York, North Carolina, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas (excluding El Paso area), Vermont, Virginia, West Virginia, and Wisconsin..
  • Your regional contractor may have changed.

What’s Covered

• We increased coverage for medically necessaryTo be medically necessary means it is appropriate, reasonable, and adequate for your condition. foods and vitamins.

• TRICARE Select beneficiaries now have access to additional preventive care services without a copay when received from network providers.