The following tables provide examples of cost shares or copayments and annual deductibles for families who use civilian providers and facilities under each of the Tricare options.
Tricare Categories
There are two separate categories of Tricare beneficiaries:
- Group A for service members who entered active duty before 2018
- Group B for service members who entered active duty in 2018 or later
Cost Shares and Deductibles for Active-Duty, Guard and Reserve Family Members:
Tricare Prime |
Tricare Select |
|
| Annual Deductible | None |
Group A: $50/individual or $100/family for E-4 and below;
$62/individual or $125/family for E-4 and below; |
| Annual Enrollment Fee | None | None |
| Primary Care Visit | No cost |
Group A: $27 |
| Specialist | No cost | Group A: $38 Group B: $31 |
| Ambulance | No cost | Group A: $79 Group B: $18 |
| Emergency Room | No cost |
Group A: $104 |
| Hospital | No cost |
Group A: $22.30/day |
Cost Shares for Retirees (under 65), Their Family Members, and Others:
Tricare Prime |
Tricare Select |
|
| Annual Deductible | None |
Group A: $150/individual; $300/family $188/individual; $377/family |
| Annual Enrollment Fee |
Group A: $363/individual Group B: $438.96/individual |
Group A: $177.96/individual Group B: $564.96/individual |
| Primary Care Visit |
$25 |
Group A: $36 |
| Specialist | $37 | Group A: $50 Group B: $50 |
| Ambulance | $50 |
Group A: $106 |
| Emergency Room | $75 |
Group A: $139 |
| Hospital | $188/day |
Group A: $250/day up to 25% of hospital charges, plus 20% of separately billed services |
For more detailed information see our detailed Tricare program pages:
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