This information is being updated, pleaes visit our TRICARE home page for more TRICARE information.Proposed Changes to TRICARE Fees
The following tables reflect the proposed changes to TRICARE fees, deductibles, and co-pays for Fiscal Year 2013 through 2017. The enrollment fees and deductible changes would affect military retirees only. The changes to TRICARE Pharmacy co-pays would affect all TRICARE beneficiaries.
Proposed TRICARE Prime Annual Family Enrollment Fees (Individual Fees are 50%) for Working-Age Retirees
Retired Pay Tiers |
FY 2012 |
FY 2013 |
FY 2014 |
FY 2015 |
FY 2016* |
FY 2017 |
Tier 1: |
$460/$520 |
$600 |
$680 |
$760 |
$850 |
$893 |
Tier 2: |
$460/$520 |
$720 |
$920 |
$1,185 |
$1,450 |
$1,523 |
Tier 3: |
$460/$520 |
$820 |
$1,120 |
$1,535 |
$1,950 |
$2,048 |
*Indexed to medical inflation (National Health Expenditures) after FY 2016.
Proposed TRICARE Standard/Extra Fees/Deductibles for Working-Age Retirees
Annual Enrollment Fees |
FY 2012 |
FY 2013 |
FY 2014 |
FY 2015 |
FY 2016 |
FY 2017* |
Individual |
$0 |
$70 |
$85 |
$100 |
$115 |
$130 |
Family |
$0 |
$140 |
$170 |
$200 |
$230 |
$250 |
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Annual Deductibles |
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Individual |
$150 |
$160 |
$200 |
$230 |
$260 |
$290 |
Family |
$300 |
$320 |
$400 |
$460 |
$520 |
$580 |
*Indexed to medical inflation (National Health Expenditures) after FY 2017.
Proposed TRICARE-for-Life (TFL) Annual Enrollment Fees – Per Individual
Retired Pay Tiers |
FY 2012 |
FY 2013 |
FY 2014 |
FY 2015 |
FY 2016* |
FY 2017 |
Tier 1: |
$0 |
$35 |
$75 |
$115 |
$150 |
$158 |
Tier 2: |
$0 |
$75 |
$150 |
$225 |
$300 |
$317 |
Tier 3: |
$0 |
$115 |
$225 |
$335 |
$450 |
$475 |
*Indexed to medical inflation (National Health Expenditures) after FY 2016.
Proposed Pharmacy Co-Pays for All TRICARE Beneficiaries
RX Source |
FY 2012 |
FY 2013 |
FY 2014 |
FY 2015 |
FY 2016 |
FY 2017 |
Retail – 1 month fill |
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Generic |
$5 |
$5 |
$6 |
$7 |
$8 |
$9 |
Brand Name |
$12 |
$26 |
$28 |
$30 |
$32 |
$34 |
Non-Formulary* |
$25 |
N/A |
N/A |
N/A |
N/A |
N/A |
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Mail-Order – 3 month fill |
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Generic |
$0 |
$0 |
$0 |
$0 |
$0 |
$9 |
Brand |
$9 |
$26 |
$28 |
$30 |
$32 |
$34 |
Non-Formulary |
$25 |
$51 |
$54 |
$58 |
$62 |
$66 |
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Military Treatment Facilities |
No Change – Remains $0 Co-Pay |
* Non-Formulary pharmaceuticals will have limited availability in retail pharmacies
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