Tricare Copay 2021
. A yearly deductible before TRICARE cost-sharing will begin: $300 per individual/$600 per family. For services beyond this deductible, you pay 50% of the TRICARE-allowable charge. These costs do not apply to the catastrophic cap. TRICARE SELECT® (JAN. 31, 2021) Includes TRICARE Select, TRICARE Overseas Program. Note: Visit our Copayment and Cost-Share Information page to view 2020 costs. Ambulatory surgery costs apply to same day surgery in an outpatient hospital setting or ambulatory surgery center. TRICARE Select, TRICARE Young Adult Select, TRICARE Reserve Select, and TRICARE Retired Reserve annual deductibles apply.; TRICARE Young Adult costs are based on the sponsor's status. ASD (HA) Memorandum 14-015 - Establishing TRICARE Reserve Select and TRICARE Retired Reserve Rates for 2015 Calendar Year. This memorandum establishes the Calendar Year 2015 premium rates for TRICARE Reserve Select and TRICARE Retired Reserve as specified in the attachment. CHCBP is a premium-based plan that offers temporary transitional health coverage for 18 to 36 months after TRICARE eligibility ends. It acts as a bridge between military health.
- Tricare Reserve Select Copay 2021
- Tricare For Life Cost 2020
- Tricare Prime Copay 2021
- Tricare Copay 2021
The catastrophic cap is the maximum out-of-pocket amount the beneficiary will pay each calendar year for TRICARE-covered services. The beneficiary is not responsible for any amounts over the catastrophic cap in a given year, except for:
- Services that are not covered.
- Point of Service charges.
- The additional 15 percent non-participating providers may charge above the TRICARE allowable charge.
If the beneficiary changes programs during the calendar year under the same sponsor, any amount credited toward the catastrophic cap will roll over to the new program (does not apply to Continued Health Care Benefit Program [CHCBP]).
A beneficiary's catastrophic cap is determined by the sponsor's initial enlistment or appointment date:
- Group A: Sponsor's enlistement or appointment date is before Jan. 1, 2018.
- Group B: Sponsor's enlistement or appointment date is on or after Jan. 1, 2018.
| Out-of-pocket expenses that apply towards cap | Out-of-pocket expenses that do NOT apply towards cap |
|---|---|
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Tricare Reserve Select Copay 2021
2021 Catastrophic Cap Amounts
Tricare For Life Cost 2020
| 2021 | Group A | Group B |
|---|---|---|
| Active Duty Family Members (TRICARE Prime and Select) | $1,000 per family, per calendar year | $1,058 per family, per calendar year |
| Retirees and Their Family Members (TRICARE Prime) | $3,000 per family, per calendar year | $3,703 per family, per calendar year |
| Retirees and Their Family Members (TRICARE Select) | $3,500 per family, per calendar year | $3,703 per family, per calendar year |
| TRICARE Reserve Select (TRS) | $1,058 per family, per calendar year | |
| TRICARE Retired Reserve (TRR) | $3,703 per family, per calendar year | |
| TRICARE Young Adult (TYA) | Active Duty Family Members:$1,058 per individual, per calendar year Retiree Family Members: $3,703 per individual, per calendar year | |
2020 Catastrophic Cap Amounts
Tricare Prime Copay 2021
Tricare Copay 2021
| 2020 | Group A | Group B |
|---|---|---|
| Active Duty Family Members (TRICARE Prime and Select) | $1,000 per family, per calendar year | $1,044 per family, per calendar year |
| Retirees and Their Family Members (TRICARE Prime and Select) | $3,000 per family, per calendar year | $3,655 per family, per calendar year |
| TRICARE Reserve Select (TRS) | $1,044 per family, per calendar year | |
| TRICARE Retired Reserve (TRR) | $3,655 per family, per calendar year | |
| TRICARE Young Adult (TYA) | Active Duty Family Members:$1,044 per individual, per calendar year Retiree Family Members: $3,655 per individual, per calendar year | |