Tricare Select Details

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Medical coverage. Getty Images
Medical coverage. Getty Images

Tricare Select is a fee-for-service insurance plan that lets you see any doctor. If you visit a network doctor you normally will only have to pay a small copay when you visit. This plan is available to family members, veterans, and retirees. It is available worldwide.

If you visit a non-network doctor you may have to pay all charges up-front and file a claim with Tricare for reimbursement. 

Tricare Groups

Tricare has two groups of members: Group A consists of those who entered the service before Jan. 1, 2018 and Group B is those who entered after that date.

Enrollment Fee

For ALL active duty family members there is no enrollment fee.

For family members of veterans/retirees in Group A there is no enrollment fee. For family members of veterans/retirees in Group B there is a $471 individual or $942 family enrollment fee each year.

Deductible

The annual deductible amount is what you pay out-of-pocket before Tricare makes any payments. The deductible amounts are:

Group A:

  • Active duty family members - sponsor rank E-4 and below:
    • $50 Individual
    • $100/Family
  • Active duty family members - sponsor rank E-5 and above:
    • $150 Individual
    • $300 Family
  • Retirees:
    • $150 Individual
    • $300 Family

Group B:

  • Active duty family members - sponsor rank E-4 and below:
    • $52 Individual
    • $104 Family
  • Active duty family members - sponsor rank E-5 and above:
    • $156 Individual
    • $313 Family
  • Group A Retirees:
    • $150 Individual
    • $300 Family
  • Group B Retirees:
    • $156 Individual
    • $313 Family

Catastrophic Cap

The catastrophic cap is the maximum out-of-pocket amount you have to pay for Tricare covered services. This amount resets every year. The current catastrophic cap amounts are: 

  • Active Duty Group A: $1,000
  • Active Duty Group B: $1,044
  • Retired Group A: $3,000
  • Retired Group B: $3,655

Copay Amounts

A copay is what you are usually required to pay when you visit a doctor, the hospital, or receive any healthcare service. These amounts are for in-network care.

Service

Group A

Group B

Primary Care

Active Duty Family: $22

Retirees: $30

Active Duty Family: $30

Retirees: $26

Specialist

Active Duty Family: $33

Retirees: $26

Active Duty Family: $45

Retirees: $21

Ambulance

Active Duty Family: $68

Retirees: $15

Active Duty Family: $90

Retirees: $62

Emergency Room

Active Duty Family: $89

Retirees: $118

Active Duty Family: $41

Retirees: $83

Hospital

Active Duty Family: $19.99/day

Retirees: $250/day

Active Duty Family: $62

Retirees: $182

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Benefits TRICARE