Copayments are per occurrence or per visit. Cost-shares are a percentage of the contracted rate for network providers and the maximum TRICARE allowable for non-network providers on certain types of services. Beneficiaries have an out-of-pocket maximum for covered medical expenses; this is known as the catastrophic cap. Tricare Standard has been replaced. Michelle Gauthier, 52nd Medical Operations Squadron certified registered nurse anesthetist at Spangdahlem Air Base, Germany, injects medication into an IV.
- Tricare Standard Copays And Deductibles
- Tricare Standard Copays 2019
- Tricare Standard Copay For Counseling
- Copayments and cost-shares are subject to change at the beginning of each calendar year.
- Copayments are per occurrence or per visit.
- Cost-shares are a percentage of the contracted rate for network providers and the maximum TRICARE allowable for non-network providers on certain types of services.
- Beneficiaries have an out-of-pocket maximum for covered medical expenses; this is known as the catastrophic cap.
- Point of Service cost-shares and deductibles may apply to TRICARE Prime and TRICARE Prime Remote beneficiaries (excluding active duty service members).
Important Note: Active duty service members do not have any out-of-pocket costs for care.
2021 Costs
| Active Duty Family Members | Retirees and Their Family Members | TRICARE Reserve Select (TRS) | TRICARE Retired Reserve (TRR) | TRICARE Young Adult (TYA) |
|---|---|---|---|---|
| Enlisted before 01/01/18 | Enlisted before 01/01/18 | All | All | All |
| Enlisted on or after 01/01/18 | Enlisted on or after 01/01/18 |
2021 Cost Information by Benefit
Tricare Standard Copays And Deductibles
Detailed information on copayments and cost-shares is listed below by benefit. You can also view this information using the cost links in our Benefits A-Z list.
Pharmacy
Tricare Standard Copays 2019
Mental Health
Tricare Standard Copay For Counseling
| Active Duty Family Members | Retirees and Their Family Members | TRICARE Reserve Select (TRS) | TRICARE Retired Reserve (TRR) | TRICARE Young Adult (TYA) |
|---|---|---|---|---|
| Enlisted before 01/01/18 | Enlisted before 01/01/18 | All | All | All |
| Enlisted on or after 01/01/18 | Enlisted on or after 01/01/18 |