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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