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TRICARE Reserve Select Costs

Monthly Premiums

TRICARE Reserve Select premium rates start each year on January 1. The current monthly premiums  through December 2014 are:

  • Member Only: $51.68 per month
  • Member and Family: $204.29 per month

First Premium Payment

You must submit a two-month premium payment with your completed form to start. Your first premium payment can be paid by:

  • Check
  • Money order or cashier's check (payable to the regional contractor)
  • Debit/credit card (Visa or MasterCard)

Ongoing Premium Payments

After your first premium payment, you can pay your premiums by:

automatic payment through an electronic funds transfer (EFT)

recurring debit/credit card (Visa/MasterCard).

Your regional contractor will automatically process your premium payments on the first business day of the month for the current month of coverage.

  • You may be charged a fee of up to $20.00 for insufficient or unavailable funds.
  • If you don't pay any overdue premium amounts, your coverage will be suspended as of the last day of the last month paid

Learn more about your payment options in your region:

Annual Outpatient Deductible

You must meet the annual outpatient deducible each fiscal year before TRICARE begins to pay. The fiscal year starts on October 1.

  • Sponsor Rank E4 and below: $50 per individual, but no more than $100 per family
  • Sponsor Rank E5 and above: $150 per individual, but no more than $300 per family

Cost Shares

You'll pay a cost share based on the type of care and provider you see - network or non-network. Non-network providers may charge up to 15% more than the TRICARE allowable charge. You are also responsible for these extra charges. 

Some inpatient cost shares are subject to change each fiscal year starting October 1. The costs below start October 1, 2013.

Type of Care Network Provider Non-Network Provider
Ambulatory Care (Same Day Surgery) $25 per visit $25 per visit
Behavioral Health

Inpatient: $20 per day ($25 minimum)

Outpatient: 15% of the negotiated rate

Inpatient: $20 per day ($25 minimum)

Outpatient: 20% of the negotiated rate

Home Health Care     $0 $0
Hospice Care $0 $0

Inpatient Services, such as:

  • Hospitalization
  • Skilled Nursing* 
$17.65 per day ($25 minimum) $17.65 per day ($25 minimum)
Maternity Care

Global fee for office visits & hospitalization for delivery planned in a hospital: $17.65 per day ($25 minimum)

Office visits for delivery planned in a birthing center: $25 per visit

Office visits for delivery at home or another setting: 15% of the negotiated rate

Global fee for office visits & hospitalization for delivery planned in a hospital: $17.65 per day ($25 minimum)

Office visits for delivery planned in a birthing center: $25 per visit

Office visits for delivery at home or another setting: 20% of the negotiated rate

Newborn Care

The lower of the number of hospital days minus 3 multiplied by $250 or 25% of the negotiated rate, plus 20% for separately billed professional charges.

The lower of the number of hospital days minus 3 multiplied by DRG per diem copayment or 25% of billed charges, plus 25% for separately billed professional charges.

Outpatient Services (which include):  
15% of the negotiated rate 20% of the allowable charge

*Skilled Nursing Care is only available in the U.S. and U.S. Territories.

**The following Preventive Services are available free of charge: colorectal, breast, cervical and prostate cancer screenings; immunizations; and well-child visits for children under age 6.

Last Updated 4/10/2014