Bread Crumbs

TRICARE Standard Overseas Costs

TRICARE Standard Overseas depend on your sponsor's military status - active duty or retired.

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.

Active Duty Sponsor

Rank E4 and below: $50 per individual, but no more than $100 per family

Rank E5 and above: $150 per individual, but no more than $300 per family

All Others $150 per individual, but no more than $300 per family

You won't need to meet your annual outpatient deductible if:

  • You're a family member of a National Guard/Reserve member and
  • The National Guard/Reserve member is on active duty for more than 30 days in support of a  contingency operation.

Cost Shares

You'll pay a cost share based on the type of care. Some inpatient cost shares change each fiscal year starting October 1. The costs below start October 1, 2013.

Type of Care Active Duty Family Members Retirees, Their Families and All Others 
Ambulatory Care (Same Day Surgery) $25 per visit 25% of the allowable charge
Behavioral Health

Inpatient: $20 per day ($25 minimum charge)

Outpatient: 20% of the allowable charge

Inpatient:

  • High Volume Hospital-25% of the hospital-specific per diem
  • Low Volume Hospital-$218 per day or 25% of the billed charges, whichever is less

Outpatient: 25% of the allowable charge

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

Inpatient Services, such as:

  • Hospitalization
  • Skilled Nursing* 

$17.65 per day ($25 minimum charge)

$744 per day or 25% of billed charges, whichever is less, plus 25% for separately billed services.

Maternity Care

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

Office visits for delivery planned in a birthing center, home or other setting: 20% of the allowable charge

Global fee for office visits & hospitalization for delivery planned in a hospital: $744 per day or 25% of billed charges, whichever is less, plus 25% for separately billed services.

Office visits for delivery planned in a birthing center, home or other setting: 25% of the allowable charge

Newborn Care

$0 as the newborn is deemed enrolled in TRICARE Prime Overseas for up to the first 120 days.

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):  

20% of the allowable charge 25% 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