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Catastrophic Cap

Your catastrophic cap is the maximum amount you pay each fiscal year. The fiscal year is from October 1 to September 30. The following apply to your catastrophic cap:

  • Annual deductibles
  • Pharmacy copayments
  • TRICARE Prime enrollment fees
  • All other copayments or cost shares you pay for TRICARE-covered services

Your cap depends on who you are.  Find your cap below.

Active Duty Families $1,000 per family, per fiscal year 
Families with TRICARE Reserve Select  $1,000 per family, per fiscal year
All Others $3,000 per family, per fiscal year 

After you reach your catastrophic cap, you won’t have to pay anything more in most cases. But there are some exceptions.

What happens to the catastropic cap when an active duty sponsor retires?

When the sponsor retires, the full deductible and cost shares credited towards the previous family cap ($1,000) is credited to the new cap ($3,000) in the same fiscal year.

Last Updated 4/10/2014