Co-Pays & Cost Shares
Costs have been updated to reflect upcoming changes for calendar year 2019. If there is no cost listed for 2019, that cost remains unchanged.
Active duty service members pay nothing out-of-pocket for any type of care
Active duty family members only pay for care when using a Prime plan if they get care without a referral*, when they use TRICARE Select, or if they use a network pharmacy or TRICARE Home Delivery
- There is no cost for services received at an MTF except for a small per diem when using inpatient care
- For US Family Health Plan and TRICARE Prime Remote costs, choose "TRICARE Prime" from the pull-down menu
- You only have to pay the TRICARE For Life (TFL) Health Plan Costs listed if a service is covered by TRICARE and not by Medicare. If you are looking for Medicare and TRICARE covered service costs, download the TFL Cost Matrix.
- Visit the Cost Terms page for definitions to help you better understand TRICARE costs.
*TRICARE Prime includes a point-of-service option with higher costs when referral requirements are not followed or non-network providers are used without authorization from the TRICARE regional contractor (The point-of-service option is not available to active duty service members)
Last Updated 12/11/2018