Catastrophic Cap | TRICARE

Bread Crumbs

Catastrophic Cap

Your catastrophic cap is the maximum amount you pay each fiscal yearOctober 1 - September 30.

  • Your cap depends on who you are. 
  • Find your cap below.
If you are ... Your Cap is:
An Active Duty Family $1,000 per family, per fiscal year 
A Family Using 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.

The cap applies to all covered services:

  • Annual deductibles (if applicable)
  • Pharmacy copayments
  • TRICARE Prime enrollment fees (if applicable)
  • Other cost shares based on TRICARE-allowable charges.

The cap does not apply to:

What happens to the catastrophic 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 11/10/2016