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