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Costs

Find your TRICARE costs, including copays,
enrollment fees, and payment options.

Costs for Care in the U.S.

These costs are effective 1/1/2018.
Service Cost
Monthly Premiums  
Annual Deductible Network:
  • Individual: $150
  • Family: $300
Non-Network:
  • Individual: $300
  • Family: $600

Note: TRICARE Retired Reserve beneficiaries are subject to separate network and non-network deductibles. Reaching the deductible level of one does not remove the need to pay for the other.

Ambulance Services Network: $60
Non-Network: 25% of allowable charge
Ambulatory Surgery (Same Day) Network: $95
Non-Network: 25% of allowable charge
Mental Health (Inpatient) See TRICARE Mental Health Costs
Mental Health (Partial Hospitalization) See TRICARE Mental Health Costs

Mental Health (Outpatient)

See TRICARE Mental Health Costs
Clinical Preventive Services Network:$0
Non-network: $0 for the following services:
  • Cancer screenings* (colorectal, breast, cervical, prostate)
  • Immunizations*
  • Well-child care for children under age 6 (birth through age 5)

*This includes the office visit for beneficiaries age 6 and older when a covered cancer screening or immunization is provided during the visit.

For all other preventive services, non-network: 25% of allowable charge

DME, Prosthetic Devices, Medical Supplies Network: 20% of negotiated feeThe discounted rate network providers agree to accept for covered services.
Non-Network: 25% of allowable charge
Emergency Services Network: $80
Non-Network: 25% of allowable charge
Home Health Care

$0

Note: You may have separate costs for additional services when receiving home health care. For example, DME, drugs, vaccines, orthotics/prosthetics, and nutritional therapy, among others.

Hospice Care $0
Hospitalization (Inpatient Care) Network: $175 per admission
Non-Network: 25% of allowable charges
Immunizations $0
Laboratory and X-ray Network: $0
Non-Network: 25% of allowable charge
Maternity (office visits and hospitalization for delivery planned in a hospital in an inpatient setting) Network: $175 for hospital admission
Non-Network: 25% of allowable charges
Maternity (office visits for delivery planning in a TRICARE-authorized birthing center) Network: $95 for delivery
Non-Network: 25% of allowable charges
Maternity (office visits for delivery planned at home or other setting) Network: $25 per visit (Primary) or $40 for visit (Specialty) 
Non-Network: 25% of allowable charge
Newborn Care Network: $0
Non-Network: 25% of allowable charge

Note: If any family member is enrolled in TRICARE Prime, the newborn is also covered by Prime for up to the first 90 days and costs are $0.

Outpatient Visit Network:
  • Primary Care: $25
  • Specialty Care: $40
Non-Network: 25% of allowable charge
Skilled Nursing (Inpatient) Network: $50 per day
Non-Network: 20% of allowable charge ($300 per day maximum)

Only available in the U.S. and U.S. Territories.

Urgent Care

Network: $40
Non-Network: 25% of allowable charge

Last Updated 6/5/2018