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Mental Health Costs

Your mental health care costs are based on:

  • Who you are
  • Your health plan
  • The type of care – outpatient, partial hospitalization or inpatient 
Who You Are:  Your Plan:  Annual Deductible  Outpatient or Partial Hospitalization Inpatient   Residential Treatment Facilities
1Active duty service member TRICARE Prime plansTRICARE Prime plans include: TRICARE Prime, TRICARE Prime Remote, TRICARE Prime Overseas, TRICARE Prime Remote Overseas and TRICARE Young Adult-Prime  $0 $0 $0  $0
2Active duty family member TRICARE Prime plans $04 $0 $0   $0
TRICARE Select Plans  E4 & below:
$50 per individual, but no more than $100 per family

E5 & above:
$150 per individual, but no more than $300 per family 
Group AIf you or your sponsor’s initial enlistment or appointment occurred before January 1, 2018, you are in Group A.:

Group BIf you or your sponsor’s initial enlistment or appointment occurs on or after January 1, 2018, are in Group B.:

  • Network: $15 (Primary) or $25 (Specialty) per visit
  • Non-network:
    20% of allowable charge

Group A: $18.60 per day ($25 minimum charge)

Group B:

  • Network: $60 per admission
  • Non-network: 20% of allowable charge

Group A: $18.60 per day ($25 minimum charge)

Group B:

  • Network: $25 per day
  • Non-network: $50 per day
3Retired service members, families & others TRICARE Prime plans $04
$20 (Primary) or $30 (Specialty) 

MTF: $18.60 per day

Network: $150 per admission

$30 per day

TRICARE Select plans

Group A:

  • $150 per individual
  • No more than $300 per family

Group B:

  • Network5:
    • $150 per individual
    • No more than $300 per family
  • Non-network5:
    • $300 per individual
    • No more than $600 per family
Group A:
  • Network: $28 (Primary) or $41 (Specialty) per visit
  • Non-network:
    25% of allowable charge

Group B:

  • Network: $25 (Primary) or $40 (Specialty) per visit
  • Non-network:
    25% of allowable charge

Group A:

  • Network: 20% of the total +  20% for separately billed services
  • Non-network:
    High Volume Hospitals: 25% hospital specific per diem + 25% for separately billed services

    Low Volume Hospitals: 25% of the billed charges ($241 per day maximum) + 25% for separately billed services

Group B:

  • Network: $175 per admission
  • Non-network:
    High Volume Hospitals: 25% hospital specific per diem + 25% for separately billed services

    Low Volume Hospitals: 25% of the billed charges ($241 per day maximum) + 25% for separately billed services     

Group A:

Group B:

  • Network: $50 per day
  • Non-network: 20% of allowable charge ($300 per day maximum)
Guard/Reserve members & their families TRICARE Reserve Select  E4 & below: 
$50 per individual, but no more than $100 per family 

E5 & above: 
$150 per individual, but no more than $300 per family 

Network: $15 (Primary) or per visit or $25 (Speciality) 

Non-network:
20% of allowable charge

Network: $60 per admission

Non-network: 20% of allowable charge


Network: $25 per day

Non-network: $50 per day


TRICARE Retired Reserve

Network5:

 

  • $150 per individual
  • No more than $300 per family

 

Non-network5:

  • $300 per individual
  • No more than $600 per family

 

Network: $25 (Primary) or $40 (Specialty) per visit

Non-network:
25% of allowable charge

Network: $175 per admission

Non-network:
High Volume Hospitals: 25% hospital specific per diem + 25% for separately billed services

Low Volume Hospitals: 25% of the billed charges ($241 per day maximum) + 25% for separately billed services     

Network: $50 per day

Non-network: 20% of allowable charge ($300 per day maximum)

  1. Includes activatedCalled or ordered to active duty service for more than 30 days in a row. Guard/Reserve members
  2. Includes family members of activated Guard/Reserve members
  3. Includes retired Guard/Reserve members and their families
  4. Annual deductible for TRICARE Prime is $0 unless using the point-of service option

Last Updated 1/11/2018