There are many changes to the TRICARE program every year. Sign up for email alerts.



3D Mammography Coverage

On Jan. 1, 2020, TRICARE expands coverage for breast cancer screenings to include digital breast tomosynthesis, or 3-D mammography. 3-D mammography is currently covered for diagnostic purposes. TRICARE will cover 3-D mammography as a preventive health care service through the provisional coverage program.

For more information about mammograms in general, visit the mammography page. 


2020 Pharmacy CopaymentClick to closeA fixed dollar amount you may pay for a covered health care service or drug. Changes

Starting Jan. 1, 2020, TRICARE pharmacy copayments will change for all beneficiaries, except Active Duty Service Members (ADSMs), dependent survivors of ADSMs, and medically retired service members and their dependents. 

The new copayments depend on where you fill your prescriptions:

  • Military Pharmacy
    • You can still ­fill your generic and brand-name prescriptions for $0 copayment at military pharmacies.
    • Non-formulary drugsClick to closeA drug in a therapeutic class that isn’t as clinically or cost-effective as other drugs in the same class. You pay a higher cost share for these drugs. are generally not available without medical necessity. 
  • TRICARE Pharmacy Home Delivery (up to a 90-day supply)
    • Generic formulary drugs will change from $7 to $10.
    • Brand-name formulary drugs will change from $24 to $29.
    • Non-formulary drugs will change from $53 to $60.
  • Network Retail Pharmacy (up to a 30-day supply)
    • Generic formulary drugs will change from $11 to $13.
    • Brand-name formulary drugs will change from $28 to $33
    • Non-formulary drugs will change from $53 to $60.
  • Non-Network Retail Pharmacy (up to a 30-day supply)
    • TRICARE Prime enrollees (including US Family Health Plan and TRICARE Young Adult - Prime): Still 50% cost-shareClick to closeA percentage of the total cost of a covered health care service that you pay. after meeting the point-of-service deductible.
    • All Other Plans:
      • Generic formulary drugs & brand-name formulary drugs: $33 (change from $28) or 20% of total cost, whichever is more, after meeting the annual deductible.
      • Non-formulary drugs: $60 (change from $53) or 20% of total cost, whichever is more, after meeting the annual deductible. 
Breastfeeding Supplies

TRICARE covers:

  • One manual or standard electric breast pump and operational supplies per birth event/adoption. As of March 2019, rates are $312.84 stateside/$500.55 overseas.
  • The pump's replacement supplies for up to 36 months after the birth event
  • Up to six individual outpatient breastfeeding counseling sessions per birth event
  • Supplemental Nursing Systems (SNS) when prescribed by a TRICARE-authorized providerClick to closeAn authorized provider is any individual, institution/organization, or supplier that is licensed by a state, accredited by national organization, or meets other standards of the medical community, and is certified to provide benefits under TRICARE. There are two types of TRICARE-authorized providers: Network and Non-Network. (formula/nutrition supplement at the breast to assist in lactation, latch, and proper nutrition)

Learn more about coverage of breast pumps.

Banked Donor Breast Milk

TRICARE now covers banked donor milk when it's medically necessaryClick to closeTo be medically necessary means it is appropriate, reasonable, and adequate for your condition. for infants with certain conditions, when prescribed by a TRICARE-authorized provider.

Banked donor milk is available in the U.S. and Canada through human milk banks. Under TRICARE, human milk banks must be accredited by the Human Milk Banking Association of North America (HMBANA).

TRICARE has a maximum allowable chargeClick to closeThe maximum amount TRICARE pays for each procedure or service.  This is tied by law to Medicare's allowable charges. to cover donor milk screening and processing charges. Your costs are based on beneficiary category and provider type.

Learn more about banked donor breast milk.

TRICARE Open Season 

As of Jan. 1, 2019, you’re only able to enroll in or make changes to your TRICARE Prime or TRICARE Select plan during the TRICARE Open Season or after a Qualifying Life Event.

The next TRICARE Open Season is Nov. 11 - Dec. 9, 2019. 

Learn more about TRICARE Open Season

TRICARE Qualifying Life Events A TRICARE Qualifying Life Event (QLE) is a certain change in your life, such as marriage, birth of a child, or retirement from active duty, which may mean different TRICARE options are available to you or your family members. A QLE opens a 90-day period for you and your family members to make eligible enrollment changes.


Learn more about TRICARE Qualifying Life Events.

Last Updated 12/31/2019