Catastrophic Cap | TRICARE

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Catastrophic Cap

Your catastrophic cap is the maximum amount you pay each calendar year.

  • 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 year 
A Family Using TRICARE Reserve Select  $1,000 per family, per year
All Others

Group AIf you or your sponsor’s initial enlistment or appointment occurred before January 1, 2018, you are in Group A.: $3,000 per family, per year 

Group BIf you or your sponsor’s initial enlistment or appointment occurs on or after January 1, 2018, are in Group B.: $3,500 per family, per 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
  • Other copays and 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 calendar year.

Last Updated 12/13/2017