2020 Group A Group B; Active Duty Family Members (TRICARE Prime and Select) $1,000 per family, per calendar year: $1,044 per family, per calendar year. 2020 TRICARE Reserve Select Costs Note: Visit our Copayment and Cost-Share Information page for 2021 costs. View the cost information below for TRICARE Reserve Select (TRS) beneficiaries.
The catastrophic cap is the maximum out-of-pocket amount the beneficiary will pay each calendar year for TRICARE-covered services. The beneficiary is not responsible for any amounts over the catastrophic cap in a given year, except for:
- Services that are not covered.
- Point of Service charges.
- The additional 15 percent non-participating providers may charge above the TRICARE allowable charge.
If the beneficiary changes programs during the calendar year under the same sponsor, any amount credited toward the catastrophic cap will roll over to the new program (does not apply to Continued Health Care Benefit Program [CHCBP]).
A beneficiary's catastrophic cap is determined by the sponsor's initial enlistment or appointment date:
- Group A: Sponsor's enlistement or appointment date is before Jan. 1, 2018.
- Group B: Sponsor's enlistement or appointment date is on or after Jan. 1, 2018.
| Out-of-pocket expenses that apply towards cap | Out-of-pocket expenses that do NOT apply towards cap |
|---|---|
|
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2021 Catastrophic Cap Amounts
| 2021 | Group A | Group B |
|---|---|---|
| Active Duty Family Members (TRICARE Prime and Select) | $1,000 per family, per calendar year | $1,058 per family, per calendar year |
| Retirees and Their Family Members (TRICARE Prime) | $3,000 per family, per calendar year | $3,703 per family, per calendar year |
| Retirees and Their Family Members (TRICARE Select) | $3,500 per family, per calendar year | $3,703 per family, per calendar year |
| TRICARE Reserve Select (TRS) | $1,058 per family, per calendar year | |
| TRICARE Retired Reserve (TRR) | $3,703 per family, per calendar year | |
| TRICARE Young Adult (TYA) | Active Duty Family Members:$1,058 per individual, per calendar year Retiree Family Members: $3,703 per individual, per calendar year | |
2020 Catastrophic Cap Amounts
Tricare Drug Copays
| 2020 | Group A | Group B |
|---|---|---|
| Active Duty Family Members (TRICARE Prime and Select) | $1,000 per family, per calendar year | $1,044 per family, per calendar year |
| Retirees and Their Family Members (TRICARE Prime and Select) | $3,000 per family, per calendar year | $3,655 per family, per calendar year |
| TRICARE Reserve Select (TRS) | $1,044 per family, per calendar year | |
| TRICARE Retired Reserve (TRR) | $3,655 per family, per calendar year | |
| TRICARE Young Adult (TYA) | Active Duty Family Members:$1,044 per individual, per calendar year Retiree Family Members: $3,655 per individual, per calendar year | |
Annual deductibles apply to network and non-network providers for outpatient services only.
- Deductibles must be met before TRICARE benefits are payable.
- Once the deductible is met, cost-shares apply.
- Network providers can collect at a minimum the copayment at the time of service. A provider may also collect the outstanding balance of the deductible. The explanation of benefits (EOB) will inform the beneficiary and provider of the allowed amount and patient responsibility.
- Deductibles apply to the catastrophic cap.
- TRICARE Select, TRICARE Young Adult Select, TRICARE Reserve Select, and TRICARE Retired Reserve deductibles do not apply to preventive services.
- Exception: Deductibles will apply to routine eye examinations (when covered), school physicals and assignment-ordered physicals, when performed by non-network providers.
A beneficiary's deductible is determined by the sponsor's initial enlistment or appointment date:
Tricare Select Copay 2020
- Group A: Sponsor's enlistment or appointment date occurred prior to Jan. 1, 2018.
- Group B: Sponsor's enlistment or appointment date occurred on or after Jan. 1, 2018.
TRICARE Prime and TRICARE Prime Remote (not including TRICARE Young Adult)
| Active Duty Family Members | Retirees and Their Family Members |
|---|---|
Group A: $0 Group B: $0 Point of Service deductibles are calculated separately. | Group A: $0 Group B: $0 Point of Service deductibles are calculated separately. T?i kingdom rush origins pc. |
TRICARE Select (not including TRICARE Young Adult)
| Active Duty Family Members | Retirees and Their Family Members |
|---|---|
Group A: Group B: 2020: E4 and Below: $52/individual, $104/family 2021: E4 and Below: $52/individual, $105/family | Group A: Group B: 2020: Network Providers: $156/individual, $313/family 2021: Network Providers: $158/individual, $317/family |
2020 Tricare Copay List
TRICARE Reserve Select (TRS) and TRICARE Retired Reserve (TRR)
| TRICARE Reserve Select (TRS) | TRICARE Retired Reserve (TRR) |
|---|---|
2020: E4 and Below: $52/individual, $104/family 2021: E4 and Below: $52/individual, $105/family | 2020: Network Providers: $156/individual, $313/family 2021: Network Providers: $158/individual, $317/family |
Tricare For Life Cost 2020
TRICARE Young Adult
The TRICARE Young Adult deductible is based on the sponsor's status.
| TRICARE Prime | TRICARE Select | ||
|---|---|---|---|
| Active Duty Family Members | Retiree Family Members | Active Duty Family Members | Retiree Family Members |
| $0 | $0 | 2020: 2021: | 2020: 2021: |