1. TRICARE Costs: Supplemental Briefing Slides That Provide Additional Information to the Other TRICARE Briefings
ATTENTION PRESENTER: This set of slides was created to provide extra cost information to add to other briefings. For the latest version of this briefing, go to
Presenter Tips:
Review slides before briefing to decide which are related to your audience.
Add relevant slides from this slide deck into your beneficiary briefing before your presentation.

2. TRICARE Costs TRICARE costs are subject to change.
Go to for the most up-to-date cost information.
Special conditions for differing costs may exist.

3. Beneficiary Categories: Group A and Group B
All beneficiaries fall into one of two categories based on when you or your sponsor entered active duty. The groups pay different costs and fees.
Group A: If you or your sponsor’s initial enlistment or appointment occurred before Jan. 1, 2018, you are in Group A. While enrolled in a premium-based plan, such as TRICARE Reserve Select, TRICARE Retired Reserve, TRICARE Young Adult or the Continuing Health Care Benefit Program, Group A beneficiaries follow Group B cost-shares, deductibles and catastrophic caps.
Group B: If you or your sponsor’s initial enlistment or appointment occurs on or after Jan. 1, 2018, you are in Group B and have Group B cost-shares, deductibles and catastrophic caps.

4. Enrollment Costs
This slide shows enrollment costs for TRICARE Prime.

5. Enrollment Costs (Continued)
This slide shows enrollment costs for TRICARE Prime Remote, the US Family Health Plan and TRICARE Select.

6. Premium-Based Plans: CY 2018 Premiums
This slide shows monthly premiums for TRICARE Reserve Select, TRICARE Retired Reserve, TRICARE Young Adult for both TRICARE Prime and TRICARE Select and for the Continued Health Care Benefit Program.

7. Premium Costs
This slide shows monthly premiums for TRICARE For Life.

8. Yearly Deductible
This slide shows the yearly deductible by beneficiary category when using TRICARE Prime or TRICARE Select.

9. Yearly Catastrophic Cap
The yearly catastrophic cap limits the most you or your family will pay for covered health services each calendar year, or CY, which is Jan.1 through Dec. 31.
The catastrophic cap applies to all covered services, including yearly deductibles, pharmacy copayments and other cost-shares based on TRICARE-allowable charges.
After you meet the catastrophic cap, TRICARE will pay your portion of the TRICARE-allowable amount for all covered services for the rest of the CY.
Note: While enrolled in premium-based plans (TRS, TRR, TYA and CHCBP), Group A beneficiaries follow Group B cost-shares, deductibles and catastrophic caps.
Point-of-service, or POS, charges and additional non-network provider charges do not count toward the catastrophic cap.
The POS option allows enrollees TRICARE Prime to see any TRICARE-authorized provider without a referral, but they will pay more when doing so. POS charges occur when a TRICARE Prime beneficiary gets nonemergency care without a referral from a provider other than his or her primary care manager.
When non-network providers do not participate on a claim, they do not accept TRICARE’s payment as the full payment for covered health care services. They also do not file claims for you. They may charge up to 15 percent above the TRICARE-allowable charge. Outside the U.S. and U.S. territories, which include American Samoa, Guam, the Northern Mariana Islands, Puerto Rico and the U.S. Virgin Islands, non- network providers can charge any amount above the TRICARE limit. You must pay any cost above the TRICARE limit, plus your deductible and cost-shares. This amount does not apply to your catastrophic cap.

10. Covered Services: Preventive Care
This slide shows costs for covered preventive care visits by beneficiary category. These costs will either be copayments or cost-shares, if applicable.

11. Covered Services: Primary Care Outpatient
This slide shows costs for primary care outpatient visits by beneficiary category. These costs will either be copayments or cost-shares, if applicable.

12. Covered Services: Specialty Care Outpatient
This slide shows costs for specialty care outpatient visits by beneficiary category. These costs will either be copayments or cost-shares, if applicable.

13. Covered Services: Urgent Care Center Visit
This slide shows costs for urgent care center visits by beneficiary category. These costs will either be copayments or cost-shares, if applicable.

14. Covered Services: Emergency
This slide shows costs for emergency care by beneficiary category. These costs will either be copayments or cost-shares, if applicable.

15. Covered Services: Inpatient Admission
This slide shows costs for hospitalization (also known as inpatient admission) by beneficiary category. These costs will either be copayments or cost-shares, if applicable.

16. Maternity Costs: Inpatient (Covered Service Delivery in Inpatient Hispitalization Setting
This slide shows costs for inpatient maternity delivery in a hospital by beneficiary category. These costs will either be copayments or cost-shares, if applicable.

17. Maternity Costs: Ambulatory: Delivery in a TRICARE-Authorized Birthing Center
This slide shows costs for ambulatory maternity delivery in a TRICARE-authorized birthing center by beneficiary category. These costs will either be copayments or cost-shares, if applicable.

18. Maternity Costs: Outpatient: Delivery Planned at Home or Other Setting
This slide shows costs for outpatient maternity delivery planned at home by beneficiary category. These costs will either be copayments or cost-shares, if applicable.

19. TRICARE Pharmacy Program
This slide shows costs for filling prescriptions at a military pharmacy, through TRICARE Pharmacy Home Delivery or at a TRICARE retail network pharmacy effective Feb. 1, 2018.
Your options for filling your prescriptions depend on the type of drug your provider prescribes. Some drugs are only covered through TRICARE Pharmacy Home Delivery. To learn more, search for your drug at

20. TRICARE Pharmacy Program (Continued)
This slide shows costs for filling prescriptions at a non-network pharmacy effective Feb. 1, 2018.
Using a non-network pharmacy is the most expensive option for TRICARE beneficiaries. If you use a non-network pharmacy, you will pay the full price for your prescription. You will then have the option to file a claim for reimbursement.
If you have other health insurance, you can coordinate your benefit by using a pharmacy that is both in your TRICARE Pharmacy Program network and in your other health insurance network.

21. TRICARE Dental Program (TDP) Monthly Premiums
This slide shows the monthly premiums for the TRICARE Dental Program, or TDP, for May 1, through April 30, 2018.
Premium amounts change yearly and are based on sponsor and member status.
For more information about the TDP, go to

22. TRICARE Retiree Dental Program (TRDP)
Monthly premiums for the TRICARE Retiree Dental Program, or TRDP, vary depending on your location and type of plan (single, dual or family).
The 2018 premium year is Jan. 1 through Dec. 31, and new premium rates become effective each Jan. 1.
If you move or change your enrollment option, your monthly premium rate may change.
To see the premium rate for your region, go to
Note: The TRDP will end Dec. 31, Eligible beneficiaries will have the opportunity to sign up for the Federal Employees Dental and Vision Insurance Program (FEDVIP) starting in November 2018 with coverage effective Jan. 1, Visit throughout 2018 for updates about the TRDP to FEDVIP dental plan transition.

23. TDP and TRDP Cost-Shares
This slide shows examples of dental services and their respective TDP and TRDP participant cost-shares.
If you are enrolling in TRDP within four months after retiring from active duty, after being transferred to the Retired Reserve, or within four months of losing eligibility for the TRICARE Dental Program Survivor Benefit Plan, you may be able to waive the 12-month waiting period by submitting an online inquiry at

24. TDP and TRDP Maximums
This slide shows TDP and TRDP maximums.

25. TDP and TRDP Maximums (Continued)
This slide shows TDP and TRDP maximums.
Note: The Dental Accident Maximum only applies to members enrolled in the Enhanced Benefit. Members enrolled in the Basic benefit do not have an Dental Accident benefit.

26. Active Duty Dental Program (ADDP)
There are no out-of-pocket costs when using the Active Duty Dental Program, or ADDP. However, for services that require prior authorization (for example, orthodontics or crowns), active duty service members may be responsible for the cost of care if they do not get prior authorization from the ADDP contractor, United Concordia.
Active duty service members must use a network provider unless otherwise authorized by United Concordia.
For more information about the ADDP, go to