Tricare Standard Copay

Tricare Standard Copay

Coronavirus (COVID-19) Update:
Testing copayment waiver: Retroactive to March 18, 2020, TRICARE will waive copayments/cost-shares for medically necessary COVID-19 diagnostic and antibody testing and related services, and office visits, urgent care or emergency room visits during which tests are ordered or administered. COVID-19 diagnostic and antibody tests must meet Families First Coronavirus Response Act (FFCRA) criteria in order to be eligible for the cost-share and copayment waivers.
Telemedicine copayment waiver: TRICARE is waiving copayments and cost-shares for covered audio-only or audio/video telemedicine rendered by network providers on or after May 12, 2020. This waiver applies to covered in-network telehealth services, not just services related to COVID-19. Beneficiaries who seek telehealth from non-network providers are liable for their regular copayment or cost-share. TRICARE Prime beneficiaries who seek care from specialists without an approved referral when required are subject to Point of Service fees. 
Providers are expected to refund cost-sharing amounts to beneficiaries as appropriate. 
Tricare Standard Copays 2019
Tricare Standard Copayment
Tricare Standard Copay 2019
Tricare Select is a fee-for-service insurance plan that lets you see any doctor. This plan is available to family members, veterans, and retirees. TRICARE Prime TRICARE Select; Active Duty Family Members: Retiree Family Members: Active Duty Family Members: Retiree Family Members: $0: $0: 2020: E4 and Below: $52/individual E5 and Above: $156/individual. 2021: E4 and Below: $52/individual E5 and Above: $158/individual. 2020: Network Providers: $156/individual Non-Network Providers: $313/individual. 2021: Network Providers.
Note: Visit our Copayment and Cost-Share Information page to view 2020 costs. 
TRICARE Select, TRICARE Young Adult Select, TRICARE Reserve Select, and TRICARE Retired Reserve annual deductibles apply.
TRICARE Young Adult costs are based on the sponsor's status.
TRICARE Prime and TRICARE Young Adult Prime retirees have a separate copayment for allergy shots performed on a different day than the office visit, or performed by a different provider, such as an independent laboratory or radiology facility (even if performed on the same day as the related office visit).
Transitional Assistance Management Program (TAMP) beneficiaries (service members and their family members) follow the active duty family member copayment/cost-share information, based on the TRICARE plan type. 
A beneficiary's cost is determined by the sponsor's initial enlistment or appointment date:
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)ServiceActive Duty Family MembersRetirees and Their Family Members
Primary Care Outpatient 
 Office VisitsGroup A: $0
Group B: $0
Group A: $21
Group B: $21
Specialty Care Outpatient
 Office Visits
(this includes physical, occupational
and speech therapy, and provisional coverage benefits)
Group A: $0
Group B: $0
Group A: $31
Group B: $31
TRICARE Select (not including TRICARE Young Adult)

Service	Active Duty Family Members	Retirees and Their Family Members
Primary Care Outpatient Office Visits	Group A: $0 Group B: $0	Group A: $21 Group B: $21
Specialty Care Outpatient Office Visits (this includes physical, occupational and speech therapy, and provisional coverage benefits)	Group A: $0 Group B: $0	Group A: $31 Group B: $31

ServiceActive Duty Family MembersRetirees and Their Family Members
Primary Care Outpatient 
 Office VisitsGroup A: 
Network Provider: $22
Non-Network Provider: 20%
Group B: 
Network Provider: $15
Non-Network Provider: 20%
Group A: 
Network Provider: $30
Non-Network Provider: 25%
Group B: 
Network Provider: $26
Non-Network Provider: 25%
Specialty Care Outpatient
 Office Visits
(this includes physical, occupational
and speech therapy, and provisional coverage benefits)
Group A: 
Network Provider: $34
Non-Network Provider: 20%
Group B: 
Network Provider: $26
Non-Network Provider: 20%
Group A: 
Network Provider: $46
Non-Network Provider: 25%
Group B: 
Network Provider: $42
Non-Network Provider: 25%

Service	Active Duty Family Members	Retirees and Their Family Members
Primary Care Outpatient Office Visits	Group A: Network Provider: $22 Non-Network Provider: 20% Group B: Network Provider: $15 Non-Network Provider: 20%	Group A: Network Provider: $30 Non-Network Provider: 25% Group B: Network Provider: $26 Non-Network Provider: 25%
Specialty Care Outpatient Office Visits (this includes physical, occupational and speech therapy, and provisional coverage benefits)	Group A: Network Provider: $34 Non-Network Provider: 20% Group B: Network Provider: $26 Non-Network Provider: 20%	Group A: Network Provider: $46 Non-Network Provider: 25% Group B: Network Provider: $42 Non-Network Provider: 25%

TRICARE Reserve Select (TRS) and TRICARE Retired Reserve (TRR)Tricare Standard Copays 2019ServiceTRSTRR
Primary Care Outpatient 
 Office VisitsNetwork Provider: $15
Non-Network Provider: 20%Network Provider: $26
Non-Network Provider: 25%
Specialty Care Outpatient
 Office Visits
(this includes physical, occupational
and speech therapy, and provisional
coverage benefits)
Network Provider: $26
Non-Network Provider: 20%Network Provider: $42
Non-Network Provider: 25%
TRICARE Young Adult (TYA)ServiceTYA PrimeTYA Select
Active Duty Family MembersRetiree Family MembersActive Duty Family MembersRetiree Family Members
Primary Care Outpatient Office Visits$0$21Network Provider: $15
Non-Network Provider: 20%Network Provider: $26
Non-Network Provider: 25%
Specialty Care Outpatient Office Visits
(this includes physical,
occupational and speech therapy, and provisional coverage benefits)
$0$31Network Provider: $26
Non-Network Provider: 20%Network Provider: $42
Non-Network Provider: 25%
Coronavirus (COVID-19) Update:
Testing copayment waiver: Retroactive to March 18, 2020, TRICARE will waive copayments/cost-shares for medically necessary COVID-19 diagnostic and antibody testing and related services, and office visits, urgent care or emergency room visits during which tests are ordered or administered. COVID-19 diagnostic and antibody tests must meet Families First Coronavirus Response Act (FFCRA) criteria in order to be eligible for the cost-share and copayment waivers.
Telemedicine copayment waiver: TRICARE is waiving copayments and cost-shares for covered audio-only or audio/video telemedicine rendered by network providers on or after May 12, 2020. This waiver applies to covered in-network telehealth services, not just services related to COVID-19. Beneficiaries who seek telehealth from non-network providers are liable for their regular copayment or cost-share. TRICARE Prime beneficiaries who seek care from specialists without an approved referral when required are subject to Point of Service fees. 
Providers are expected to refund cost-sharing amounts to beneficiaries as appropriate. 
Note: Visit our Copayment and Cost-Share Information page to view 2020 costs. 
Tricare Standard CopaymentTRICARE Select, TRICARE Young Adult Select, TRICARE Reserve Select, and TRICARE Retired Reserve annual deductibles apply.
TRICARE Young Adult costs are based on the sponsor's status.
Transitional Assistance Management Program (TAMP) beneficiaries (service members and their family members) follow the active duty family member copayment/cost-share information, based on the TRICARE plan type.

Service	TRS	TRR
Primary Care Outpatient Office Visits	Network Provider: $15 Non-Network Provider: 20%	Network Provider: $26 Non-Network Provider: 25%
Specialty Care Outpatient Office Visits (this includes physical, occupational and speech therapy, and provisional coverage benefits)	Network Provider: $26 Non-Network Provider: 20%	Network Provider: $42 Non-Network Provider: 25%

Service	TYA Prime	TYA Select
Active Duty Family Members	Retiree Family Members	Active Duty Family Members	Retiree Family Members
Primary Care Outpatient Office Visits	$0	$21	Network Provider: $15 Non-Network Provider: 20%	Network Provider: $26 Non-Network Provider: 25%
Specialty Care Outpatient Office Visits (this includes physical, occupational and speech therapy, and provisional coverage benefits)	$0	$31	Network Provider: $26 Non-Network Provider: 20%	Network Provider: $42 Non-Network Provider: 25%

A beneficiary's cost is determined by the sponsor's initial enlistment or appointment date:
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)Tricare Standard Copay 2019Active Duty Family MembersRetirees and Their Family Members
Group A: $0
Group B: $0
Group A: $63
Group B: $63
TRICARE Select (not including TRICARE Young Adult)Active Duty Family MembersRetirees and Their Family Members
Group A: 
Network Provider: $93
Non-Network Provider: 20%
Group B: 
Network Provider: $42
Non-Network Provider: 20%
Youtube webex teams. Group A: 
Network Provider: $125
Non-Network Provider: 25%
Group B:
Network Provider: $84
Non-Network Provider: 25%
TRICARE Reserve Select (TRS) and TRICARE Retired Reserve (TRR)TRSTRR
Network Provider: $42
Non-Network Provider: 20%Network Provider: $84
Non-Network Provider: 25%

Active Duty Family Members	Retirees and Their Family Members
Group A: $0 Group B: $0	Group A: $63 Group B: $63

Active Duty Family Members	Retirees and Their Family Members
Group A: Network Provider: $93 Non-Network Provider: 20% Group B: Network Provider: $42 Non-Network Provider: 20%	Youtube webex teams. Group A: Network Provider: $125 Non-Network Provider: 25% Group B: Network Provider: $84 Non-Network Provider: 25%

TRS	TRR
Network Provider: $42 Non-Network Provider: 20%	Network Provider: $84 Non-Network Provider: 25%

ServiceActive Duty Family MembersRetirees and Their Family Members
Primary Care Outpatient 
 Office VisitsGroup A: 
Network Provider: $22
Non-Network Provider: 20%
Group B: 
Network Provider: $15
Non-Network Provider: 20%
Group A: 
Network Provider: $30
Non-Network Provider: 25%
Group B: 
Network Provider: $26
Non-Network Provider: 25%
Specialty Care Outpatient
 Office Visits
(this includes physical, occupational
and speech therapy, and provisional coverage benefits)
Group A: 
Network Provider: $34
Non-Network Provider: 20%
Group B: 
Network Provider: $26
Non-Network Provider: 20%
Group A: 
Network Provider: $46
Non-Network Provider: 25%
Group B: 
Network Provider: $42
Non-Network Provider: 25%
TRICARE Reserve Select (TRS) and TRICARE Retired Reserve (TRR)Tricare Standard Copays 2019ServiceTRSTRR
Primary Care Outpatient 
 Office VisitsNetwork Provider: $15
Non-Network Provider: 20%Network Provider: $26
Non-Network Provider: 25%
Specialty Care Outpatient
 Office Visits
(this includes physical, occupational
and speech therapy, and provisional
coverage benefits)
Network Provider: $26
Non-Network Provider: 20%Network Provider: $42
Non-Network Provider: 25%
TRICARE Young Adult (TYA)ServiceTYA PrimeTYA Select
Active Duty Family MembersRetiree Family MembersActive Duty Family MembersRetiree Family Members
Primary Care Outpatient Office Visits$0$21Network Provider: $15
Non-Network Provider: 20%Network Provider: $26
Non-Network Provider: 25%
Specialty Care Outpatient Office Visits
(this includes physical,
occupational and speech therapy, and provisional coverage benefits)
$0$31Network Provider: $26
Non-Network Provider: 20%Network Provider: $42
Non-Network Provider: 25%
Coronavirus (COVID-19) Update:
Testing copayment waiver: Retroactive to March 18, 2020, TRICARE will waive copayments/cost-shares for medically necessary COVID-19 diagnostic and antibody testing and related services, and office visits, urgent care or emergency room visits during which tests are ordered or administered. COVID-19 diagnostic and antibody tests must meet Families First Coronavirus Response Act (FFCRA) criteria in order to be eligible for the cost-share and copayment waivers.
Telemedicine copayment waiver: TRICARE is waiving copayments and cost-shares for covered audio-only or audio/video telemedicine rendered by network providers on or after May 12, 2020. This waiver applies to covered in-network telehealth services, not just services related to COVID-19. Beneficiaries who seek telehealth from non-network providers are liable for their regular copayment or cost-share. TRICARE Prime beneficiaries who seek care from specialists without an approved referral when required are subject to Point of Service fees. 
Providers are expected to refund cost-sharing amounts to beneficiaries as appropriate. 
Note: Visit our Copayment and Cost-Share Information page to view 2020 costs. 
Tricare Standard CopaymentTRICARE Select, TRICARE Young Adult Select, TRICARE Reserve Select, and TRICARE Retired Reserve annual deductibles apply.
TRICARE Young Adult costs are based on the sponsor's status.
Transitional Assistance Management Program (TAMP) beneficiaries (service members and their family members) follow the active duty family member copayment/cost-share information, based on the TRICARE plan type.
A beneficiary's cost is determined by the sponsor's initial enlistment or appointment date:
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)Tricare Standard Copay 2019Active Duty Family MembersRetirees and Their Family Members
Group A: $0
Group B: $0
Group A: $63
Group B: $63
TRICARE Select (not including TRICARE Young Adult)Active Duty Family MembersRetirees and Their Family Members
Group A: 
Network Provider: $93
Non-Network Provider: 20%
Group B: 
Network Provider: $42
Non-Network Provider: 20%
Youtube webex teams. Group A: 
Network Provider: $125
Non-Network Provider: 25%
Group B:
Network Provider: $84
Non-Network Provider: 25%
TRICARE Reserve Select (TRS) and TRICARE Retired Reserve (TRR)TRSTRR
Network Provider: $42
Non-Network Provider: 20%Network Provider: $84
Non-Network Provider: 25%
TRICARE Young Adult (TYA)TYA PrimeTYA Select
Active Duty Family MembersRetiree Family MembersActive Duty Family Members
Retiree Family Members
$0$63Network Provider: $42
Non-Network Provider: 20%Network Provider: $84
Non-Network Provider: 25%