Tricare Retired Reserve Coverage

Doctor checking piggy bank with stethoscope

The Tricare Retired Reserve program offers quality health insurance to retired reservists, guard members, and their families. Tricare Retired Reserve is a premium-based insurance which offers discounted and free medical care, however there are some limitations and deductibles. 

Tricare Retired Reserve is minimum essential coverage under the Affordable Care Act

Premiums

By law there is no government subsidy so you must pay the full premium for this plan, the current monthly premiums are:

  • Member Only: $451.51 (changing to $444.37 Jan. 1, 2020)
  • Member Plus Family: $1,083.40 (changing to $1,066.26 Jan. 1, 2020)

You can pay the initial premium with check, money order, or debit/credit card. From then on out all payments must be made by bank transfer (EFT), or recurring payment from a debit/credit card. All payments are made directly to the regional contractor. 

Deductible

There is also a deductible amount for this program. The deductible is what you must pay out-of-pocket before the insurance begins paying anything. The current annual deductible is $150 per individual or $300 per family for network service and $300 individual or $600 family non-network.

Cost Share and Co-pay 

Under the Tricare Retired Reserve program you will have cost share (co-pay) for certain procedures, this means that you will have to pay for a portion of the treatment out-of-pocket. This table shows some of the cost share percentages:

Tricare Retired Reserve Cost-Shares
Type of Care Network Non-Network
Outpatient Visit

$25 Primary Care

$41 Specialist

25% of the allowable charge
Ambulance   $0 25% of the allowable charge
Emergency Room $82 25% of the allowable charge
Hospitalization   $178 per stay 25% of the allowable charge

Catastrophic Cap

Your catastrophic cap is the maximum amount you pay each calendar year. For Tricare Retired Reserve that amount is $3,000 per family, per year.

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Related Topics

TRICARE Military Retirement