The following tables provide examples of cost-shares or copayments and annual deductibles for families who use civilian providers and facilities under each of the three Tricare options.
Tricare Categories
There are two separate categories of Tricare beneficiaries:
- Group A: where the service member entered active duty before 2018
- Group B: where the service member entered active duty in 2018 or later
Cost shares and deductibles for Active Duty, Guard and Reserve Family Members:
Tricare Prime |
Tricare Select |
|
| Annual Deductible | None |
Group A: $50/individual or $100/family for E-4 & below; $150/$300 for E-5 & above Group B: $52/individual or $105/family for E-4 & below; $156/$313 for E-5 & above |
| Annual Enrollment Fee | None | None |
| Primary Care Visit | No cost |
Group A: $22 Group B: $15 |
| Specialist | No cost | Group A: $34 Group B: $26 |
| Ambulance | No cost | Group A: $70 Group B: $15 |
| Emergency Room | No cost |
Group A: $93 Group B: $42 |
| Hospital | No cost |
Group A: $20.15 Group B: $63 |
Cost Shares for Retirees (under 65), Their Family Members, and Others:
Tricare Prime |
Tricare Select |
|
| Annual Deductible | None |
Group A: $158/individual; $300/family Group B: $158/individual; $317/family |
| Annual Enrollment Fee |
Group A: $303/individual $606/family Group B: $366/individual $732/family |
None |
| Primary Care Visit |
$21 |
Group A: $30 Group B: $26 |
| Specialist | $31 | Group A: $34 Group B: $26 |
| Ambulance | $42 |
Group A: $93 Group B: $63 |
| Emergency Room | $63 |
Group A: $125 Group B: $84 |
| Hospital | $158 |
Group A: $250 Group B: $185 |
For more detailed information see our detailed Tricare program pages:
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