TRICARE Select Details

Medical coverage. Getty Images
Medical coverage. Getty Images

TRICARE Select is a fee-for-service insurance plan that lets you see any doctor. If you visit a network doctor you normally will only have to pay a small copay when you visit. This plan is available to family members, veterans, and retirees. It is available worldwide.

If you visit a non-network doctor you may have to pay all charges up-front and file a claim with TRICARE for reimbursement. 

Enrollment Fee

For ALL active duty family members there is no enrollment fee.

For family members of veterans/retirees who joined the military before 2018 there is no enrollment fee. For family members of veterans/retirees who join the military in 2018 or later there is a $450 individual or $900 family enrollment fee each year.

Deductible

The annual deductible amount is what you pay out-of-pocket before TRICARE makes any payments. The deductible amounts are:

  • Active Duty Family Members (sponsor rank E-4 and below):
    • $50 Individual
    • $100/Family
  • Active Duty Family Members (sponsor rank E-5 and above):
    • $150 Individual
    • $300 Family
  • All Others:
    • $150 Individual
    • $300 Family

For veterans and their families (when the member joined on or after 2018)

  • In-network
    • $150 Individual
    • $300 Family
  • Out-of-Network:
    • $300 Individual
    • $600 Family

Copay Amounts

A copay is what you are usually required to pay when you visit a doctor, the hospital, or receive any healthcare service.

Service

Those who entered service before Jan. 1, 2018

Those who entered service after Dec. 31. 2017

Network Provider

Active Duty Family Members:

  • Primary Care: $27
  • Specialist: $34

All Others:

  • Primary Care: $35
  • Specialist: $45

Active Duty Family Members:

  • Primary Care: $15
  • Specialist: $25

All Others:

  • Primary Care: $25
  • Specialist: $40
Non-Network

Active Duty Family Members:

  • Primary Care: 20% of allowable charge
  • Specialist: 20% of allowable charge

All Others:

  • Primary Care: 25% of allowable charge
  • Specialist: 25% of allowable charge

Active Duty Family Members:

  • Primary Care: 20% of allowable charge
  • Specialist: 20% of allowable charge

All Others:

  • Primary Care: 25% of allowable charge
  • Specialist: 25% of allowable charge

Catastrophic cap

This is the maximum amount you will pay out-of-pocket annually for all healthcare, no matter what. The catastrophic cap resets each year.

When member joined the military before 2018

  • Active Duty Families: $1,000
  • All Others: $3,000

When member joined the military in 2018 or later

  • Active Duty Families: $1,000
  • All Others: $3,500

Keep Up With Changes In TRICARE And Your Other Benefits

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