I haven't seen a lot of news coverage about this, and Amy Bushatz from SpouseBUZZ said, "Hey, you need to write about the increase in Tricare prescription co-pays."
She's absolutely right.
Effective 1 February 2013, your share of prescription costs will increase for many items. These changes are part of the National Defense Authorization Act for Fiscal Year 2013. Here's the breakdown:
- Still no co-pays for medications filled at a Military Treatment Facility (MTF).
- Still no co-pays for active duty service members.
Home DeliveryYou may receive up to a 90-day supply for most prescriptions at the following costs:
- $0 for generic formulary medications (no change)
- $13 for brand-name formulary medications ($4 increase)
- $43 for non-formulary medications, unless you establish medical necessity ($18 increase)
Network PharmacyYou may receive up to a 30-day supply of most medications at the following costs:
- $5 for generic formulary medications (no change)
- $17 for brand-name formulary medications ($5 increase)
- $44 for non-formulary medications, unless you establish medical necessity ($19 increase)
Non-Network PharmacyYou'll pay more to have prescriptions filled at non-network pharmacies (including host nation pharmacies) and costs vary based on your plan and the type of prescription.
Active duty service members still receive full reimbursement. This does require filing a claim.
Anyone enrolled in Tricare Prime will pay a 50% cost share, after the point of service deductible is met.
Beneficiaries using Tricare Standard, Tricare Extra, TRICARE Reserve Select, TRICARE Retired Reserve or TRICARE Young Adult pay:
- Formulary-Generic or Brand Name: $17 or 20% of the total cost, whichever is greater, after the annual deductible is met.
- Non-Formulary: $44 or 20% of the total cost, whichever is greater, after the annual deductible is met.
Plan ahead, check out your nearest MTF, and enroll in the Tricare Home Delivery program to keep your prescription costs low.
**This information was sourced from the Tricare website and the MOAA website. I can't link to the MOAA article because their website has suddenly stopped letting me see anything and is making me crazy.**