![]() By law, DoD is required to raise certain beneficiary out-of-pocket cost shares by an amount equal to the annual cost of living adjustment for retirees, which is 8.7% for 2023.įor active duty families in Group B, the catastrophic cap has increased by $97, to $1,217 for both Tricare Prime and Select. The catastrophic cap for certain active duty family members and working age retirees will increase by about 8.7%. The cap is increasing for some beneficiaries in Prime and Select programs, except for active duty families in Group A, where it remains at $1,000, and retirees in Tricare Prime Group A, where it remains at $3,000. The catastrophic cap is the maximum amount beneficiaries pay out of pocket in a year for covered services before Tricare will start picking up 100 percent of the cost. Working-age retirees in Group A pay $150 per individual and $300 per family (no change). Group B members pay $182 per individual, up from $168, and $365 per family, up from $336. Group B members pay $60 per individual, up from $56, and $121 per family, up from $112.Īctive duty family members in Group A, grades E-5 and above, pay $150 per individual and $300 per family (no change). Annual deductiblesĭeductibles are the amount the beneficiary must pay before Tricare starts to pay.Īctive duty family members in Group A, grades E-4 and below, pay $50 per individual and $100 per family (no change). Tricare Select - Group A will pay $171.96 per individual, up from $158 and $345 per family, up from $317. Tricare Prime - Group A will pay $351.96 per individual, up from $323 and $703.92 per family, up from $647. Enrollment feesĪctive duty families don’t pay annual enrollment fees for Tricare Prime or Select. For care with a Tricare-authorized provider outside the network, active duty family members in Tricare Select are responsible for a 20% co-pay working-age retirees have a 25% co-pay.
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