TRICARE Prime |
Active-Duty Family Member
(Individual/Family) |
Retired
(Individual/Family) |
---|---|---|
Annual Enrollment |
$0 |
$350 / $700 |
Annual deductible |
No |
No |
Annual catastrophic cap |
$1,000 |
$3,500 |
Outpatient visit civilian network |
$0 |
$20 primary care |
..................... |
|
$30 specialty care |
ER visit civilian network |
$0 |
$60 network |
Urgent care civilian network |
$0 |
$30 network |
Ambulatory surgery civilian network |
$0 |
$60 network |
Ground ambulance civilian network |
$0 |
$40 |
Durable medical equipment civilian network |
$0 |
20% of negotiated fee, network |
Inpatient visit civilian network |
$0 |
$150 per admission |
Inpatient skilled nursing/rehab civilian |
$0 |
$30 per day network |
10 U.S. Code § 1075a - TRICARE Prime: cost sharing
2017—Subsec. (b)(1). Pub. L. 115–91, § 739(b)(2)(B), which directed amendment of “Paragraph (1) of such section” by substituting “Ground ambulance civilian network” for “Ambulance civilian network” in first column of table, was executed by making the substitution in par. (1) of subsec. (b) of this section, to reflect the probable intent of Congress.
Subsec. (b)(4). Pub. L. 115–91, § 739(b)(2)(A), added par. (4).
Subsec. (c). Pub. L. 115–91, § 739(e)(2), substituted “section 1095f(a)” for “section 1075f(a)”.
Section applicable with respect to the provision of health care under the TRICARE program beginning on Jan. 1, 2018, see section 701(k) of Pub. L. 114–328, set out as an Effective Date of 2016 Amendment note under section 1072 of this title.