Tricare Select Copay 2021

Posted : admin On 1/29/2022

Note: Visit our Copayment and Cost-Share Information page for 2020 costs.

What is the copay for tricare reserve select2021Copay

View the cost information below for TRICARE Retired Reserve (TRR) beneficiaries.

The TRICARE Pharmacy Program, administered by Express Scripts, is designed to provide the medications beneficiaries need, when they need them, in a safe, convenient and cost-effective manner. TRICARE Select, Retired Copay 2021: Network: $46 TRICARE Reserve Select Copay 2021: Network: $26 TRICARE Retired Reserve Copay 2021: Network: $42 TRICARE Young Adult Select, Active Duty Copay Network: $26 TRICARE Young Adult Select, Retired Copay 2021: Network: $42 E1-E4: $50 per individual and $100 per family E5 & above: $150 per individual. Comparing TRICARE Prime And TRICARE Select. Under TRICARE Prime, the provider will file insurance claims for you in most cases. Under Select, network providers may file claims for you, but when getting non-network care, you may be required to file your own claims. Under Prime, there is “enhanced” vision coverage and preventive services.

  • The sponsor's enlistment date does not determine costs.
  • TRR members are covered under TRICARE Select. Benefits, cost-shares and deductibles are the same as Group B retirees.

Tricare Select Copay 2021 Application

Enrollment Fees$484.83/individual, $1,165.01/family
(monthly)
Annual DeductiblesNetwork Providers: $153/individual, $317/family
Non-Network Providers: $317/individual, $634/family
Catastrophic Cap$3,703 per calendar year

Tricare Select Copay 2019

Tricare prime cost 2021

TRICARE Retired Reserve reminders:

  • Beneficiaries may be required to pay up to 15% above the TRICARE allowed amount when using a nonparticipating provider.
  • Annual deductibles apply to outpatient services only.

Tricare Benefits 2021

Type of CareCopayment/Cost-Share
Ambulance - Outpatient Network: $63
Non-Network: 25%
Ambulance - InpatientNetwork: 25%
Non-Network: 25%
Ambulatory SurgeryNetwork: $100
Non-Network: 25%
Ancillary ServicesNetwork: $0
Non-Network: 25%
Durable Medical EquipmentNetwork: 20%
Non-Network: 25%
Emergency RoomNetwork: $84
Non-Network: 25%
Home Health Care$0*
Hospice Care$0
Hospitalization (includes mental health)Network: $185 per admission
Non-Network: 25% of allowable charges
Laboratory and X-RaysNetwork: $0
Non-Network: 25%
Maternity Care - Inpatient Delivery SettingNetwork: $179 per admission
Non-Network: 25% of allowable charges
Office Visits - Primary CareNetwork: $26
Non-Network: 25%
Office Visits - Specialty CareNetwork: $42
Non-Network: 25%
Outpatient Mental Health VisitsNetwork: $42
Non-Network: 25%
Partial HospitalizationNetwork: $42**
Non-Network: 25%
Preventive Services - Eye ExaminationsNot a covered benefit
Preventive Services - All Other Covered Services$0
Residential Treatment CenterNetwork: $52 per day
Non-Network: Lesser of $317 per day or 20% of allowable charges
Skilled Nursing FacilityNetwork: $52 per day
Non-Network: Lesser of $317 per day or 20% or allowable charges
Urgent Care ServicesNetwork: $42
Non-Network: 25%

Tricare Standard Copay

*Costs may apply for durable medical equipment (DME) and medications/drugs.

Is There A Copay For Tricare Select

**Copayment information is calculated per day for partial hospitalization programs and intensive outpatient treatment. Opioid treatment program services copayment is applied on a weekly basis.