TRICARE, Your Military Health Plan

In This Section:

• TRICARE Prime Options
• Enrollment Fees
• Network Copayments
• Point of Service Option
• TRICARE For Life
• TRICARE Standard and Extra
• TRICARE Standard Overseas
• TRICARE Reserve Select
• TRICARE Retired Reserve
• TRICARE Young Adult
• Prime Option
• Standard Option
• US Family Health Plan
• Enrollment Fees
• Network Copayments

Health Plan Costs

Your costs are different depending on who you are and which health plan option you are using. To see an overview of out-of-pocket costs, please select a plan from the left-hand side of the page.

Maximum Out-of-Pocket Costs
The maximum amount you'll have to pay each fiscal year (October 1 - September 30) is called the catastrophic cap. This cap applies to annual deductibles, pharmacy copayments, TRICARE Prime enrollment fees and all other copayments or cost shares you pay for TRICARE-covered services. The cap varies depending on who you are:

• Active duty family members: $1,000 per family, per fiscal year
• Beneficiaries enrolled in TRICARE Reserve Select: $1,000 per family, per fiscal year
• All others: $3,000 per family, per fiscal year

In most cases, you're not responsible to pay for any amounts above the catastrophic cap, but there are some exceptions. To learn more, view the Catastrophic Cap Fact Sheet.

Last Modified:May 30, 2012