An official website of the United States government
Here's how you know
A .mil website belongs to an official U.S. Department of Defense organization in the United States.
A lock (lock ) or https:// means you’ve safely connected to the .mil website. Share sensitive information only on official, secure websites.

News | Jan. 25, 2022

What Will You Pay? Check TRICARE Cost Resource

By TRICARE Communications

Have questions about health care, pharmacy, or dental costs? You should check out the TRICARE Costs and Fees 2022 Fact Sheet. This resource provides an overview of most of your costs and fees for TRICARE health plans, the TRICARE Pharmacy Program, and the TRICARE Dental Program.
 
“The TRICARE Costs and Fees 2022 Fact Sheet is one of the easiest ways to track down your TRICARE coverage costs,” said Robert Agnello, deputy chief of the Digital Communications, TRICARE Web and Publications at the Defense Health Agency. “Some rates change in a new calendar year, but some don’t, depending on your specific plan. We recommend you check the new rates so you know what to expect before you go get care this year.”
 
Here is a preview of the costs and fees you’ll find in this resource:
 
1. Health Care Costs
Most TRICARE beneficiaries fall into one of two groups: Group A or Group B. It’s important to know what group you’re in because each group pays different costs and fees. Whether you have TRICARE Prime, TRICARE Select, or you’re enrolled in a premium-based health plan (TRICARE Reserve Select, TRICARE Retired Reserve, TRICARE Young Adult, or Continued Health Care Benefit Program), the costs sheet breaks down costs that may apply to you, like annual enrollment fee, annual deductible, or premium. You can even find what your out-of-pocket costs are for covered services, including:
  • Preventive care visit
  • Primary care outpatient visit
  • Specialty care outpatient visit
  • Urgent care center visit
  • Emergency room visit
  • Inpatient admission (hospitalization)
 
Do you know what your catastrophic cap is? This is the most you or your family may pay out of pocket for covered TRICARE health care services each year. You can refer to the costs sheet for all this information.
 
2. Pharmacy Costs
TRICARE groups prescription drugs into four categories: generic, brand-name, non-formulary, and non-covered drugs. And your costs may vary depending on your drug’s category. But you don’t have to guess what your costs are. The pharmacy cost section lists the costs for each drug category based on which type of pharmacy is used:
  • Military pharmacy
  • TRICARE Pharmacy Home Delivery
  • TRICARE retail network pharmacy
  • Non-network pharmacy
  • Overseas pharmacy
 
3. Dental Costs
If you’re enrolled in the TRICARE Dental Program (TDP), this fact sheet provides a quick overview of your TDP rates. See the voluntary dental programs section for current TDP monthly premiums based on your sponsor’s military status (active duty, Selected Reserve, or Individual Ready Reserve) and type of enrollment (single or family plan). The type of dental service you get and the sponsor’s pay grade affect your cost-share. The other table outlines out-of-pocket costs for certain dental services, as well as what the TDP maximums are.
 
Want more cost resources? Find detailed costs and fees, including those for TRICARE For Life, using the TRICARE Compare Cost tool. If you want to better understand what certain costs mean, the Cost Terms page is another helpful resource.
 
Download the TRICARE Costs and Fees 2022 Fact Sheet from the TRICARE Publications page, along with other benefit resources. And share your thoughts on how we can improve TRICARE resources by taking the Publications Feedback Survey.
Join our next TRICARE Webinar - Using Your TRICARE Pharmacy Benefits on March 14, 2024 from 1 to 2 p.m. ET.

Learn About TRICARE Pharmacy Benefits at March 1...

News
Feb. 29, 2024

Are you making the most of your prescription drug coverage? Have you heard about changes to the process for...
Read More
A prescription bottle is filled

Change Healthcare Cyberattack Impact on MHS Phar...

News
Feb. 22, 2024

A reported cyberattack on the nation’s largest commercial prescription processor, Change Healthcare, has...
Read More
Close-up image of man's arms and hands, holding a piece of paper and eyeglasses.

Preventing TRICARE Fraud and Abuse Is Everyone’s...

News
Feb. 14, 2024

Fraud and abuse can target your TRICARE medical, pharmacy, and dental coverage. If you think someone is...
Read More
A delivery person hands a package to a woman

Learn About TRICARE Pharmacy Network Changes for...

News
Feb. 06, 2024

The TRICARE Pharmacy Program is improving how we manage specialty drugs. Starting March 1, Accredo will...
Read More
The 6th FSS identification card office was named the highest performing Department of the Air Force team for the 2023 fiscal year. (U.S. Air Force photo by Airman 1st Class Zachary Foster)

Headed To the Doctor? Bring Proof of Your TRICAR...

News
Feb. 01, 2024

Are you preparing for a trip to the doctor’s office or the pharmacy? If so, make sure you have proof of your...
Read More
Airman, his wife, and twin infant daughters

Explore What TRICARE Covers

News
Jan. 25, 2024

TRICARE offers comprehensive coverage to help you get and stay healthy. Knowing what’s included in this...
Read More
A senior couple smiles on a sidewalk.

4 Reminders About Getting Care With TRICARE For ...

News
Jan. 23, 2024

Do you have TRICARE For Life? Knowing how Medicare coverage works can help you avoid unexpected costs. Learn...
Read More
The Brandon Act written over a backround of green circles with patches of stars and stripes and the link text: Health.mil/BrandonAct.

For Service Members, Access to Mental Health Car...

News
Jan. 22, 2024

The Brandon Act has greatly simplified and sped up the process of helping service members get mental health...
Read More

Feb. 29, 2024

Learn About TRICARE Pharmacy Benefits at March 14 Webinar

Are you making the most of your prescription drug coverage? Have you heard about changes to the process for getting specialty drugs? Join us for a webinar, “Using Your TRICARE Pharmacy Benefits,” on Thursday, March 14, from 1 to 2 p.m. ET.

Feb. 22, 2024

Change Healthcare Cyberattack Impact on MHS Pharmacy Operations

A reported cyberattack on the nation’s largest commercial prescription processor, Change Healthcare, has affected military clinics and hospitals nationwide. On Feb. 21, 2024, Change Healthcare disconnected its systems to protect patient information. This is impacting all military pharmacies worldwide and some retail pharmacies nationally.

Feb. 14, 2024

Preventing TRICARE Fraud and Abuse Is Everyone’s Responsibility

Fraud and abuse can target your TRICARE medical, pharmacy, and dental coverage. If you think someone is committing fraud or abuse related to your TRICARE benefits, you should report it.

Feb. 6, 2024

Learn About TRICARE Pharmacy Network Changes for Specialty Drugs

The TRICARE Pharmacy Program is improving how we manage specialty drugs. Starting March 1, Accredo will provide specialty drugs and enhanced clinical services if you fill TRICARE-defined specialty prescriptions with TRICARE Home Delivery. Accredo will also stay in the TRICARE network as an in-network retail pharmacy.  

Feb. 1, 2024

Headed To the Doctor? Bring Proof of Your TRICARE Coverage

Are you preparing for a trip to the doctor’s office or the pharmacy? If so, make sure you have proof of your TRICARE coverage.

Jan. 25, 2024

Explore What TRICARE Covers

TRICARE offers comprehensive coverage to help you get and stay healthy. Knowing what’s included in this coverage can help you make the most of your benefit and avoid unexpected costs.

Jan. 23, 2024

4 Reminders About Getting Care With TRICARE For Life

Do you have TRICARE For Life? Knowing how Medicare coverage works can help you avoid unexpected costs. Learn about getting care with Medicare and TRICARE For Life.

Jan. 22, 2024

For Service Members, Access to Mental Health Care Streamlined Under Brandon Act

The Brandon Act has greatly simplified and sped up the process of helping service members get mental health treatment if they need it.

Jan. 17, 2024

How TRICARE Covers Ambulance Services

In some emergencies, an ambulance could be the difference between life and death. Fortunately, your TRICARE plan covers ambulance services in these situations.

Jan. 11, 2024

Mental Health Is Health: Depression and Oral Health

Depression can cause you to neglect your oral health if you aren’t able to motivate yourself to do daily tasks like brushing your teeth and flossing. See how TRICARE can help your mental and oral health.