FALLS CHURCH, Va. –
With a new year fast approaching, you may see changes to your TRICARE health plan costs starting on Jan. 1, 2024. These costs may include enrollment fees, premiums, cost-shares, and copayments.
“TRICARE costs may change every year based on the law and the federal cost of living adjustment,” said Zelly Zim, a senior analyst with TRICARE Policy and Programs at the Defense Health Agency. “Other factors, which include changes in the costs of health care services and prescription drugs, can also affect TRICARE costs.”
Understanding the updated costs of your TRICARE health plan can help you prepare for
TRICARE Open Season. This is the annual period when anyone enrolled in or eligible for TRICARE Prime, US Family Health Plan, or TRICARE Select can make changes to their health care coverage. This year’s open season starts on Nov. 13 and ends on Dec. 12. Changes you make during open season go into effect on Jan. 1, 2024.
Your
beneficiary category and your
beneficiary group determine your enrollment fees or premiums and out-of-pocket costs you may have with your TRICARE plan. TRICARE beneficiaries fall into one of two groups: Group A or Group B.
- You’re in Group A if your initial enlistment or appointment or that of your sponsor began before Jan. 1, 2018.
- You’re in Group B if your initial enlistment or appointment or that of your sponsor began on or after Jan. 1, 2018.
If you’re enrolled in a premium-based health plan, follow TRICARE Select Group B deductibles and applicable copayments and cost-shares. Premium-based health plans include these plans:
Below is a list of the 2024 costs for TRICARE health plans. Changes from
2023 costs are in
bold.
Active Duty Family Member Costs
Active duty service members don’t have out-of-pocket costs. However, active duty family members (ADFMs) may have costs. These costs depend on your TRICARE health plan, your sponsor’s pay grade and group, the type of care you get, and where you get care. If you’re enrolled in a TRICARE Prime plan, you won’t have copayments unless you use the
point-of-service option or fill a prescription outside of a
military pharmacy.
Table 1 below shows your annual enrollment fee and annual deductible. Table 2 shows your annual catastrophic cap and
network and
non-network copayments and cost-shares. Changes from 2023 costs are in
bold.
Table 1: Calendar Year 2024 TRICARE Select and TRICARE Prime Enrollment Fees and Deductibles: Active Duty Family Members
| Out-of-pocket Cost |
TRICARE Select |
TRICARE Prime |
| Group A |
Group B |
Group A |
Group B |
| Annual enrollment fee |
Individual |
$0 |
$0 |
$0 |
$0 |
| Family |
$0 |
$0 |
$0 |
$0 |
| Annual deductible |
Individual
(E-4 and below) |
$50 |
$62 |
$0 |
$0 |
Family
(E-4 and below) |
$100 |
$125 |
$0 |
$0 |
Individual
(E-5 and above) |
$150 |
$188 |
$0 |
$0 |
Family
(E-5 and above) |
$300 |
$377 |
$0 |
$0 |
Table 2: Calendar Year 2024 TRICARE Select and TRICARE Prime Out-of-Pocket Costs: Active Duty Family Members
| Out-of-pocket Cost |
TRICARE Select |
TRICARE Prime** |
| Group A |
Group B |
Group A |
Group B |
| Annual catastrophic cap |
$1,000 |
$1,256 |
$1,000 |
$1,256 |
| Preventive care visit |
$0 |
$0 |
$0 |
$0 |
| Primary care |
Network:
$27
Out-of-Network:
20%* |
Network:
$18
Out-of-Network:
20%* |
$0 |
$0 |
| Specialty care |
Network:
$38
Out-of-Network:
20%* |
Network:
$31
Out-of-Network:
20%* |
$0 |
$0 |
| Emergency room visit |
Network:
$104
Out-of-Network:
20%* |
Network:
$50
Out-of-Network:
20%* |
$0 |
$0 |
| Urgent care center visit |
Network:
$27
Out-of-Network:
20%* |
Network:
$25
Out-of-Network:
20%* |
$0 |
$0 |
| Ambulatory surgery |
Network and
Out-of-Network:
$25
|
Network:
$31
Out-of-Network:
20%* |
$0 |
$0 |
| Ambulance, outpatient ground |
Network:
$79
Out-of-Network:
20%* |
Network:
$18
Out-of-Network:
20%* |
$0 |
$0 |
| Ambulance, outpatient air |
Network and
Out-of-Network:
20%* |
Network and
Out-of-Network:
20%* |
$0 |
$0 |
| Durable medical equipment |
Network:
15%
Out-of-Network:
20%* |
Network:
10%
Out-of-Network:
20%* |
$0 |
$0 |
| Inpatient admission |
Network and
Out-of-Network: $22.30 per day;
$25 minimum per admission |
Network:
$75 per admission
Out-of-Network:
20%* |
$0 |
$0 |
| Inpatient skilled nursing facility/rehab facility |
Network and
Out-of-Network: $22.30 per day;
$25 minimum per admission |
Network:
$31 per day
Out-of-Network:
$62 per day |
$0 |
$0 |
*Percentage of TRICARE maximum-allowable charge after annual deductible is met.
**Out-of-network may result in using the point-of-service option.
Note: The costs for maternity (delivery and inpatient) are the same costs for inpatient admission. The costs for inpatient mental health are the same costs for inpatient admission. Mental health (primary care) follows the same costs as for primary care. Mental health (specialty care) follows the same costs as for specialty care.
Retired Service Members, Their Families, and Others
Table 3 below shows your TRICARE Select and TRICARE Prime annual enrollment fees and annual deductibles. Table 4 shows your TRICARE Select and TRICARE Prime catastrophic caps, network and non-network copayments, and cost-shares. Changes from 2023 costs are in
bold.
Table 3: Calendar Year 2024 TRICARE Select and TRICARE Prime Enrollment Fees and Deductibles: Retired Service Members, Their Families, and Others
| Out-of-pocket Cost |
TRICARE Select |
TRICARE Prime |
| Group A |
Group B |
Group A |
Group B |
| Annual enrollment fee |
Individual |
$177.96 |
$564.96 |
$363 |
$438.96 |
| Family |
$355.92 |
$1,131 |
$726 |
$879 |
| Annual deductible |
Individual |
$150 |
Network:
$188
Out-of-Network:
$377 |
$0 |
$0 |
| Family |
$300 |
Network:
$377
Out-of-Network:
$754 |
$0 |
$0 |
Table 4: Calendar Year 2024 TRICARE Select and TRICARE Prime Out-of-Pocket Costs: Retirees, their Families, and all Others
| Out-of-pocket cost |
TRICARE Select |
TRICARE Prime |
| Group A |
Group B |
Group A |
Group B |
| Annual catastrophic cap |
$4,157 |
$4,399 |
$3,000 |
$4,399 |
| Preventive care visit |
$0 |
$0 |
$0 |
$0 |
| Primary care |
Network:
$36
Out-of-Network:
25%* |
Network:
$31
Out-of-Network:
25%* |
$25 |
$25 |
| Specialty care |
Network:
$50
Out-of-Network:
25%* |
Network:
$50
Out-of-Network:
25%* |
$37 |
$37 |
| Emergency room visit |
Network:
$139
Out-of-Network:
25%* |
Network:
$100
Out-of-Network:
25%* |
$75 |
$75 |
| Urgent care center visit |
Network:
$36
Out-of-Network:
25%* |
Network:
$50
Out-of-Network:
25%* |
$37 |
$37 |
| Ambulatory surgery |
Network:
20%*
Out-of-Network:
25%* |
Network:
$119
Out-of-Network:
25%* |
$75 |
$75 |
| Ambulance, outpatient ground |
Network:
$106
Out-of-Network:
25%* |
Network:
$75
Out-of-Network:
25%* |
$50 |
$50 |
| Ambulance, outpatient air |
Network and
Out-of-Network:
25%* |
Network and
Out-of-Network:
25%* |
$20 |
$20 |
| Durable medical equipment |
Network:
20%*
Out-of-Network:
25%* |
Network:
20%*
Out-of-Network:
25%* |
20% |
20% |
| Inpatient admission |
Network |
$250/day up to 25% of hospital charges, plus 20% of separately billed services |
$219
per admission |
$188
per admission |
$188
per admission |
| Out-of-Network |
ǂ$1,112/day up to 25% of hospital charges, plus 25% of separately billed services |
25%* |
$188
per admission |
$188
per admission |
| Inpatient skilled nursing facility/rehab facility |
Network:
$250/day up to 25% of hospital charges, plus 20% of separately billed services;
Out-of-Network:
25%* |
Network:
$62 per day
Out-of-Network: $377 per day or 20%* (whichever is less) |
$37
per day |
$37
per day |
*
Percentage of TRICARE maximum-allowable charge after annual deductible is met.
ǂ This is the calendar year 2023 rate. The calendar year 2024 out of pocket expense will be available mid-December once the diagnosis-related group reimbursement payment rates are calculated.
Note: The calendar year catastrophic cap for TRICARE Select Group A retirees who are survivors of active duty deceased sponsors or medically retired Uniformed Service members and their dependents is $3,000.
Premium-Based Plans
When you or your family members purchase a premium-based health plan, you pay a monthly or quarterly premium.
Table 5 shows the monthly premiums for TRICARE Reserve Select, TRICARE Retired Reserve, TRICARE Young Adult Prime, and TRICARE Young Adult Select. Table 6 shows quarterly premiums for the Continued Health Care Benefit Program. Changes from 2023 costs are in
bold.
Table 5: Calendar Year 2024 TRICARE Premium-Based Health Plans Monthly Premiums
| Premium-based health plan |
Member Only |
Member and Family |
| TRICARE Reserve Select |
$51.95 |
$256.87 |
| TRICARE Retired Reserve |
$585.24 |
$1,406.22 |
| TRICARE Young Adult Prime |
$637.00 |
Not applicable |
| TRICARE Young Adult Select |
$311.00 |
Not applicable |
Table 6: Calendar Year 2024 TRICARE Premium-Based Health Plans Quarterly Premiums
| Premium-based health plan |
Single |
Family |
| Continued Health Care Benefit Program |
$1,813.00 |
$4,539.00 |
Want to review your costs for the current year? Go to
2023 costs or the
TRICARE Compare Costs tool. You can also go to
Cost Terms to learn more about TRICARE out-of-pocket costs.
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