The Officer - Fall 2016 - 14

Health Care Cost Comparison Current Active Duty Family TRICARE PRIME Active Duty Family TRICARE Standard Retired Prime Retired Standard TRICARE Reserve Select TRICARE Retired Reserve TRICARE Extra TRICARE for Life Annual Enrollment Fee $0 $0 $282.60: Individual $565.20: Family $282.60: Individual $565.20: Family Monthly Premium $47.90: Individual $210.83: Family Monthly Premium $388.79: Individual $957.44: Family $282.60: Individual $565.20: Family $0 Note: You must pay Medicare Part B monthly premiums. Annual Deductible E4 and below: $50: Individual $100: Family E5 and above: $150: Individual $300: Family E4 and below: $50: Individual $100: Family E5 and above: $150: Individual $300: Family $150: Individual $300: Family $150: Individual $300: Family E4 and below: $50: Individual $100: Family E5 and above: $150: Individual $300: Family $150: Individual $300: Family $150: Individual $300: Family TRICARE and Medicare deductible and cost shares apply depending on who is the first payer. Annual Catastrophic Fee $0: Individual $1,000: Family $0: Individual $1,000: Family $3,000 $3,000 $1,000 $3,000 See Note 1 See Note 1 See Note 1 $3,000 Senate (S. 2943) Active Duty Family TRICARE PRIME ADFM Category TRICARE Choice Retried Category TRICARE Prime Retired Category TRICARE Choice TRICARE Reserve Select TRICARE Retired Reserve TRICARE Supplemental (retirees not enrolled in TRICARE Choice/Prime) TRICARE for Life Annual Enrollment Fee $0 $0 $350: Individual $700: Family $150: Individual $300: Family Prescribed by the Secretary of Defense Prescribed by the Secretary of Defense 50% of TRICARE Choice for retired members Annual Deductible $0 E4 and below: $100: Individual $200: Family E5 and above: $300: Individual $600: Family $0 $300: Individual $600: Family Prescribed by the Secretary of Defense Prescribed by the Secretary of Defense DoD pays costs for the beneficiary plan not to exceed TRICARE Choice amounts. Annual Catastrophic Fee $4,000 $4,000 $4,000 $4,000 Prescribed by the Secretary of Defense Prescribed by the Secretary of Defense House (HR 4909) Active Duty Family Member Prime Active-Duty Family Member Preferred Retired Prime Retired Preferred TRICARE Reserve Select TRICARE Retired Reserve TRICARE Extra TRICARE for Life Annual Enrollment Fee $180: Individual $360: Family The enrollment fees begin 1 Jan 2018 only for families of service members who $300: Individual join the military $600: Family beginning 1 Jan 2018. There is no change in fees for ADFM whose service member joined prior to 1 Jan 2018. Jan 1 2018 & Later: $325: Individual $650: Family $425: Individual $850: Family Note: Pre-2018 fee: $0AD $100/$200 for retirees starting 2020 $300: Individual $600: Family $425: Individual $850: Family Any individual who is covered unter TRICARE Extra as of 31 Dec 2017, enrolls in TRICARE Prime/Preferred, or TRICARE for Life. $0 Note: You must pay Medicare Part B monthly premiums. Annual Deductible Jan 1, 2018 & Later: Network: $0 Non-network: $300/$600 $0 $0 $0 $0 $0 N/A Annual Catastrophic Fee $1,000 $1,000 $3,000 $3,000 $1,000 $3,000 N/A THE OFFICER / FALL 2016 See Note 1 $3,000 Note 1: The catastrophic cap amount is based on the beneficiary category and is not affected by the program option used. The catastrophic cap for active duty family members and TRICARE Reserve Select (TRS) beneficiaries is $1,000 per family, per FY, and the catastrophic cap for all other beneficiaries is $3,000 per family, per FY. The catastrophic cap does not apply to active duty service members. The patient is not responsible for any amounts above the catastrophic cap in a given FY, with a few exceptions. The catastrophic cap does not apply to cost-share amounts for services that are not TRICARE-covered; point-of-service charges; TRS, TRICARE Retired Reserve, and TRICARE Young Adult premiums; or the additional 15 percent above the TRICARE-allowable charge that nonparticipating providers may charge. 14 $0 $3,000

Table of Contents for the Digital Edition of The Officer - Fall 2016