TRICARE Reserve Select
Monthly Premiums
TRICARE Reserve Select premium rates are established annually on a calendar year basis.
| Type of Coverage | 2012 | 2013 |
| Member Only | $54.35 per month | $51.62 per month |
| Member and Family | $192.89 per month | $195.81 per month |
Initial Premium Payment
You must submit an initial two-month premium payment with your completed form to begin coverage. The initial premium payment can be paid by check, money order or cashier's check (payable to the regional contractor), or by debit/credit card.
Ongoing Monthly Premiums
After the initial premium payment, your regional contractor will bill you by the 10th of each month. Payments are due no later than the last day of each month, and are applied to the following month of coverage.
- Currently, ongoing monthly premium payments can be paid by check, money order, cashier's check, credit/debit card or an automatic electronic funds transfer (EFT).
- Beginning January 1, 2013, TRS premium payments will only be accepted by automatic payment via debit/credit card or EFT.
- You may be charged a fee of up to $20.00 for insufficient or unavailable funds.
Failure to pay premiums by the date due will result in termination of coverage effective the last day of the month last paid and a one-year purchase lockout. Click on your region to learn more about your payment options:
Annual Outpatient Deductible
You're must meet the annual outpatient deducible each fiscal year (October 1 - September 30) before cost-sharing begins:
- Sponsor Rank E4 and below: $50 per individual/$100 per family
- Sponsor Rank E5 and above: $150 per individual/$300 per family
Cost Shares
You're responsible to pay a cost share based on the type of care and type of provider (network vs. non-network). Non-network providers may charge up to 15% above the TRICARE allowable charge. You are also responsible for these extra charges.
Costs effective October 1, 2011
|
Type of Care |
Cost Share |
|
|
Network Provider |
Non-network Provider |
|
|
Ambulance Services |
15% of the negotiated rate |
20% of the negotiated rate |
|
Ambulatory (same day) Surgery |
$25 per visit |
$25 per visit |
|
Behavioral Health |
Outpatient:
Hospitalization:
|
Outpatient:
Hospitalization:
|
|
Clinical Preventive Services $0 for colorectal, breast, cervical and prostate cancer screenings; immunizations; and well-child visits for children under age 6. For all other preventive services: |
15% of the negotiated rate
|
20% of the negotiated rate
|
|
Durable Medical Equipment, Prosthetics, Orthotics, and Supplies |
15% of the negotiated rate |
20% of the negotiated rate |
|
Emergency Room Visit |
15% of the negotiated rate |
20% of the negotiated rate |
|
Home Health Care |
$0 |
$0 |
|
Hospice Care |
$0 |
$0 |
|
Hospitalization |
$17.05 per day ($25 minimum) |
$17.05 per day ($25 minimum) |
|
Lab & X-Ray Services |
15% of the negotiated rate |
20% of the negotiated rate |
|
Maternity Care |
Office visits & hospitalization for delivery planned in a hospital in an inpatient setting. This is one global fee.
Office visits for delivery planned in a TRICARE-authorized birthing center.
Office visits for delivery planned at home or another setting.
|
Office visits & hospitalization for delivery planned in a hospital in an inpatient setting. This is one global fee.
Office visits for delivery planned in a TRICARE-authorized birthing center.
Office visits for delivery planned at home or another setting.
|
|
Newborn Care |
The lower of the number of hospital days minus 3 multiplied by $250 or 25% of the negotiated rate for institutional services, plus 20% for separately billed professional charges. |
The lower of the number of hospital days minus 3 multiplied by DRG per diem copayment or 25% of billed charges for institutional services, plus 25% for separately billed professional charges. |
|
Outpatient Visit |
15% of the negotiated rate |
20% of the negotiated rate |
|
Skilled Nursing Care |
$17.05 per day ($25 minimum) |
$17.05 per day ($25 minimum) |
Last Modified:October 1, 2012
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