TRICARE Retired Reserve
Monthly Premiums
TRICARE Retired Reserve premium rates are established annually on a calendar year basis.
| Type of Coverage | 2012 | 2013 |
| Member Only | $419.72 per month | $402.11 per month |
| Member and Family | $1024.43 per month | $969.10 per month |
Note: The law requires members to pay the full cost of coverage under TRR with no government subsidy.
Initial Premium Payment
You must submit an initial two-month premium payment when you submit your application. Initial premiums can be paid by check, money order or cashier's check (payable to the regional contractor), or by debit/credit card.
Ongoing Premium Payments
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, TRR premium payments will only be accepted by automatic payment via debit/credit card or EFT.
- Click on your region to learn more about your payment options:
-
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.
Annual Outpatient Deductible
You must meet the annual outpatient deducible each fiscal year (October 1 - September 30) before cost-sharing begins:
- $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 |
20% of the negotiated rate |
25% of the allowable charge |
|
Ambulatory (same day) Surgery |
20% of the negotiated rate |
25% of the allowable charge |
|
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: |
20% of the allowable charge |
25% of the allowable charge |
|
Durable Medical Equipment, Prosthetics, Orthotics, and Supplies |
20% of the allowable charge |
25% of the allowable charge |
|
Emergency Room Visit |
20% of the allowable charge |
25% of the allowable charge |
|
Home Health Care |
$0 |
$0 |
|
Hospice Care |
$0 |
$0 |
|
Hospitalization |
$250 per day or 25% of billed charges for institutional services, whichever is less, plus 20% cost-share for separately billed services |
$708 per day or 25% of billed charges for institutional services, whichever is less, plus 25% cost-share for separately billed services |
|
Lab & X-Ray Services |
20% of the allowable charge |
25% of the allowable charge |
|
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, 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 |
20% of the allowable charge |
25% of the allowable charge |
|
Skilled Nursing Care |
$250 per day or 20% for institutional services, whichever is less, plus 20% for separately billed professional charges |
25% for institutional services, plus 25% cost share for separately billed professional charges |
Last Modified:October 1, 2012
PrintContact
Look up a toll-free number.
