Catastrophic Cap
Your catastrophic cap is the maximum amount you pay each fiscal yearOctober 1 - September 30.
- Your cap depends on who you are.
- Find your cap below.
| If you are ... |
Your Cap is: |
| An Active Duty Family |
$1,000 per family, per fiscal year |
| A Family Using TRICARE Reserve Select |
$1,000 per family, per fiscal year |
| All Others |
$3,000 per family, per fiscal year |
After you reach your catastrophic cap, you won’t have to pay anything more in most cases. But there are some exceptions.
The cap applies to all covered services:
- Annual deductibles (if applicable)
- Pharmacy copayments
- TRICARE Prime enrollment fees (if applicable)
- Other cost shares based on TRICARE-allowable charges.
The cap does not apply to:
What happens to the catastrophic cap when an active duty sponsor retires?
When the sponsor retires, the full deductible and cost shares credited towards the previous family cap ($1,000) is credited to the new cap ($3,000) in the same fiscal year.