TRICARE Reserve Select Cost

What is TRICARE Reserve Select?

TRICARE Reserve Select is the health insurance available to the M-Day status National Guard soldiers.

 

How much does TRICARE Reserve Select cost?

The TRICARE Reserve Select monthly premiums are as follows, based on your maritial status. For the Member + Family option, the premium is the same regardless of the number of dependents you have. For an example, if you only have a spouse, or 10 children, the premium will be the same.

• Member only: $48.47/month
• Member + Family: $239.69/month

Above prices are current as of fiscal year 2023 (FY23). For the most current premiums and coverage, visit https://www.tricare.mil/Costs/HealthPlanCosts/TRS

 

TRICARE Reserve Select Coverage:

TRICARE Reserve Select
Conditions	Conditions	Costs are for calendar year (CY) 2023 unless noted separately.  You have to pay a monthly or quarterly premium depending on your plan. Premiums do not count toward your catastrophic cap.  Visit the Cost Terms page for definitions to help you better understand TRICARE costs.
Enrollment Fees or Premiums	Enrollment Fees or Premiums	Member only: $48.47/month Member + Family: $239.69/month
Deductibles	Deductible	E1-E4: $60/individual and $121/family E5 & above: $182/individual and $365/family Note: prescription costs also apply to your annual deductible.
Catastrophic Cap	Catastrophic Cap	$1,217
Health Plan Costs	Outpatient Visit - Primary	Network: $18 Out-of-Network: 20%
	Outpatient Visit - Specialty	Network: $30 Out-of-Network: 20%
	Urgent Care	Network: $24 Out-of-Network: 20%
	Emergency Services	Network: $48 Out-of-Network: 20%
	Laboratory and X-Ray	Network: $0 Out-of-Network: 20%
	Ambulance	Outpatient: Network: $18 Out-of-Network: 20% Inpatient: 20%
	Ambulatory Surgery (Same Day)	Network: $30 Out-of-Network: 20%
	Mental Health (Inpatient)	Network: $73/admission Out-of-Network: 20%
	Mental Health (Outpatient/Partial Hospitalization) - Primary Care	Network: $18 Out-of-Network: 20%
	Mental Health (Outpatient/Partial Hospitalization) - Specialty Care	Network: $30 Out-of-Network: 20%
	Mental Health (RTF)	Network: $30/day Out-of-Network: $60/day
	Clinical Preventive Services	$0
	Durable Medical Equipment, Prosthetics, and Medical Supplies	Network: 10% Out-of-Network: 20%
	Home Health Care	$0
	Hospice Care	$0 (Medical equipment and pharmacy are billed separately)
	Hospitalization (Inpatient Care)	Network: $73/admission Out-of-Network: 20%
	Immunizations	$0
	Maternity (Delivery/Inpatient)	Network: $73/admission Out-of-Network: 20%
	Maternity (Delivery/Birthing Center)	Network: $30 Out-of-Network: 20%
	Maternity (Home) - Primary	Network: $18 Out-of-Network: 20%
	Maternity (Home) - Specialty	Network: $30 Out-of-Network: 20%
	Newborn Care	Network: $0 Out-of-Network: 20%
	Skilled Nursing	Network: $30/day Out-of-Network: $60/day
Pharmacy	Generic (Tier 1) - Military Pharmacy	$0
	Generic (Tier 1) - Home Delivery	$12
	Generic (Tier 1) - Retail	Network: $14 Non-network: $38 or 20% of total cost, whichever is more
	Brand-name (Tier 2) - Military Pharmacy	$0
	Brand-name (Tier 2) - Home Delivery	$34
	Brand-name (Tier 2) - Retail	Network: $38 Non-network: $38 or 20% of total cost, whichever is more
	Non-Formulary (Tier 3) - Military Pharmacy	Generally not available without medical necessity for non-formulary drugsA drug in a therapeutic class that isn’t as clinically or cost-effective as other drugs in the same class. You pay a higher cost share for these drugs..
	Non-Formulary (Tier 3) - Home Delivery	$68
	Non-Formulary (Tier 3) - Retail	Network: $68 Non-network: $68 or 20% of total cost, whichever is more

Categories: Benefits