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:
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TRICARE Reserve Select
|
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|---|---|---|
| Conditions | Conditions |
|
| 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 |
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 |
|