The Outlook for TRICARE Fees in 2019

The Outlook for TRICARE Fees in 2019

Senior Airman Stephanie Rubi/Air Force

About the Author

Beasley retired from the U.S. Navy in 2009 after serving 30 years. As a career Navy Nurse Corps officer, she served in a wide variety of staff and leadership positions within the Navy and DoD. She has had assignments serving in large and small military treatment facilities, both stateside and abroad. Her clinical specialties have been in the surgical intensive care and surgical services as well as the ambulatory care areas. Her administrative emphasis has been in the managed care arena, TRICARE operations, and health care operational planning.

Beasley's leadership assignments include chief of staff of Naval Healthcare New England; director of Healthcare Operations at the National Naval Medical Center in Bethesda, Md.; chief of staff for the Commanding General for the Multi-Service Market Area at Walter Reed Army Medical Center; and director of planning and support for the Navy Surgeon General.

Beasley is a native of St. Louis. She received her Bachelor of Science in nursing from the University of Tulsa in Oklahoma and a Master of Science in nursing and Master of Science in business administration from Boston College in Chestnut Hill, Mass. She is a Fellow in the American College of Healthcare Executives. She joined MOAA in September 2009.

This week, MOAA got a glimpse at what beneficiaries might expect from next year's out-of-pocket TRICARE costs. This is important information as you prepare for open season enrollment, coming up Nov. 12 through Dec. 10, 2018.

The good news is, the majority of existing TRICARE Prime and Select fees will not go up; the very few that do will be adjusted based on the retiree COLA (projected to be 2.8 percent as of August 2018). TRICARE for Life is not at all affected.

[Related: Open Season for New TRICARE Dental Coverage Is Around the Corner]

The not-so-good news is, the current fee structure largely will remain in place. For example, TRICARE group A retirees will continue to pay $41 for specialty appointments and $29 for primary care appointments. These rates will be formally established in October.

Most beneficiaries will recall the TRICARE fee structure changed Jan. 1, 2018, to require much higher cost shares. MOAA will maintain pressure on the Defense Health Agency to recognize the impact these fee increases have had on beneficiaries - especially those who require specialty care such as physical therapy or mental health care.

Other TRICARE 2019 Rates have been released and are effective Jan. 1, 2019, with the exception of the Continued Health Care Benefit Program (CHCBP), which starts Oct. 1, 2018:

TRICARE Young Adult (TYA) Monthly Premiums:
TYA Prime: $358 (was $324)
TYA Select: $214 (was $225)

TRICARE Reserve Select (TRS) Monthly Premiums:
TRS member-Only: $42.83 (was $46.09)
TRS member and family: $218 (was $221.38)

TRICARE Retired Reserve (TRR) Monthly Premiums:
TRR member-only: $451.51 (was $431.35)
TRR member and family: $1,083.40 (was $1,038.31)

CHCBP Quarterly Premiums:
Individual coverage: $1,453 (was $1,425)
Family coverage: $3,273 (was $3,210)