Most TRICARE Prime and Select plan costs for the new year will rise at or slightly above the 2027 cost of living adjustment of 3.6%, according to figures released Nov. 5 by the Defense Health Agency.

The announcement came days before the Nov. 9 start of Open Season. Most costs for TRICARE premium-based plans were released in October; the recent announcement added catastrophic cap figures for those plans.

[RELATED: MOAA’s TRICARE Guide]

Key figures for TRICARE Prime and Select plans are listed below. Visit TRICARE.mil for more costs, including rates for ambulance care, emergency room visits, and inpatient admission.

Notes:

• Group A rates apply to those whose sponsor’s service began before Jan. 1, 2018. All other beneficiaries pay Group B rates.
• Active duty members do not pay out-of-pocket costs. Active duty family members do not pay TRICARE Prime or TRICARE Select premiums. TRICARE Prime users do not have annual deductibles.
• These rates do not apply to TRICARE For Life users. An announcement of 2027 Medicare Part B rates is expected in the coming days.

[JUMP TO: Active Duty Family Member Costs]

Retirees, Their Family Members, and Survivors

TRICARE Prime

• Annual premium, individual: $396 Group A; $480 Group B
• Annual premium, family: $792.96 Group A; $960 Group B
• Primary care copayment: $27 (both groups)
• Specialty care copayment: $41 (both groups)
• Catastrophic cap: $3,000 Group A; $4,802 Group B 

TRICARE Select

• Annual premium, individual: $193.92 Group A; $616.92 Group B
• Annual premium, family: $388.92 Group A; $1,233.96 Group B
• Annual deductible, individual: $150 Group A; $205 Group B ($411 Group B non-network)
• Annual deductible, family: $300 Group A; $411 Group B ($823 Group B non-network)
• Primary care copayment (in-network)*: $40 Group A; $34 Group B
• Specialty care copayment (in-network)*: $52 Group A; $54 Group B
• Catastrophic cap: $4,538 Group A ($3,000 for medically retired sponsors, their families, and their survivors); $4,802 Group B

* - Non-network copayments are 25% of TRICARE maximum-allowable charge after annual deductible is met.

Active Duty Family Members

TRICARE Prime

• Active duty family members using TRICARE Prime do not pay premiums, deductibles, or copayments if they follow plan rules and fill prescriptions at military pharmacies.
• Catastrophic cap: $1,000 (Group A); $1,372 (Group B)
  
  

TRICARE Select

• Annual deductible, individual (E-4 and below): $50 Group A; $68 Group B
• Annual deductible, individual (E-5 and above): $150 Group A; $205 Group B
• Annual deductible, family (E-4 and below): $100 Group A; $137 Group B
• Annual deductible, family (E-5 and above): $300 Group A; $411 Group B
• Primary care copayment (in-network)*: $30 Group A; $20 Group B
• Specialty care copayment (in-network)*: $39 Group A; $34 Group B
• Catastrophic Cap: $1,000 Group A; $1,372 Group B

* - Non-network copayments are 20% of TRICARE maximum-allowable charge after annual deductible is met.

Compare costs across plans using TRICARE’s online comparison tool.