TRICARE Select

The beneficiary categories for purposes of eligibility to enroll in TRICARE Select and cost-sharing requirements applicable to such category are as follows: A “reserve and young adult” category that consists of beneficiaries who are covered by— The cost-sharing requirements under TRICARE Select are as follows: TRICARE Select Active-Duty Family Member (Individual/Family) Retired (Individual/Family) Annual Enrollment $0 $450 / $900 Annual deductible E4 & below: $50 / $100 $150 / $300 Network ..................... E5 & above: $150 / $300 $300 / $600 out of network Annual catastrophic cap $1,000 $3,500 Outpatient visit civilian network $15 primary care $25 primary care ..................... $25 specialty care $40 specialty care ..................... ..................... Out of network: 20% 25% out of network ER visit civilian network $40 network $80 network ..................... 20% out of network 25% out of network Urgent care civilian network $20 network $40 network ..................... 20% out of network 25% out of network Ambulatory surgery civilian network $25 network $95 network ..................... 20% out of network 25% out of network Ground ambulance civilian network $15 $60 Durable medical equipment civilian network 10% of negotiated fee 20% network Inpatient visit civilian network $60 per network admission $175 per admission network ..................... ..................... 20% out of network 25% out of network Inpatient skilled nursing/rehab civilian $25 per day network $50 per day network ..................... $50 per day out of network Lesser of $300 per day or 20% of billed charges out of network The enrollment fee established pursuant to paragraph (1) and the catastrophic cap adjusted under paragraph (2) for beneficiaries described in subsection (c)(2)(B) in the retired category shall not apply with respect to the following beneficiaries: Not later than February 1, 2020, the Comptroller General of the United States shall submit to the Committees on Armed Services of the House of Representatives and the Senate a review of the following: Consistent with other provisions of this chapter and subject to requirements to be prescribed by the Secretary, the Secretary may waive cost-sharing requirements for the first three outpatient mental health visits each year of any of the following beneficiaries: Under a system established under paragraph (1), the Secretary may— In this section: The term “network” means—