10 U.S.C. § 1075a
TRICARE Prime: cost sharing
United States · Title 10 — ARMED FORCES · Status: effective
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- Citation
- 10 U.S.C. § 1075a, TRICARE Prime: cost sharing, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/433168
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Full text
The cost-sharing requirements under TRICARE Prime are as follows:
TRICARE Prime
Active-Duty Family Member
(Individual/Family)
Retired
(Individual/Family)
Annual Enrollment
$0
$350 / $700
Annual deductible
No
No
Annual catastrophic cap
$1,000
$3,500
Outpatient visit civilian network
$0
$20 primary care
.....................
$30 specialty care
ER visit civilian network
$0
$60 network
Urgent care civilian network
$0
$30 network
Ambulatory surgery civilian network
$0
$60 network
Ground ambulance civilian network
$0
$40
Durable medical equipment civilian network
$0
20% of negotiated fee, network
Inpatient visit civilian network
$0
$150 per admission
Inpatient skilled nursing/rehab civilian
$0
$30 per day network
Legislative history
The public laws that enacted or amended this section. Tallies are for the whole bill as it passed each chamber — often an omnibus covering far more than this provision — not a vote on this section alone.
- National Defense Authorization Act for Fiscal Year 2017
- National Defense Authorization Act for Fiscal Year 2018
- National Defense Authorization Act for Fiscal Year 2024
- Servicemember Quality of Life Improvement and National Defense Authorization Act for Fiscal Year 2025House: 281–140Senate: no recorded tally