The costs of TRICARE Prime varies depending on whether you are an active duty service member, a family member of such an individual or whether you fall in another category of beneficiaries. This page provides information for each category.
Cost of TRICARE Prime
TRICARE Prime is one of the health insurance plans available for usage by Active duty service members and their families. The plan costs are extremely viable and affordable. Military sponsors have to pay no fees for services utilized and the only payments that are incurred come in the form of annual deductibles. Furthermore, Tricare Prime incurs lesser and fewer direct out of pocket payments as compared to other TRICARE plans such as TRICARE Standard and Extra.
There are four kinds of TRICARE Prime plans offered:
- TRICARE Prime
- TRICARE Prime Remote (servicemen and women stationed on remote assignments)
- TRICARE Prime Overseas (servicemen and women stationed outside of the United States)
- TRICARE Prime Remote Overseas (servicemen and women stationed on remote assignments outside of the United States)
Active Duty Service Members
For service men and women, who are on active duty and stationed on assignment, it is mandatory to enroll in one of the four plans that are offered. As TRICARE strives to facilitate beneficiaries, TRICARE Prime offers a highly cost effective and easy health insurance plan. The costs incurred are minimal at best. For uniformed service men and women on active duty, there are no direct payments to be made to doctors for services and consultations, and there are zero charges and costs for enrolling in the plan. Furthermore, as TRICARE Prime requires beneficiaries to seek care from the network services providers, there are no co-payments required to be made, and so any and all services can be utilized without any charges.
Active Duty Family Members
Dependents of active duty military sponsors include family members. If you enroll in one of the Prime plans, there are minimal costs to be incurred including very few instances of out of pocket payments. This is not always mandatory. In addition, no enrollment fees are required to acquire and utilize TRICARE benefits; no co-payments have to be made for any kind of medical care. However, if the point of service plan is being utilized, point of service fees will be charged since it only covers limited costs for procedures that are not medical emergencies.
Costs for Other Beneficiaries
Other beneficiaries can enroll in TRICARE Prime. Cost of TRICARE Prime charged will be spread over yearly enrollment fees, network co-payments and point of service charges if and when this particular option is used.