Are there financial assistance programs for TRICARE costs?
Quick Answer
Some pharmaceutical manufacturers offer copay assistance, and the catastrophic cap limits annual costs. Military aid societies may help in emergencies.
Related Video
Key Takeaways
- Catastrophic cap limits costs
- Manufacturer assistance available
- Military aid societies can help
- MTF social workers are resources
Detailed Answer
While TRICARE costs are generally low, assistance may be available.
Catastrophic Cap
- Limits annual out-of-pocket costs
- Once reached, TRICARE pays 100%
- Automatic - no application needed
Pharmaceutical Assistance
- Manufacturer copay programs
- Patient assistance programs
- For specialty medications
- Income-based programs
Military Aid Societies
- Army Emergency Relief
- Navy-Marine Corps Relief
- Air Force Aid Society
- Coast Guard Mutual Assistance
- May assist with medical expenses
Other Resources
- State pharmaceutical assistance
- Disease-specific foundations
- Veterans Service Organizations
- Community assistance programs
How to Access
- Ask social worker at MTF
- Contact aid societies directly
- Research manufacturer programs
- Work with specialty pharmacy
Related TRICARE Terms
Related Questions
How does the TRICARE catastrophic cap work?
The catastrophic cap is your maximum annual out-of-pocket cost. Once reached, TRICARE pays 100% of covered services for the rest of the fiscal year.
How does TRICARE cover specialty medications?
Specialty medications for complex conditions are covered through Accredo specialty pharmacy with prior authorization and may have assistance programs.
What do most military families add to their TRICARE coverage?
Supplemental health insurance is the most common addition — it covers dental, vision, and out-of-pocket costs that TRICARE leaves uncovered. Life insurance and a legal will are also highly recommended.
See What's AvailableShare this page
Was this FAQ helpful?
Need personalized help with this?
Most military families leave benefits on the table. Our free 2-minute coverage check identifies gaps, finds potential savings, and gives you personalized recommendations.
Check My Coverage