Prodgen Alt.Htm: TRICARE Cost Tables Explained

*Disclaimer: TRICARE.com is an independent reference site and is not affiliated with the Department of Defense or the official TRICARE program. For official policy and the most current data, visit TRICARE.mil.*

## Quick answer "Prodgen Alt.Htm" is not a medical procedure or a benefit; it is a technical file naming convention used by Humana Military (the East Region contractor) for generating "Plan Product Tables" and "Summary of Beneficiary Costs" documents. If you see this in your browser's address bar or as a file download, you are viewing the official grid of 2026 TRICARE copays, enrollment fees, and catastrophic caps.

## In detail When navigating the Humana Military portal or the TRICARE.mil "Compare Costs" tool, users are often redirected to a dynamically generated HTML file. In the East Region, this system frequently uses the file path or string "Prodgen Alt.Htm" (Product Generation Alternate HTML).

This file is the primary source of truth for your out-of-pocket expenses. It breaks down costs based on your **Beneficiary Group** (Group A or Group B) and your specific plan.

### Key Cost Categories Found in Prodgen Alt.Htm Under the current T-5 contract (effective 2025–2026), these documents categorize costs into the following table headers:

* **Annual Enrollment Fees:** For 2026, TRICARE Select Group A retirees pay approximately $191.04/individual or $382.08/family (check TRICARE.mil for final 2026 adjustments). * **Deductibles:** The amount you pay before TRICARE begins to share costs. * **Cost Shares/Copayments:** Fixed dollar amounts (e.g., $38 for a primary care visit) or percentages (e.g., 20% of the allowable charge). * **Catastrophic Caps:** The maximum out-of-pocket amount you will pay per calendar year. For most Active Duty families in 2026, this remains $1,000. For Group A Retirees, it is typically $4,399.

### East vs. West Region Documentation While the East Region (Humana Military) uses this specific file generator, the West Region (TriWest Healthcare Alliance) utilizes different proprietary naming conventions for their cost grids. However, the data contained within—the TRICARE federally mandated rates—remains consistent for both regions.

## Who this applies to * **East Region Beneficiaries:** Specifically those managed by Humana Military (Alabama, Arkansas, Connecticut, Delaware, District of Columbia, Florida, Georgia, Illinois, Indiana, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Mississippi, Missouri, New Hampshire, New Jersey, New York, North Carolina, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Vermont, Virginia, West Virginia, and Wisconsin). * **Retirees and Family Members:** Active duty service members have $0 out-of-pocket costs, but their families and all retirees use these "Prodgen" cost tables to track their financial liability. * **Group A and Group B:** The document distinguishes between those who entered service before Jan. 1, 2018 (Group A) and on or after that date (Group B).

## Common scenarios 1. **Checking the 2026 Deductible:** Jane, a TRICARE Select Group B spouse in Florida, opens the Humana Military cost tool. The URL displays "Prodgen Alt.Htm". She identifies her 2026 deductible as $182 per individual. 2. **Verifying ER Copays:** Mark, a retired veteran in Virginia (Group A), wants to know his emergency room cost. He downloads the PDF generated by the "Prodgen" link and sees his 2026 copay is $163 for an out-of-network emergency room visit. 3. **Pharmacy Updates:** A user clicks "View Pharmacy Costs" on the East Region portal. The system generates a "Prodgen Alt" table showing that most 2026 brand-name formulary drugs at retail pharmacies are $48 for a 30-day supply.

## Related terms * **Cost Share:** A percentage of the total cost of a covered health care service that you pay. * **Catastrophic Cap:** The maximum amount you pay out-of-pocket for covered services each calendar year. * **Allowable Charge:** The maximum amount TRICARE will pay for a specific procedure or service. * **Beneficiary Group:** The classification (Group A or B) that determines your enrollment fees and cost-sharing rates. * **T-5 Contract:** The current TRICARE contract cycle that began January 1, 2025, defining regional management under Humana and TriWest.

## Sources * **TRICARE.mil Costs:** https://www.tricare.mil/costs * **Humana Military (East Contractor):** https://www.humanamilitary.com/ * **Defense Health Agency (DHA):** https://health.mil/