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Stephany Lynch
6 years ago
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1 March 2018

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West Region Health Net Federal Services 1.844.866.9378 www.tricare-west.

10 West Region Health Net Federal Services East Region Humana Military HumanaMilitary.com

International SOS: www.tricare-overseas.com 1.

11 International SOS:

12 HEALTH PLAN COSTS (2018) Starting Jan. 1, 2018, costs for TRICARE benefits will be charged by calendar year (January December) instead of fiscal year (October September) You will fall into one of two groups based on when you or your sponsor entered the military Each group will have different enrollment fees and out-of-pocket costs Group A: If your or your sponsor s initial enlistment or appointment occurred before Jan. 1, 2018, you are in Group A Group B: If your or your sponsor s initial enlistment or appointment occurs on or after Jan. 1, 2018, you are in Group B Note: Effective Jan. 1, 2018, enrollees in TRICARE Reserve Select, TRICARE Retired Reserve, TRICARE Young Adult, and Continued Health Care Benefit Program have Group B cost-shares, regardless of when the sponsor first joined the military. Take Command Campaign The Future of TRICARE

13 DD Form Select Enrollment Form 13

14 - co-pays And Cost Shares percentage. 14

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16 COSTS: RETIREES and FAMILY Costs for Retirees, Retiree Family and Other Plan Users (Excluding TFL) Select Group A Select Group B Prime Group A Prime Group B Annual Enrollment $0 $450 for individual and $900 for family $ for individual and $ for family $350 for individual and $700 for family Annual Deductible $150 for individual and $300 for family Network Provider: $150 for individual and $300 for family $0 $0 Out of network: $300 for individual and $600 for family Catastrophic Cap Per Year $3,000 $3,500 $3,000 $3,500 Point-of-Service Option Deductible N/A N/A $300 for individual and $600 for family $300 for individual and $600 for family TRICARE costs are subject to change. Go to for the most up-to-date cost information. Additional TRICARE costs are available online. Take Command Campaign The Future of TRICARE

17 COSTS: RETIREES and FAMILY Costs for Retirees, Retiree Family and Other Plan Users (Excluding TFL) Select Group A Select Group B Prime Group A Prime Group B Preventive Care Visit Network: $0 Network: $0 Network: $0 Network: $0 Primary Care Visit Network: $35 Network: $25 Network: $20 Network: $20 Specialty Care Visit Network: $45 Network: $40 Network: $30 Network: $30 Urgent Care Center Visit Network: $35 Network: $40 Network: $30 Network: $30 Emergency Room Visit Network: $116 Network: $80 Network: $60 Network: $60 Inpatient Admission $250 per day or 25 percent of facility charges, whichever is less, plus 20 percent of separately billed services Out-of-Network: $901 per day or 25 percent of facility charges, whichever is less, plus 25 percent of separately billed services Network: $175 per day Out-of-Network: 25 percent of allowable charges $150 per admission $150 per admission Note: TRICARE Select out-of-network cost-shares for outpatient care 2025% percent of the allowed charges. TRICARE costs are subject to change. Go to for the most up-to-date cost information. Additional TRICARE costs are available online. Take Command Campaign The Future of TRICARE

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20 COSTS: RETIREES, FAMILY + OTHER USERS #takecommand Costs for Retirees, Retiree Family and Other Plan Users (Excluding TFL) Select Group A Select Group B Prime Group A Prime Group B Annual Enrollment $0 $450 for individual and $900 for family $ for individual and $ for family $350 for individual and $700 for family Annual Deductible $150 for individual and $300 for family Network Provider: $150 for individual and $300 for family $0 $0 Out of network: $300 for individual and $600 for family Catastrophic Cap Per Year $3,000 $3,500 $3,000 $3,500 Point-of-Service Option Deductible N/A N/A $300 for individual and $600 for family $300 for individual and $600 for family TRICARE costs are subject to change. Go to for the most up-to-date cost information. Additional TRICARE costs are available online. Take Command Campaign The Future of TRICARE 20

21 COSTS: RETIREES, FAMILY + OTHER USERS #takecommand Costs for Retirees, Retiree Family and Other Plan Users (Excluding TFL) Select Group A Select Group B Prime Group A Prime Group B Preventive Care Visit Network: $0 Network: $0 Network: $0 Network: $0 Primary Care Visit Network: $35 Network: $25 Network: $20 Network: $20 Specialty Care Visit Network: $45 Network: $40 Network: $30 Network: $30 Urgent Care Center Visit Network: $35 Network: $40 Network: $30 Network: $30 Emergency Room Visit Network: $116 Network: $80 Network: $60 Network: $60 Inpatient Admission $250 per day or 25 percent of facility charges, whichever is less, plus 20 percent of separately billed services Out-of-Network: $901 per day or 25 percent of facility charges, whichever is less, plus 25 percent of separately billed services Network: $175 per day Out-of-Network: 25 percent of allowable charges $150 per admission $150 per admission Note: TRICARE Select out-of-network cost-shares for outpatient care 20 25% percent of the allowed charges. TRICARE costs are subject to change. Go to for the most up-to-date cost information. Additional TRICARE costs are available online. Take Command Campaign The Future of TRICARE 21

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23 Enrollment is necessary to be in USFHP (where locally available) Locally available locations: John Hopkins Medicine Martin s Point Health Care Brighton Marine Health Center Saint Vincent Catholic Medical Centers Christus Health Pacific Medical Center [PACMED Clinics] 23

26 Calendar Year Premium Rates [Jan 1 Dec 31, 2018] : Select : $225.00, Prime: $ per month per child 26

27 TRICARE For Life [TFL]

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32 TRICARE Pharmacy

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TRICARE Pharmacy Program: Express Scripts, Inc. www.tricare.

35 TRICARE Pharmacy Program: Express Scripts, Inc. or

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38 TRDP Payments: The initial two-month premium payment can be made by Visa, MasterCard or Discover; personal or cahier s check; or money order Monthly premiums can be made by allotment through military retired pay, electronic funds transfer, or recurring credit card charges.

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WEBINAR: Nov. 20, 2017, 1 p.m. EST Take Command The Future of TRICARE

WEBINAR: Nov. 20, 2017, 1 p.m. EST Presenters: Mark Ellis, Senior Health Program Analyst for TRICARE, Defense Health Agency; Shane Pham, Health Program Analyst for TRICARE, Defense Health Agency Disclaimer