by

Tricare For Life Copay



Testing copayment waiver: Retroactive to March 18, 2020, TRICARE will waive copayments/cost-shares for medically necessary COVID-19 diagnostic and antibody testing and related services, and office visits, urgent care or emergency room visits during which tests are ordered or administered. COVID-19 diagnostic and antibody tests must meet Families First Coronavirus Response Act (FFCRA) criteria in. TRICARE is a health insurance program provided by the federal government to active duty and retired military personnel and their family members. There are many different TRICARE programs. TRICARE for Life (TFL), a program for Medicare-eligible military retirees and their dependents, acts as a supplement to Medicare. TFL typically covers your Medicare cost-sharing (deductibles, coinsurances. When you use TRICARE For Life (TFL), you don't pay any enrollment fees, but you must pay Medicare Part B monthly premiums. Your Part B premium is based on your income. For more information visit or call Social Security at 1-800-772-1213 (TTY: 1-800-325-0778).

Costs

Find your TRICARE costs, including copayments,
enrollment fees, and payment options.

Medicare Part B Premiums

When you use TRICARE For Life, you don't pay any enrollment fees, but you must have Medicare Part A and Medicare Part B.

  • Medicare Part A is paid from payroll taxes while you are working.
  • Medicare Part B has a monthly premium, which is based on your income.

For more information:

Tricare

Tricare For Life And Medicare

  • Visit www.medicare.gov
  • Call Social Security at 1-800-772-1213 (TTY: 1-800-325-0778)

Costs for Covered Services

TRICARE pays after Medicare.

  • In most cases, you'll pay nothing for covered services.
  • If the care is covered by TRICARE but not Medicare, you'll pay the TRICARE For Life deductible and cost-shares. Examples include:
    • Inpatient hospital stays longer than 150 days
    • Care received outside of the U.S. or U.S. territories
  • If the care isn't covered by Medicare or TRICARE, then you'll pay the entire amount.
  • For more specific details, download the TRICARE For Life Cost Matrix.

Here's how it works:

For
If the service is covered by:Then, you pay:
Both Medicare and TRICARE Nothing.
TRICARE, but not Medicare

The TRICARE calendar year deductible and cost shares.

Medicare, but not TRICAREThe Medicare deductible and coinsurance.

Last Updated 12/31/2019

Find a Doctor

Tricare For Life Copays 2020

Covered Services

Learn more about what we cover -
including health, dental, and pharmacy.

TRICARE covers most prescription drugs approved by the U.S. Food and Drug Administration (FDA). Prescription drugs may be available as part of the pharmacy or medical benefit.

For a drug to be covered by the TRICARE pharmacy benefit, it must:

  1. Be approved by the FDA
  2. Not be part of a procedure covered under the medical benefit
  3. Be prescribed in accordance with good medical practice and established standards of quality

TRICARE doesn't cover drugs that aren't medically or psychologically necessary for the diagnosis or treatment of a covered illness.

This list of covered services is not all inclusive. TRICARE covers services that are medically necessaryTo be medically necessary means it is appropriate, reasonable, and adequate for your condition. and considered proven. There are special rules or limits on certain services, and some services are excluded.

Tricare For Life Cost 2020

These are the drugs you get while you’re hospitalized or during an outpatient visit.

Tricare For Life Prescription Copay

Find a Doctor

Tricare For Life Copays And Deductibles

Dental
Prescriptions
Vision
Mental Health Therapeutic Services