Tricare Help

What is the deductible?

What does the “annual deductible” mean? Is that billed to you? Is it charged as you use services?

The annual deductible is the portion of your medical costs that you must pay up front before your Tricare coverage begins to pay. You don’t say specifically what Tricare program you are using, but the one that requires payment of deductibles is Tricare Standard. The annual deductible is $150 for an individual and $300 for a family for E-5s and above, and $50 for an individual and $100 for a family for E-4s and below.

What that means is that each fiscal year (Oct. 1-Sept. 30), beneficiaries using Tricare Standard must pay their applicable deductibles out of their own pockets for any medical costs incurred, and then Tricare Standard kicks in with its normal coverage. When a new fiscal year begins, you will again have to satisfy the deductible before Tricare begins to pay. Keep in mind that even after Tricare begins to pay, you will still be responsible for paying applicable cost-shares and co-payments for services. This cycle starts again with the start of each new fiscal year.

Tags: ,

Comments are closed.