Whats my annual deductible and maximum out-of-pocket expense?
If you’re not enrolled in TRICARE Prime, your annual deductible is $150 per family member or $300 per family. The maximum out-of-pocket expense is $3,000 per fiscal year. If you have TRICARE Prime, there is no deductible unless you use the Point-of-Service option. Enrollment fees, Prime copayments and Prime cost-shares are credited toward the $3,000 maximum out-of-pocket expense. The fiscal year maximum out-of-pocket expense runs October 1 through September 30 and does notinclude any Point-of-Service annual deductibles and cost-shares.
Related Questions
- Can you clarify the difference between the Annual Deductible vs. Out-of-Pocket Maximum in the POS Out-of-Network coverage?
- Does the maximum Out-Of-Pocket expense of $5,500 for individuals and $11,000 for families include the deductible?
- Does the maximum Out-Of-Pocket expense of $5,000 for individuals and $10,000 for families include the deductible?
