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washingtonscene Fee Component


Annual Enrollment Fee


Annual Deductible Doctor Visit Copays2 Rx Copays3 Yearly Total


Retiree Family of Four — TRICARE Prime 1 2018


2016


$565 None $72


$188 $825


Fee Component


Annual Enrollment Fee


Annual Deductible Doctor Visit Copays2 Rx Copays3 Yearly Total


2016 2018


In Network $700


None $310 $260


$1,270


Out of Network $700


$600 --


$260 $1,560


Retiree Family of Four — TRICARE Standard 1 2018


2018


None $300 $338 $188 $826


In Network $900


None $355 $260 $1,515


Out of Network $900


$600 --


$260 $1,760


1 Under proposal, TRICARE Prime will be known as TRICARE Select and TRICARE Standard will be known as TRICARE Choice.


2 Assumes six primary care visits, three specialty-care visits, and one outpatient surgery. 3 Assumes two brand-name and two generic prescriptions a month (initial fill retail; refills by mail-order). Source: FY 2017 presidential budget request


Fee Component


Enrollment Fee Deductible1


Network Copays2 Rx Cost Shares3 Yearly Total


Currently Serving Family of Four 2016


TRICARE Standard


$0


$300 $0


$188 $488


TRICARE Prime


$0 $0 $0


$260 $260


2018 TRICARE Reform


or Fee Increases? The president’s budget would hike beneficiary costs.


T


he FY 2017 budget request details a wide variety of fee changes and increases for TRI-


TRICARE Standard


$0 $0


$195 $260 $455


1 Under proposal, deductibles apply for out-of-network care only. 2 Assumes eight network visits a year (three primary care, two specialty care, two urgent care, one ER). 3 Assumes two brand-name and two generic prescriptions a month (initial fill retail; refills by mail-order). Source: FY 2017 presidential budget request


The charts show the effect of proposed fee changes on annual costs experienced by retired versus currently serving families.


34 MILITARY OFFICER APRIL 2016 2018


CARE, including:  rebranding TRICARE Prime and TRI- CARE Standard as TRICARE Select and TRICARE Choice, respectively (for clarity purposes, we’ll still refer to them as Prime and Standard in the discussion below); changing most copayments for network- provider visits to flat fees (out-of-network care would continue to have copayments of 20 percent for active duty family members and 25 percent for military retirees and family members); establishing for all retired servicemem- bers and their families new annual “partici- pation fees,” under which those who don’t pay the fee would be denied coverage for the year; and establishing a zero deductible for Stan- dard and Prime beneficiaries who use in- network providers but a $300/$600 (single/ family) annual deductible for care from out- of-network providers; raising maximum out-of-pocket expens- es to $1,500 a year for currently serving families and $4,000 for retired families (versus current $1,000 and $3,000); roughly doubling most pharmacy copay- ments over a 10-year schedule; increasing all flat-dollar fee amounts an- nually by medical inflation; implementing a new TRICARE For Life enrollment fee (see page 36); and  exempting from the higher fees and copayments medical (Chapter 61) retirees and survivors whose sponsors died while on active duty.


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