TRICARE Prime Increases for 2019

January 07, 2019

TRICARE Prime enrollment fees for 2019 will increase by 2.7% for retirees who do not have Medicare Part B. This includes the enrollment fees for US Family Health Plan. To see the 2019 costs for TRICARE Prime plans, go to https://www.tricare.mil/costs.

You are exempt from this increase if you are classified as a survivor of active duty deceased. Your sponsor must have an initial service date before January 1, 2018.

You and your dependents are also exempt from annual increases if you are classified as medically retired., Your initial service date must also be prior to January 1, 2018.

If you fit into either of these groups, your premium will stay frozen at the rate in effect when you were classified.

This applies to you if at least one family member is still enrolled in a TRICARE Prime plan under the sponsor’s Social Security number. There must have been no break in enrollment from the date you were classified.

What about copay increases?

Retirees covered under TRICARE Prime will also see minor copay increases. These will apply to emergency room visits, outpatient surgery and ground ambulance. Copays for these items will increase by $1. Also, copays for inpatient admissions will increase by $4 per admission.

You can see an updated USFHP Summary of Benefits online. USFHP members will get new member ID cards in early January. There will be no increases in pharmacy copays in 2019.