TRICARE Prime Increases 2020

November 24, 2019

Effective January 1, 2020 TRICARE costs will increase. Retirees with the TRICARE Prime benefit who do not carry Medicare Part B will also see small copay increases in some medical categories. In addition, these retirees will see a 1 % increase in premiums. US Family Health Plan is a TRICARE Prime program so these increases apply to its members.

Pharmacy copays will also increase for most beneficiaries. To see the updated pharmacy copays, please navigate to the Pharmacy tab on our website
Please note: Pharmacy copay changes do not affect dependent survivors of active duty service members. They also do not affect medically retired service members and their dependents.

Prescriptions filled at mail order will have lower copays than those picked up at your local pharmacy. MXP MAXORPlus Pharmacy handles your USFHP mail order service. If you are not using mail order but would like to, it is easy to do. To transfer your prescriptions to mail order, call MXP Pharmacy customer service. Their toll-free number is (866) 408-2459.

These price increases were mandated by Congress. They were part of the National Defense Authorization Act for Fiscal Year 2018. The changes aim to bring the amount TRICARE beneficiaries pay in line with the actual costs of prescription drugs.

For retirees without Medicare Part B, minor copay increases will apply to emergency room visits, outpatient surgery and outpatient behavioral health services. The copays for these items will increase by $1. Copays for inpatient admissions will increase by $2 per admission.

Click to see an updated USFHP Summary of Benefits for 2020. USFHP members will get new member ID cards in early January. To see the 2020 costs for TRICARE Prime plans, go to https://www.tricare.mil/costs