The Defense Health Agency has announced cost changes for 2023
Annual enrollment fees for TRICARE Prime and TRICARE Select will increase. By law, the Department of Defense is required to raise certain out-of-pocket cost shares. These increases are based on annual cost of living adjustment (COLA) for retirees. These increases are also due to changes in the cost of health care services and other factors.
For retirees, 2023 annual enrollment fees will be based on when the sponsor entered the military:
- Those who entered active service before 1/1/2018 pay $351.96/individual or $703.92/family
- Those who entered service on or after 1/1/2018 pay $426/individual or $852/family
Additionally, in 2023, retirees will see copay increases for health care services. These increases will range from $2 to $14.
Beneficiaries whose sponsor has an initial service date before January 1, 2018, will not pay the increases, as long as at least one family member remains enrolled in TRICARE Prime and they are:
- Survivors of Active Duty deceased sponsors or
- Medically retired Uniformed Services members and their dependents
Enrollment fee increases for TRICARE Young Adult (TYA) for 2023 have also been announced. TYA enrollees will pay $6,840 annually.
There will be no pharmacy copay increases in 2023.
Active Duty family members do not make copays for health care services. They also do not pay enrollment fees.
In the same way, retirees with Medicare Part B do not make copays for health care services and do not pay enrollment fees.
Members will receive new USFHP member cards by mid-January 2023. You will also receive the updated 2023 Summary of Benefits.