9-28-12

TRICARE Prime Fee Hike Effective October 1

TRICARE Prime enrollment fees for retirees and their families will increase to $269.28 for individual retirees and $538.56 for retirees and their family members, effective October 1, 2012. Survivors of active duty deceased sponsors, medically retired service members and their dependents are exempt from these increases.  Active duty service members and their families also continue to have access to TRICARE Prime with no enrollment fee.

Prime beneficiaries who enrolled before October 1, 2011, did not incur the 13-percent fee increases imposed on new enrollees last year.   The increases that take effect next week reflect the 13-percent increase that were levied on new enrollees last year, plus a 3.1-percent increase that is equal to the annual cost-of-living adjustment (COLA) for 2013.

  • Those who enrolled before October 1, 2011, currently pay $230/year for individuals and $460/year for families.
  • Those who enrolled on or after October 1, 2011, pay $260/year for individuals and $520/year for families.
  • After October 1, 2012, all Prime beneficiaries (except those exempted) will pay $269.28/year for individuals and $538.56/year for families.

Beneficiaries can opt to pay their enrollment fee monthly, quarterly or annually. To make changes visit the TRICARE website or call the representative for your TRICARE region:

  • North Region/HealthNet Federal Services – 1-877-874-2273
  • South Region/Humana Military Healthcare Services – 1-800-444-5445
  • West Region/TriWest Healthcare Alliance – 1-888-874-9378

Shipmates are urged to use the FRA Action Center to contact their elected officials to oppose further increases and significantly higher pharmacy co-pays.