RAO Davao City

United States Military Retiree Activities Office Davao City, Philippines

Tricare User Fee Update 16 Feb 2008

Posted by Service Officer on February 15th, 2008

In the proposed FY09 budget DoD included the “Task Force for the Future of Military” recommendations to dramatically raise the TRICARE enrollment fees, co-pays and deductibles for working age military retirees and their families. They estimate a savings to them (and a cost to the retirees) of $1.2 billion. On 7 FEB, representatives from The Military Coalition testified against these proposals before the House Armed Service Committee’s personnel subcommittee. The increases proposed for 2009 are as follows:

• For retirees with retired pay from $0 to $19,999 for TRICARE Prime (presently $230 for an individual and $460 for a family) up to $364 for an individual and $728 for a family.

• For TRICARE Standard (presently there is no yearly enrollment fee and the deductible is $150 for an individual and $300 for a family) there will be an enrollment fee of $32 for an individual, $64 for a family, a deductible of $209 for an individual and $407 for an family.

• For retirees with retired pay from $20,000-$39,000 for TRICARE Prime (presently $230 for an individual and $460 for a family) up to $444 for an individual and $888 for a family.

• For TRICARE Standard (presently there is no yearly enrollment fee and the deductible is $150 for an individual and $300 for a family) there will be an enrollment fee of $32 for an individual, $64 for a family, a deductible of $252 for an individual and $503 for an family.

• For retirees with retired pay from $40,000 and above for TRICARE Prime (presently $230 for an individual and $460 for a family) up to $594 for an individual and $1,188 for a family.

• For TRICARE Standard (presently there is no yearly enrollment fee and the deductible is $150 for an individual and $300 for a family) there will be an enrollment fee of $32 for an individual, $64 for a family, a deductible of $337 for an individual and $675 for an family.

• The present co-pays in retail for a 30 day supply are $3 for a generic drug, $9 for a brand name and $22 for a non-formulary drug. Under this proposal it would increase to $15 for a generic; $25 for a brand name and $45 for a non-formulary drug.

• Mail order for 90 day supply co-pays are presently $3 for a generic, $9 for a brand and $22 for a non-formulary. Under the proposal the generic they would have $0 co-pay generic, $15 for the brand and $45 for the non-formulary.

[Source: TREA Washington Update 8 Feb 08 ++]

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