GOVERNMENT AGENTS

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I'm a military retiree. What's my annual deductible and maximum out-of-pocket expense?


If you're not enrolled in TRICARE Prime, your annual deductible is $150 per family member or $300 per family. The maximum out-of-pocket expense is $3,000 per fiscal year. If you have TRICARE Prime, there is no deductible unless you use the Point-of-Service option.  Enrollment fees, Prime copayments and Prime cost-shares are credited toward the $3,000 maximum out-of-pocket expense. The fiscal year maximum out-of-pocket expense runs October 1 through September 30 and does not include any Point-of-Service annual deductibles and cost-shares.


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