When using TRICARE For Life (TFL), TRICARE is the second payer after Medicare in most cases. You have minimal out-of-pocket costs with TFL. There are no TFL enrollment fees, but you are required to pay Medicare Part B premiums (unless you are an ADFM). Visit Medicare Web site for the current Medicare Part B premium amounts. For additional information about TFL, contact Wisconsin Physicians Service .
The following chart highlights your out-of-pocket costs associated with TFL. For a more detailed breakdown, visit TRICARE For Life and click on the "Costs" link.
The catastrophic cap is the maximum out-of-pocket expense you’ll pay each fiscal year for TRICARE-covered services. You are not responsible for any amounts above the catastrophic cap in a given fiscal year, except for services that are not covered, POS charges, and the additional
15 percent nonparticipating providers may charge above the TRICARE-allowable charge. The catastrophic cap amount is based on your beneficiary category and is not affected by the program option you are using. Note: Point of service deductible and cost-share amounts are not creditable to the enrollment/fiscal year catastrophic cap.
ADFMs
Retirees, Their Families and All Others
National Guard and Reserve Members and Their Families
