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Inpatient Cost-Shares Increase Slightly for Fiscal Year 2006  (Article 3)

New Rates Effective Oct. 1, 2005, through Sept. 30, 2006
Each fiscal year (Oct. 1–Sept. 30), some TRICARE inpatient cost-share rates increase slightly. The following tables highlight the new inpatient rates for Fiscal Year 2006.*

For additional information about cost-shares for TRICARE-covered services, visit the TRICARE Web site. You can also call Humana Military at 1-800-444-5445 for more information.

Inpatient Cost-Shares for Civilian Hospital Admissions
Program Active Duty Family Members Retirees, Their Families and Other Eligible Beneficiaries
TRICARE Prime No increase

$0 per admission		 No increase
$11 per day or $25 per admission, whichever is greater. No charge for separately billed professional services.
TRICARE Extra Increases from $13.90 to $14.35 per day or $25 per admission, whichever is greater. No charge for separately billed professional services. No increase

$250 per day or 25% of total charge, whichever is less. Plus, 20% of the allowable charge for separately billed
professional services.
TRICARE Standard Increases from $13.90 to $14.35 per day or $25 per admission, whichever is greater. No charge for separately billed professional services. Increases from $512 to $535 per day, or 25% of the total charge, whichever is less. Plus, 25% of the allowable charge for separately billed professional services.

Inpatient Cost-Shares for Behavioral Health
Program Active Duty Family Members Retirees, Their Families and Other Eligible Beneficiaries
TRICARE Prime No increase

$0 per admission		 No increase

$40 per day. No charge for separately billed professional services.
TRICARE Extra No increase

$20 per day or $25 per admission, whichever is greater		 No increase

20%of total charge. Plus, 20% of the allowable charge for separately billed professional services.
TRICARE Standard No increase

$20 per day or $25 per admission, whichever is greater		 High Volume Hospitals:
No increase

Low Volume Hospitals:
Increases from $169 to $175 per day or 25% of the billed charges, whichever is less. Plus, 25% of the allowable charge for separately billed professional services.

*While the inpatient rate increases are technically effective Oct. 1, 2005, there may be some delay between that date and the time Humana Military receives direction from TRICARE Management Activity (TMA) and is able to implement the change.
Information about the New Medicare Part D Prescription Drug Plans (Article 4)

Starting January 1, 2006, the new Medicare prescription drug coverage becomes available to everyone eligible for Medicare, including TRICARE For Life (TFL) beneficiaries.

TRICARE Medicare-eligible beneficiaries, entitled to the TRICARE Pharmacy benefit, need to consider a number of factors when deciding whether or not to enroll in a Medicare drug plan. You should consider monthly premiums, deductibles, copayments and drug coverage under the different prescription drug plan options offered (also known as a formulary), including the TRICARE Pharmacy Program. The Medicare Part D drug plan options will vary by location.

For more information, visit the TRICARE Web site or visit the Medicare Web sites at Medicare Web site or Medicare.


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Last Reviewed:  December 4, 2007