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Costs for Inpatient Services Increase Slightly
New Rates Effective Oct. 1, 2007, through Sept. 30, 2008
Each fiscal year, some of the costs for TRICARE-covered inpatient services may increase slightly. The following tables highlight the new rates for inpatient services for Fiscal Year 2008 (Oct. 1, 2007–Sept. 30, 2008).*
Enroll in (or disenroll from) TRICARE Prime, TRICARE Prime Remote (TPR) or TRICARE Prime Remote for Active Duty Family Members (TPRADFM).
For additional information about copayments and cost-shares for TRICARE-covered services, visit the TRICARE Web Site, enter your profile and select “Costs.” You can also call Humana Military at 1-800-444-5445 for more information.
* While the inpatient rate increases are technically effective Oct. 1, 2007, there may be some delay between then and the time Humana Military receives direction from TRICARE Management Activity (TMA) and is able to implement the change.
Military Treatment Facility Inpatient Admission Cost Increase
The cost for inpatient care provided at a military treatment facility increases from $14.80 to $15.15 per day for active duty family members and retiree family members using TRICARE Standard or TRICARE Extra and for retiree family members enrolled in TRICARE Prime.
Beneficiary Costs for Inpatient Services
for Civilian Hospital Admissions
|
Program
|
Active Duty Family Members
|
Retirees, Their Families and Other Eligible Beneficiaries
|
| TRICARE Prime |
(no change)
$0 per admission |
(no change)
$11 per day, or $25 per admission, whichever is greater. No charge for separately billed professional services. |
| TRICARE Standard |
Increases from $14.80 to $15.15 per day or $25 per admission, whichever is greater. No charge for separately billed professional services. |
(no change)
$535 per day, or 25% of the total charge, whichever is less, plus 25% of the TRICARE-allowable charge for separately billed professional services. |
| TRICARE Extra |
Increases from $14.80 to $15.15 per day or $25 per admission, whichever is greater. No charge for separately billed professional services. |
(no change)
$250 per day, or 25% of total charge, whichever is less, plus 20% of the TRICARE-allowable charge for separately billed professional services. |
Beneficiary Costs for Inpatient Behavioral
Health Services at Civilian Facilities
|
Program
|
Active Duty Family Members
|
Retirees, Their Families and
Other Eligible Beneficiaries
|
| TRICARE Prime |
(no change)
$0 per admission |
(no change)
$40 per day. No charge for separately billed professional services. |
| TRICARE Standard |
(no change)
$20 per day or $25 per admission, whichever is greater. |
(no change)
$535 per day, or 25% of the total charge, whichever is less, plus 25% of the TRICARE-allowable charge for separately billed professional services. |
| TRICARE Extra |
(no change)
$20 per day or $25 per admission, whichever is greater. |
(no change)
20% of total charge, plus 20% of the TRICARE-allowable charge for separately billed professional services. |
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