Catastrophic Cap

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.