With this
Extra, you don't have to enroll or pay an annual
fee. You do have to satisfy an annual deductible for
outpatient care, just as you do under TRICARE
Standard. The deductible and cost sharing work the
same way for TRICARE Extra. In the TRICARE Extra
program, when you receive care from a TRICARE Extra
network provider, you get a discount on cost
sharing, and you don't have to file your own claims.
You don't enroll and may use TRICARE Extra on a
case-by-case basis just by using the network
providers. TRICARE Extra is not available overseas
or to active duty service members.
Advantages
Co-payment 5% less than TRICARE Standard
No balance billing
No enrollment fee
No deductible when using retail pharmacy network
No forms to file
You may use also TRICARE Standard
Disadvantages
No Primary Care Manager
Provider choice is limited
Patient pays Deductible and Co-payment
Non availability statement may be required for
civilian inpatient care for areas surrounding MTF's
Not universally available
TRICARE Cost Comparison at a Glance
The following tables provide examples of cost-shares
or co-payments for families who use civilian
providers and facilities under each of the three
TRICARE options. The listed fees are subject to
change.
SUMMARY -- TRICARE Extra
Choose any doctor in TRICARE Extra network
Less expensive than TRICARE Standard
Still may be expensive
Enrollment not required
Can still seek space-available care in military
hospital, but at low priority
Helpful Hint:
Sponsors should ensure their family members have
up-to-date uniformed services identification cards,
and that they are properly enrolled in the Defense
Enrollment Eligibility Reporting System (DEERS).