What is the concept of “cost share” in TRICARE?

The concept of “cost share” in TRICARE refers to the specific portion of health care costs that beneficiaries are responsible for after TRICARE has processed a claim. This amount is an out-of-pocket expense that beneficiaries must pay for the services they receive, which typically occurs after TRICARE has covered its part of the costs. This cost share may vary depending on the type of service, the beneficiary's enrollment status, and the specific TRICARE plan they are using. Understanding this concept is crucial for beneficiaries as it helps them anticipate their financial responsibilities regarding their healthcare expenses and manage their budgets accordingly.

The other choices describe different aspects of TRICARE but do not accurately capture the definition of "cost share." Option A discusses what TRICARE pays, which does not involve beneficiaries’ out-of-pocket costs. Option C refers to a flat fee, which is a distinct type of payment (often known as a copayment) rather than a cost share. Option D addresses an annual fee for maintaining coverage, which is unrelated to the concept of cost sharing associated with specific healthcare services.