What is the maximum allowable cost for urgent care under TRICARE?

The correct answer is that the maximum allowable cost for urgent care under TRICARE is dependent on specific plans. This means that the fees associated with urgent care can vary based on the specific TRICARE plan that a beneficiary is enrolled in, such as TRICARE Prime, TRICARE Select, or other options. Each plan may have different cost-sharing structures, which can include varying copayment or coinsurance amounts for urgent care services.

For instance, some plans may have fixed copayment amounts for urgent care visits, while others may require beneficiaries to pay a percentage of the allowed amount based on their plan provisions. Understanding the details of your specific TRICARE plan is crucial for determining the exact costs involved with accessing urgent care services.