What is the typical cost-sharing structure in TRICARE Prime?

The typical cost-sharing structure in TRICARE Prime includes a copayment for visits to primary care managers (PCM) and specialists, while active duty members are not subject to a deductible. This means that active duty service members can access healthcare services with minimal out-of-pocket expenses for copayments, which are designed to enhance access to care without placing a financial burden on them.

In TRICARE Prime, active duty members benefit from this structure as it promotes their readiness and wellbeing by removing financial barriers to necessary healthcare services. The copayment system encourages appropriate use of healthcare services while ensuring that active duty personnel receive timely medical attention.

The structure is particularly beneficial and supportive of military personnel who require consistent and reliable healthcare, with minimal financial stresses related to deductibles or annual fees which are not part of this plan for active duty members.