TRICARE Costs for Inpatient Services Increase Slightly for FY08

Each fiscal year, some of the costs for TRICARE-covered inpatient services may increase slightly. The following tables highlight the new rates for inpatient services for fiscal year 2008 (Oct. 1, 2007–Sept. 30, 2008).*

For additional information about copayments and cost-shares for TRICARE-covered services, visit the TRICARE Web site at www.tricare.mil. You can also visit www.triwest.com, or call 1-888-TRIWEST (1-888-874-9378) for more information.

*While the inpatient rate increases are technically effective Oct. 1, 2007, there may be some delay between then and the time TriWest receives direction from the TRICARE Management Activity and is able to implement the change.

Beneficiary Costs for Inpatient Services for Civilian Hospital Admissions
Program Active Duty Family Members Retirees, Their Families and Other Eligible Beneficiaries
TRICARE Prime (no change) $0 per admission (no change) $11 per day or $25 per admission, whichever is greater. No charge for separately billed professional services.
TRICARE Standard Increases from $14.80 to $15.15 per day or $25 per admission, whichever is greater. No charge for separately billed professional services. (no change) $535 per day or 25% of the total charge, whichever is less, plus 25% of the TRICARE-allowable charge for separately billed professional services.
TRICARE Extra Increases from $14.80 to $15.15 per day or $25 per admission, whichever is greater. No charge for separately billed professional services. (no change) $250 per day or 25% of total charge, whichever is less, plus 20% of the TRICARE-allowable charge for separately billed professional services.
Beneficiary Costs for Inpatient Behavioral Health Services at Civilian Facilities
Program Active Duty Family Members Retirees, Their Families and Other Eligible Beneficiaries
TRICARE Prime (no change) $0 per admission (no change) $40 per day. No charge for separately billed professional services.
TRICARE Standard (no change) $20 per day High-volume Hospital(no change): 25% of hospital-specific charges. Low-volume Hospital: Increases from $181 to $187 per day or 25% of the billed charges, whichever is lower. Residential Treatment Center(no change): 25% of the TRICARE-allowable charge. Partial Hospitalization (no change): 25% of the TRICARE-allowable charge, plus 25% of the TRICARE-allowable charge for separately billed professional services.
TRICARE Extra (no change) $20 per day (no change) 20% of total charge, plus 20% of the TRICARE-allowable charge for separately billed professional services.
MilitaryMilitary Treatment Facility Inpatient Admission Cost Increase
The cost for inpatient care provided at a military treatment facility increases from $14.80 to $15.15 per day for active duty family members and retiree family members using TRICARE Standard or TRICARE Extra and for retiree family members enrolled in TRICARE Prime.