Tricare civilian inpatient rates increase slightly

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The daily cost of inpatient care in civilian hospitals for active-duty family members under Tricare Standard and Tricare Extra increased Oct. 1 from $13.32 to $13.90 per day or $25, whichever is greater.

For example, if a family member of an active-duty servicemember is an inpatient for one day, he or she will pay $25. For inpatient stays that are two days or more, the cost will be $13.90 per day, Tricare officials said.

The Tricare Standard diagnosis-related group daily rate for most civilian nonmental health hospital admissions increased to $512 from $459 last year, officials said. This rate increase applies only to retirees, their families and survivors who use Tricare Standard. They must pay either $512 per day or a cost share of 25 percent of the hospital's billed charges, whichever is less. A 25-percent allowable charge for separately billed professional services could also apply. There is no increase for beneficiaries who use a civilian Tricare network facility under Tricare Extra.

Rates for inpatient mental-health care or a substance-use disorder increased from $164 to $169 per day for retirees, their families and survivors who use Tricare Standard. They also pay 25 percent of the allowable charge for separately billed professional services. The inpatient mental-health rate is unchanged under Tricare Prime and Extra for family members of active-duty servicemembers, military retirees, their families and survivors. (Courtesy of Tricare Management Activity)