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TRICARE pharmacy copay increase

Posted 1/25/2013   Updated 1/25/2013 Email story   Print story



1/25/2013 - TYNDALL AIR FORCE BASE, Fla. -- Sometime in February, prescription copays will increase (date is pending).

Congress passed the increases into law (NDAA FY13) and annual increases will occur based on retiree cost-of-living adjustments (COLA). There may be some years where there are no increases. For years where an increase would be less than a dollar, increases will be delayed and combined with the following year's adjustment.

Information about the increase appears in the "Breaking News" box of pharmacy Explanation of Benefits (EOBs) sent as of Jan. 11, 2013 to beneficiaries. A sample "Pharmacy Copay Increase EOB," is available in the Source Documents tab of the Customer Service Community website. FAQs are available at www.tricare.mil/faqs/, keyword search: "pharmacy," "copays" or "pharmacy copays."

Pharmacy Copays at a Glance: You know the copays are increasing and now want the goods, the actual copays themselves.

TRICARE Pharmacy Copaymetns/Cost-shares in the United States chart

Other Pharmacy Updates...

Mandatory Home Delivery For TRICARE For Life Beneficiaries: The FY13 NDAA is making 2013 an interesting year for members of the Customer Service Community. Though not finalized, the NDAA mentions a home delivery pilot program of maintenance medications for TRICARE For Life beneficiaries. At this moment no implementation dates or specifics are set in stone, but simply informing beneficiaries that there are plans to have TRICARE For Life beneficiaries use home delivery for maintenance medications, but no start date or details have been announced. Beneficiaries can sign up to receive updates about their TRICARE benefit by visiting https://public.govdelivery.com/accounts/USMHSTMA/subscriber/new .

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