Health & Safety

December 12, 2013

Ask the Doc

doctor

doctor

Q. What’s my copay for a prescription I get at a non-network pharmacy?

A.TRICARE Pharmacy Copays or Cost-shares in the United States, Including American Samoa, Guam, Puerto Rico, the Northern Mariana Islands and the U.S. Virgin Islands.
Options include utilizing a Non-Network Pharmacy or a Host Nation Pharmacy.
A Non-network Pharmacy can provide up to a 30-day supply but be aware that you may have to pay the full amount up-front and file a claim to get partial reimbursement. If you’re an active duty service member, you’ll get a full reimbursement.
For Non-network Pharmacies TRICARE Prime option enrollees, including the U.S. Family Health Plan and TRICARE Young Adult-Prime option is 50 percent cost-share after you meet the Point-of-Service deductible of $300 per person and $600 per family. For all others the cost is $17 or 20 percent of the total cost, whichever is greater. The deductible for grades E1 to E4: is $50 per person and $100 per family. All others, including retirees are $150 per person and $300 per family.
A Host Nation Pharmacy can provide up to a 30-day supply and you may have to pay the full amount up-front and file a claim.
Active duty service members and active duty family members enrolled in a TRICARE Overseas Program Prime option will get full reimbursement after a claim is filed.
Active duty family members not enrolled in a TRICARE Overseas Program Prime option will receive a 20 percent cost-share after they meet their annual deductible. For the grades E-1 through E-4 the deductible is $50 per person and $100 per family. For the grades of E-5 and above the deductible is $150 per person and $300 per family. All others get a 25 percent cost-share after they meet their annual deductible of $150 per person and $300 per family.
If you live in the Philippines, you must get your medications from a TRICARE-certified pharmacy.

Send your questions to askthedoc@nellis.af.mil.




All of this week's top headlines to your email every Friday.


 
 

 
police5

99th SFS honors fallen wingmen during National Police Week

U.S. Air Force photo by Staff Sgt. Siuta B. Ika Airmen assigned to the 99th Security Forces Squadron participate in a 10K memorial ruck march for National Police Week at Nellis Air Force Base, Nev., May 13. The march was one of...
 
 
U.S. Air Force photo by Airman 1st Class Christian Clausen

Dispelling remotely piloted aircraft myths

U.S. Air Force photo by Airman 1st Class Christian Clausen Chief of Staff of the Air Force Gen. Mark A. Welsh III conducts an all-call with the men and women of the 432nd Wing/432nd Air Expeditionary Wing at Creech Air Force Ba...
 
 
Courtesy photo

Yokota aircrew recounts Nepal earthquake

Courtesy photo Members of the U.S. Air Force view the damage in Nepal firsthand following the devastating 7.8 magnitude earthquake that damaged many parts of the country. KATHMANDU, Nepal— We were tasked with taking an 11-man...
 

 
EOD6

IEDs, UXOs no problem for EOD

U.S. Air Force photo by Airman 1st Class Jake Carter Senior Airman Kalin Fuller, 99th Civil Engineer Squadron explosive ordnance disposal journeyman looks out from inside his bomb suit at Nellis Air Force Base, Nev., May 13. Be...
 
 
U.S. Air Force photo by Airman 1st Class Rachel Loftis

Maintenance shop saves $9 Million through innovative process

U.S. Air Force photo by Airman 1st Class Rachel Loftis Curtis Klitzka, 547th Intelligence Squadron sheet metal painter, uses a drill to attach a roof to a golf cart at the Threat Training Facility Maintenance Shop on Nellis Air...
 
 
Golf2

Disabled veterans discover ‘Hope’ through golf program

U.S. Air Force photo by Airman 1st Class Mikaley Towle Participants in the Professional Golfers’ Association of America Hope Program practice their swing at the driving range on Nellis Air Force Base, Nev., May 14. The PGA Ho...
 




0 Comments


Be the first to comment!


Leave a Reply

Your email address will not be published. Required fields are marked *

You may use these HTML tags and attributes: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <strike> <strong>


Directory powered by Business Directory Plugin