It’s a little complicated but based on the “catastropic cap” that goes with the plan. It’ll be worth checking this out if you’re retired military.
Military retirees who paid annual Tricare Prime enrollment fees in 2018 or 2019 could soon see a refund check in the mail, thanks to a new change to how the system calculates their annual out-of-pocket maximum payment.
The annual maximum out-of-pocket payment, or "catastrophic cap," for any retiree family with a service member who joined the military before Jan. 1, 2018, is set at $3,000. For those who joined after Jan. 1, 2018, the annual retiree cap is about $3,600. Those users pay about $600 per year for plan enrollment, while future retirees will pay close to $1,000.