Claims for TRICARE Reserve Select (TRS) and TRICARE Retired Reserve (TRR)

All individuals covered under TRS should follow the applicable cost-shares, deductibles and catastrophic caps for Active Duty Family Members (ADFM) covered under TRICARE Select.

All individuals covered under TRR should follow the applicable cost-shares, deductibles and catastrophic caps for retirees and eligible family members covered under TRICARE Select.

 

TRICARE network providers

  • File claims with WPS electronically on behalf of TRS and TRR beneficiaries in the same manner as filing other TRICARE claims.
  • The cost-share for all TRS beneficiaries, including National Guard and Reserve members, is 15 percent of the negotiated fee for covered services from TRICARE network providers. TRICARE will reimburse providers the remaining amount of the negotiated fee.

The cost-share for all TRR beneficiaries, including National Guard and Reserve members, is 20 percent of the negotiated fee for covered services from TRICARE network providers. TRICARE will reimburse providers the remaining amount of the negotiated fee.

 

Non-network TRICARE-authorized providers

Participation with TRICARE (e.g., accepting assignment, filing claims and accepting the TRICARE allowable charge as payment in full) is encouraged. Non-network providers should submit their TRICARE claims electronically.

  • The cost-share for all TRS beneficiaries is 20 percent of the TRICARE allowable charge for covered services from participating non-network TRICARE-authorized providers. TRICARE will reimburse the remaining amount of the TRICARE allowable charge.
  • The cost-share for all TRR beneficiaries is 25 percent of the TRICARE allowable charge for covered services from participating non-network TRICARE-authorized providers. TRICARE will reimburse the remaining amount of the TRICARE allowable charge.

If a non-network provider does not participate on a particular claim, beneficiaries must file their own claims with TRICARE and then pay the non-network provider.

Note: By federal law, if a non-network provider does not participate on a particular claim, the provider may not charge beneficiaries more than 15 percent above the TRICARE allowable charge.

View current fee schedules

TRICARE claims information