TRICARE; Calendar Year (CY) 2023; TRICARE Prime and TRICARE Select Out-of-Pocket Expenses, 71313-71314 [2022-25439]
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71313
Federal Register / Vol. 87, No. 224 / Tuesday, November 22, 2022 / Notices
considered by the Board. Written
comments or statements received after
this date may not be provided to the
Board until its next scheduled meeting.
Please note that all submitted comments
and statements will be treated as public
documents and will be made available
for public inspection, including, but not
limited to, being posted on the Board’s
website.
Dated: November 17, 2022.
Aaron T. Siegel,
Alternate OSD Federal Register Liaison
Officer, Department of Defense.
[FR Doc. 2022–25442 Filed 11–21–22; 8:45 am]
BILLING CODE 5001–06–P
Office of the Secretary
TRICARE; Calendar Year (CY) 2023;
TRICARE Prime and TRICARE Select
Out-of-Pocket Expenses
Office of the Secretary,
Department of Defense.
ACTION: Notice of CY 2023 TRICARE
Prime and TRICARE Select out-ofpocket expenses.
AGENCY:
This notice provides the CY
2023 TRICARE Prime and TRICARE
Select out-of-pocket expenses.
DATES: The CY 2023 rates contained in
this notice are effective January 1, 2023.
SUMMARY:
Defense Health Agency
(DHA), TRICARE Health Plan, 7700
Arlington Boulevard, Suite 5101, Falls
Church, Virginia 22042–5101.
FOR FURTHER INFORMATION CONTACT:
Debra Fisher, telephone (703) 275–6224.
SUPPLEMENTARY INFORMATION: The
National Defense Authorization Acts for
Fiscal Years 2012 and 2017 established
rates for TRICARE beneficiary out-ofpocket expenses and how they may be
increased by the annual cost of living
adjustment (COLA) percentage used to
increase military retired pay or via
budget neutrality rules. The CY 2023
retiree COLA increase is 8.7%.
The DHA has updated the CY 2023
out-of-pocket expenses as follows:
ADDRESSES:
DEPARTMENT OF DEFENSE
CALENDAR YEAR 2023 TRICARE PRIME AND TRICARE SELECT OUT-OF-POCKET EXPENSES: ACTIVE DUTY FAMILY
MEMBERS (ADFM) CATEGORY
[Page 1 of 1]
Select
Group A
CY23
Select
Group B
CY23
$0 ..............................................................
$0 ..............................................................
$0 ..............................................................
$0 ..............................................................
$0
0
$0
0
$50 ............................................................
$100 ..........................................................
$150 ..........................................................
$300 ..........................................................
$1,000 .......................................................
$0 ..............................................................
$25 (IN) 20% (OON) .................................
$37 (IN) 20% (OON) .................................
$103 (IN) 20% (OON) ...............................
$25 (IN) 20% (OON) .................................
$25 (IN or OON) .......................................
$75 (IN) 20% (OON) .................................
20% (IN or OON) ......................................
15% (IN) 20% (OON) ................................
$21.30 per day; $25 min. per admission ..
$21.30 per day; $25 min. per admission ..
$60 ............................................................
$121 ..........................................................
$182 ..........................................................
$365 ..........................................................
$1,217 .......................................................
$0 ..............................................................
$18 (IN) 20% (OON) .................................
$30 (IN) 20% (OON) .................................
$48 (IN) 20% (OON) .................................
$24 (IN) 20% (OON) .................................
$30 (IN) 20% (OON) .................................
$18 (IN) 20% (OON) .................................
20% (IN or OON) ......................................
10% (IN) 20% (OON) ................................
$73 per adm. (IN); 20% (OON) ................
$30 per day (IN); $60 per day (OON) ......
0
0
0
0
1,000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1,217
0
0
0
0
0
0
0
0
0
0
0
Out of pocket expense
Annual enrollment fee:
Individual ............................................
Family .................................................
Annual deductible:
E1–E4, individual ................................
E1–E4, family .....................................
E5 & above, individual .......................
E5 & above, family .............................
Annual catastrophic cap ............................
Preventive visit ..........................................
Primary care ..............................................
Specialty care ............................................
ER visit ......................................................
Urgent care center visit .............................
Ambulatory surgery ...................................
Ambulance, outpatient ground ..................
Ambulance, outpatient air ..........................
Durable medical equipment .......................
Inpatient admission ....................................
Inpatient SNF/rehab facility .......................
Prime *
Group A
CY23
Prime *
Group B
CY23
* When TRICARE Prime enrollees other than active duty service members self-refer to specialty or non-emergent inpatient care without a referral from a network
provider and/or authorization from the regional contractor, the TRICARE Point of Service deductible and copayment applies in lieu of TRICARE Prime copayments.
CALENDAR YEAR 2023 TRICARE PRIME AND TRICARE SELECT OUT-OF-POCKET EXPENSES: RETIREE BENEFICIARY
CATEGORY
[Page 1 of 2]
Select
Group A
CY23
Select
Group B
CY23
$171.96 .....................................................
$345 ..........................................................
$547.92 .....................................................
$1,095.96 ..................................................
$351.96
703.92
$426
852
$150 ..........................................................
$300 ..........................................................
$4,028 .......................................................
$0 ..............................................................
$34 (IN) 25% (OON) .................................
$49 (IN) 25% (OON) .................................
$138 (IN) 25% (OON) ...............................
$34 (IN) 25% (OON) .................................
20% (IN) 25% (OON) ................................
$100 (IN) 25% (OON) ...............................
25% (IN or OON) ......................................
$182 (IN); $365 (OON) .............................
$365 (IN); $730 (OON) .............................
$4,262 .......................................................
$0 ..............................................................
$30 (IN) 25% (OON) .................................
$48 (IN) 25% (OON) .................................
$97 (IN) 25% (OON) .................................
$48 (IN) 25% (OON) .................................
$115 (IN) 25% (OON) ...............................
$73 (IN) 25% (OON) .................................
25% (IN or OON) ......................................
0
0
3,000
0
24
36
73
36
73
48
20
0
0
4,262
0
24
36
73
36
73
48
20
khammond on DSKJM1Z7X2PROD with NOTICES
Out of pocket expense
Annual enrollment fee:
Individual ............................................
Family .................................................
Annual deductible:
E1–E4, individual ................................
Family .................................................
Annual catastrophic cap ............................
Preventive visit ..........................................
Primary care ..............................................
Specialty care ............................................
ER visit ......................................................
Urgent care center visit .............................
Ambulatory surgery ...................................
Ambulance, outpatient ground ..................
Ambulance, outpatient air ..........................
VerDate Sep<11>2014
17:48 Nov 21, 2022
Jkt 259001
PO 00000
Frm 00024
Fmt 4703
Sfmt 4703
E:\FR\FM\22NON1.SGM
Prime *
Group A
CY23
22NON1
Prime *
Group B
CY23
71314
Federal Register / Vol. 87, No. 224 / Tuesday, November 22, 2022 / Notices
CALENDAR YEAR 2023 TRICARE PRIME AND TRICARE SELECT OUT-OF-POCKET EXPENSES: RETIREE BENEFICIARY
CATEGORY
[Page 2 of 2]
Select
Group A
CY23
Select
Group B
CY23
Prime *
Group A
CY23
20% (IN) 25% (OON) ..................................................
20% (IN) 25% (OON) .....................
20% .................
20%.
$250/day up to 25% of hospital charges, plus 20% of
sep. billed services.
‡ $1,053/day up to 25% of hosp. charges, plus 25%
of sep. billed services.
$250/day up to 25% of hospital charges, plus 20% of
sep. billed services (IN); 25% (OON).
$213 per adm .................................
$182 per adm ..
$182 per adm.
25% ................................................
$182 per adm ..
$182 per adm.
$60 per day (IN); lesser of $365
per day or 20% (OON).
$36 per day .....
$36 per day.
Out of pocket expense
Durable medical equipment ............
Inpatient admission:
In-network ................................
Out of network .........................
Inpatient SNF/rehab facility .............
Prime *
Group B
CY23
‡ This is the CY22 rate. The CY23 out of pocket expense will be available mid-December once the DRG payment rates are calculated.
* When TRICARE Prime enrollees other than active duty service members self-refer to specialty or non-emergent inpatient care without a referral from a network
provider and/or authorization from the regional contractor, the TRICARE Point of Service deductible and copayment applies in lieu of TRICARE Prime copayments.
The CY 2023 rates contained in this
notice are effective January 1, 2023.
Dated: November 17, 2022.
Aaron T. Siegel,
Alternate OSD Federal Register Liaison
Officer, Department of Defense.
[FR Doc. 2022–25439 Filed 11–21–22; 8:45 am]
BILLING CODE 5001–06–P
DEPARTMENT OF EDUCATION
[Docket No.: ED–2022–SCC–0145]
Agency Information Collection
Activities; Submission to the Office of
Management and Budget for Review
and Approval; Comment Request;
Application for Grants Under the
Native American-Serving Nontribal
Institutions Program ALN# 84.031X
(1894–0001)
Office of Postsecondary
Education (OPE), Department of
Education (ED).
ACTION: Notice.
AGENCY:
In accordance with the
Paperwork Reduction Act (PRA) of
1995, the Department is proposing an
extension without change of a currently
approved information collection request
(ICR).
DATES: Interested persons are invited to
submit comments on or before
December 22, 2022.
ADDRESSES: Written comments and
recommendations for proposed
information collection requests should
be submitted within 30 days of
publication of this notice. Click on this
link www.reginfo.gov/public/do/
PRAMain to access the site. Find this
information collection request (ICR) by
selecting ‘‘Department of Education’’
under ‘‘Currently Under Review,’’ then
check the ‘‘Only Show ICR for Public
Comment’’ checkbox. Reginfo.gov
provides two links to view documents
related to this information collection
khammond on DSKJM1Z7X2PROD with NOTICES
SUMMARY:
VerDate Sep<11>2014
17:48 Nov 21, 2022
Jkt 259001
request. Information collection forms
and instructions may be found by
clicking on the ‘‘View Information
Collection (IC) List’’ link. Supporting
statements and other supporting
documentation may be found by
clicking on the ‘‘View Supporting
Statement and Other Documents’’ link.
FOR FURTHER INFORMATION CONTACT: For
specific questions related to collection
activities, please contact Don Crews,
202–453–7920.
SUPPLEMENTARY INFORMATION: The
Department, in accordance with the
Paperwork Reduction Act of 1995 (PRA)
(44 U.S.C. 3506(c)(2)(A)), provides the
general public and Federal agencies
with an opportunity to comment on
proposed, revised, and continuing
collections of information. This helps
the Department assess the impact of its
information collection requirements and
minimize the public’s reporting burden.
It also helps the public understand the
Department’s information collection
requirements and provide the requested
data in the desired format. ED is
soliciting comments on the proposed
ICR that is described below. The
Department is especially interested in
public comments addressing the
following issues: (1) is this collection
necessary to the proper functions of the
Department; (2) will this information be
processed and used in a timely manner;
(3) is the estimate of burden accurate;
(4) how might the Department enhance
the quality, utility, and clarity of the
information to be collected; and (5) how
might the Department minimize the
burden of this collection on the
respondents, including through the use
of information technology. Please note
that written comments received in
response to this notice will be
considered public record.
Title of Collection: Application for
grants under the Native AmericanServing Nontribal Institutions Program
ALN# 84.031X (1894–0001).
PO 00000
Frm 00025
Fmt 4703
Sfmt 4703
OMB Control Number: 1840–0816.
Type of Review: An extension without
change of a currently approved ICR.
Respondents/Affected Public: Private
Sector.
Total Estimated Number of Annual
Responses: 50.
Total Estimated Number of Annual
Burden Hours: 2,000.
Abstract: The Title III, Part A Native
American-Serving Nontribal Institutions
(NASNTI) Program provides grants and
related assistance to NASNTI to enable
such institutions to plan, develop,
undertake, and carry out activities to
improve and expand such institutions’
capacity to serve Native American and
low-income individuals.
This collection is being submitted
under the Streamlined Clearance
Process for Discretionary Grant
Information Collections (1894–0001).
Therefore, the 30-day public comment
period notice will be the only public
comment notice published for this
information collection.
Dated: November 17, 2022.
Kun Mullan,
PRA Coordinator, Strategic Collections and
Clearance Governance and Strategy Division,
Office of Chief Data Officer, Office of
Planning, Evaluation and Policy
Development.
[FR Doc. 2022–25372 Filed 11–21–22; 8:45 am]
BILLING CODE 4000–01–P
DEPARTMENT OF EDUCATION
[Docket No.: ED–2022–SCC–0113]
Agency Information Collection
Activities; Submission to the Office of
Management and Budget for Review
and Approval; Comment Request;
Bipartisan Safer Communities Act
(BSCA), Stronger Connections Grant
(SCG) Program
Office of Elementary and
Secondary Education (OESE),
Department of Education (ED).
AGENCY:
E:\FR\FM\22NON1.SGM
22NON1
]]>Agencies
[Federal Register Volume 87, Number 224 (Tuesday, November 22, 2022)]
[Notices]
[Pages 71313-71314]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-25439]
-----------------------------------------------------------------------
DEPARTMENT OF DEFENSE
Office of the Secretary
TRICARE; Calendar Year (CY) 2023; TRICARE Prime and TRICARE
Select Out-of-Pocket Expenses
AGENCY: Office of the Secretary, Department of Defense.
ACTION: Notice of CY 2023 TRICARE Prime and TRICARE Select out-of-
pocket expenses.
-----------------------------------------------------------------------
SUMMARY: This notice provides the CY 2023 TRICARE Prime and TRICARE
Select out-of-pocket expenses.
DATES: The CY 2023 rates contained in this notice are effective January
1, 2023.
ADDRESSES: Defense Health Agency (DHA), TRICARE Health Plan, 7700
Arlington Boulevard, Suite 5101, Falls Church, Virginia 22042-5101.
FOR FURTHER INFORMATION CONTACT: Debra Fisher, telephone (703) 275-
6224.
SUPPLEMENTARY INFORMATION: The National Defense Authorization Acts for
Fiscal Years 2012 and 2017 established rates for TRICARE beneficiary
out-of-pocket expenses and how they may be increased by the annual cost
of living adjustment (COLA) percentage used to increase military
retired pay or via budget neutrality rules. The CY 2023 retiree COLA
increase is 8.7%.
The DHA has updated the CY 2023 out-of-pocket expenses as follows:
Calendar Year 2023 TRICARE Prime and TRICARE Select Out-of-Pocket Expenses: Active Duty Family Members (ADFM)
Category
[Page 1 of 1]
----------------------------------------------------------------------------------------------------------------
Prime * Group Prime * Group
Out of pocket expense Select Group A CY23 Select Group B CY23 A CY23 B CY23
----------------------------------------------------------------------------------------------------------------
Annual enrollment fee:
Individual.................... $0................... $0................... $0 $0
Family........................ $0................... $0................... 0 0
Annual deductible:
E1-E4, individual............. $50.................. $60.................. 0 0
E1-E4, family................. $100................. $121................. 0 0
E5 & above, individual........ $150................. $182................. 0 0
E5 & above, family............ $300................. $365................. 0 0
Annual catastrophic cap........... $1,000............... $1,217............... 1,000 1,217
Preventive visit.................. $0................... $0................... 0 0
Primary care...................... $25 (IN) 20% (OON)... $18 (IN) 20% (OON)... 0 0
Specialty care.................... $37 (IN) 20% (OON)... $30 (IN) 20% (OON)... 0 0
ER visit.......................... $103 (IN) 20% (OON).. $48 (IN) 20% (OON)... 0 0
Urgent care center visit.......... $25 (IN) 20% (OON)... $24 (IN) 20% (OON)... 0 0
Ambulatory surgery................ $25 (IN or OON)...... $30 (IN) 20% (OON)... 0 0
Ambulance, outpatient ground...... $75 (IN) 20% (OON)... $18 (IN) 20% (OON)... 0 0
Ambulance, outpatient air......... 20% (IN or OON)...... 20% (IN or OON)...... 0 0
Durable medical equipment......... 15% (IN) 20% (OON)... 10% (IN) 20% (OON)... 0 0
Inpatient admission............... $21.30 per day; $25 $73 per adm. (IN); 0 0
min. per admission. 20% (OON).
Inpatient SNF/rehab facility...... $21.30 per day; $25 $30 per day (IN); $60 0 0
min. per admission. per day (OON).
----------------------------------------------------------------------------------------------------------------
* When TRICARE Prime enrollees other than active duty service members self-refer to specialty or non-emergent
inpatient care without a referral from a network provider and/or authorization from the regional contractor,
the TRICARE Point of Service deductible and copayment applies in lieu of TRICARE Prime copayments.
Calendar Year 2023 TRICARE Prime and TRICARE Select Out-of-Pocket Expenses: Retiree Beneficiary Category
[Page 1 of 2]
----------------------------------------------------------------------------------------------------------------
Prime * Group Prime * Group
Out of pocket expense Select Group A CY23 Select Group B CY23 A CY23 B CY23
----------------------------------------------------------------------------------------------------------------
Annual enrollment fee:
Individual.................... $171.96.............. $547.92.............. $351.96 $426
Family........................ $345................. $1,095.96............ 703.92 852
Annual deductible:
E1-E4, individual............. $150................. $182 (IN); $365 (OON) 0 0
Family........................ $300................. $365 (IN); $730 (OON) 0 0
Annual catastrophic cap........... $4,028............... $4,262............... 3,000 4,262
Preventive visit.................. $0................... $0................... 0 0
Primary care...................... $34 (IN) 25% (OON)... $30 (IN) 25% (OON)... 24 24
Specialty care.................... $49 (IN) 25% (OON)... $48 (IN) 25% (OON)... 36 36
ER visit.......................... $138 (IN) 25% (OON).. $97 (IN) 25% (OON)... 73 73
Urgent care center visit.......... $34 (IN) 25% (OON)... $48 (IN) 25% (OON)... 36 36
Ambulatory surgery................ 20% (IN) 25% (OON)... $115 (IN) 25% (OON).. 73 73
Ambulance, outpatient ground...... $100 (IN) 25% (OON).. $73 (IN) 25% (OON)... 48 48
Ambulance, outpatient air......... 25% (IN or OON)...... 25% (IN or OON)...... 20 20
----------------------------------------------------------------------------------------------------------------
[[Page 71314]]
Calendar Year 2023 TRICARE Prime and TRICARE Select Out-of-Pocket Expenses: Retiree Beneficiary Category
[Page 2 of 2]
----------------------------------------------------------------------------------------------------------------
Select Group A Select Group B Prime * Group A Prime * Group B
Out of pocket expense CY23 CY23 CY23 CY23
----------------------------------------------------------------------------------------------------------------
Durable medical equipment...... 20% (IN) 25% (OON) 20% (IN) 25% (OON) 20%................ 20%.
Inpatient admission:
In-network................. $250/day up to 25% $213 per adm...... $182 per adm....... $182 per adm.
of hospital
charges, plus 20%
of sep. billed
services.
Out of network............. [Dagger] $1,053/ 25%............... $182 per adm....... $182 per adm.
day up to 25% of
hosp. charges,
plus 25% of sep.
billed services.
Inpatient SNF/rehab facility... $250/day up to 25% $60 per day (IN); $36 per day........ $36 per day.
of hospital lesser of $365
charges, plus 20% per day or 20%
of sep. billed (OON).
services (IN);
25% (OON).
----------------------------------------------------------------------------------------------------------------
[Dagger] This is the CY22 rate. The CY23 out of pocket expense will be available mid-December once the DRG
payment rates are calculated.
* When TRICARE Prime enrollees other than active duty service members self-refer to specialty or non-emergent
inpatient care without a referral from a network provider and/or authorization from the regional contractor,
the TRICARE Point of Service deductible and copayment applies in lieu of TRICARE Prime copayments.
The CY 2023 rates contained in this notice are effective January 1,
2023.
Dated: November 17, 2022.
Aaron T. Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2022-25439 Filed 11-21-22; 8:45 am]
BILLING CODE 5001-06-P
