TRICARE; Calendar Year (CY) 2025; TRICARE Prime and TRICARE Select Out-of-Pocket Expenses, 88030-88032 [2024-25753]

Download as PDF 88030 Federal Register / Vol. 89, No. 215 / Wednesday, November 6, 2024 / Notices Transmittal No. 23–40 * As defined in Section 47(6) of the Arms Export Control Act. POLICY JUSTIFICATION Oman—TOW 2B Radio Frequency Missiles (BGM–71F–7–RF) and Support The Government of Oman has requested to buy three hundred one (301) Tube-Launched, OpticallyTracked, Wireless-Guided (TOW) 2B, Radio Frequency (RF) Missiles (BGM– 71F–7–RF) (includes 7 ‘‘Fly-to-Buy’’ Missiles). Also included are U.S. Government and contractor technical, program, logistics, and engineering support services, and other related elements of logistics and program support. The estimated total cost is $70 million. This proposed sale will support the foreign policy and national security of the United States by helping to improve the security of a friendly country that continues to be an important force for political stability and economic progress in the Middle East. The proposed sale will improve the Royal Army of Oman’s capability to meet current and future threats by enhancing the strength of its homeland defense. Oman will have no difficulty absorbing this equipment and services into its armed forces. The proposed sale of this equipment and support will not alter the basic military balance in the region. The principal contractor will be Raytheon Missiles & Defense, Tucson, Arizona. There are no known offset agreements proposed in connection with this potential sale. Implementation of this proposed sale will not require the assignment of any additional U.S. Government or U.S. contractor representatives to Oman. There will be no adverse impact on U.S. defense readiness as a result of this proposed sale. Notice of Proposed Issuance of Letter of Offer Pursuant to Section 36(b)(1) of the Arms Export Control Act 5. All defense articles and services listed in this transmittal have been authorized for release and export to the Government of Oman. [FR Doc. 2024–25825 Filed 11–5–24; 8:45 am] Annex BILLING CODE 6001–FR–P Item No. vii (vii) Sensitivity of Technology: 1. The Tube-Launched, OpticallyTracked, Wireless-Guided (TOW) 2B Radio Frequency (RF) Missile (BGM– 71F–7–RF) is a top attack missile designed to defeat armored vehicles, reinforced urban structures, field fortifications and other such targets. TOW missiles are fired from a variety of TOW launchers used by the U.S. Army, USMC, and non-U.S. forces. The TOW 2B RF missile can be launched from the same launcher as the wire-guided TOW 2B missile without modification to the launcher. The TOW 2B missile (both wire and RF-guided) contains two tracker beacons (Xenon and thermal) for the launcher to track and guide the missile in flight. Guidance commands from the launcher are provided to the missile by the RF link contained within the missile case. 2. The highest level of classification of defense articles, components, and services included in this potential sale is SECRET. 3. If a technologically advanced adversary were to obtain knowledge of the specific hardware and software elements, the information could be used to develop countermeasures that might reduce weapon system effectiveness or be used in the development of a system with similar or advanced capabilities. 4. A determination has been made that the Government of Oman can provide substantially the same degree of protection for the sensitive technology being released as the U.S. Government. This sale is necessary in furtherance of the U.S. foreign policy and national security objectives outlined in the Policy Justification. DEPARTMENT OF DEFENSE Office of the Secretary TRICARE; Calendar Year (CY) 2025; TRICARE Prime and TRICARE Select Out-of-Pocket Expenses Office of the Secretary, Department of Defense. ACTION: Notice of calendar year (CY) 2025 TRICARE Prime and TRICARE Select out-of-pocket expenses. AGENCY: This notice provides the Calendar Year (CY) 2025 TRICARE Prime and TRICARE Select out-ofpocket expenses. DATES: The CY 2025 rates contained in this notice are effective January 1, 2025. ADDRESSES: Defense Health Agency (DHA), TRICARE Health Plan, 7700 Arlington Boulevard, Suite 5101, Falls Church, Virginia 22042–5101. FOR FURTHER INFORMATION CONTACT: Debra Fisher, 703–275–6224, dha.ncr.healthcare-ops.mbx.thp-policyand-programs-branch@health.mil. SUPPLEMENTARY INFORMATION: The National Defense Authorization Acts for Fiscal Years 2012 and 2017, and subsequent implementing regulations (e.g., § 199.17 of title 32 of the Code of Federal Regulations), 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 2025 retiree COLA increase is 2.5%. The DHA has updated the CY 2025 out-of-pocket expenses as shown below: SUMMARY: CALENDAR YEAR 2025 TRICARE PRIME AND TRICARE SELECT OUT-OF-POCKET EXPENSES—ACTIVE DUTY FAMILY MEMBERS (ADFM) CATEGORY [Page 1 of 1] khammond on DSKJM1Z7X2PROD with NOTICES Annual enrollment fee: Individual ..................................... Family .......................................... Annual deductible: E1–E4, individual ........................ E1–E4, family .............................. E5 & above, individual ................ E5 & above, family ...................... Annual catastrophic cap ..................... VerDate Sep<11>2014 16:22 Nov 05, 2024 Prime * Group A CY25 Prime * Group B CY25 Select Group A CY25 Select Group B CY25 $0 ....................................................... $0 ....................................................... $0 ....................................................... $0 ....................................................... $0 0 $0 0 $50 ..................................................... $100 ................................................... $150 ................................................... $300 ................................................... $1,000 ................................................ $64 ..................................................... $128 ................................................... $193 ................................................... $386 ................................................... $1,288 ................................................ 0 0 0 0 1,000 0 0 0 0 1,288 Out of pocket expense Jkt 265001 PO 00000 Frm 00032 Fmt 4703 Sfmt 4703 E:\FR\FM\06NON1.SGM 06NON1 88031 Federal Register / Vol. 89, No. 215 / Wednesday, November 6, 2024 / Notices CALENDAR YEAR 2025 TRICARE PRIME AND TRICARE SELECT OUT-OF-POCKET EXPENSES—ACTIVE DUTY FAMILY MEMBERS (ADFM) CATEGORY—Continued [Page 1 of 1] Prime * Group A CY25 Prime * Group B CY25 Out of pocket expense Select Group A CY25 Select Group B CY25 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 ............................ $0 ....................................................... $27 (IN); 20% (OON) ......................... $38 (IN); 20% (OON) ......................... $105 (IN); 20% (OON) ....................... $27 (IN); 20% (OON) ......................... $25 (IN or OON) ................................ $86 (IN); 20% (OON) ......................... 20%; (IN or OON) .............................. 15% (IN); 20% (OON) ........................ $23.45 per day; $25 min. per admission. $23.45 per day; $25 min. per admission. $0 ....................................................... $19 (IN); 20% (OON) ......................... $32 (IN); 20% (OON) ......................... $51 (IN); 20% (OON) ......................... $25 (IN); 20% (OON) ......................... $32 (IN); 20% (OON) ......................... $19 (IN); 20% (OON) ......................... 20%; (IN or OON) .............................. 10% (IN); 20% (OON) ........................ $77 per adm. (IN); 20% (OON) ......... 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 $32 per day (IN); $64 per day (OON) 0 0 Inpatient SNF/rehab facility ................ * 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 2025 TRICARE PRIME AND TRICARE SELECT OUT-OF-POCKET EXPENSES—RETIREE BENEFICIARY CATEGORY [Page 1 of 2] Annual enrollment fee: Individual ..................................... Family .......................................... Annual deductible: 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 .................. Prime * Group A CY25 Prime * Group B CY25 Select Group A CY25 Select Group B CY25 $181.92 .............................................. $364.92 .............................................. $579 ................................................... $1,158.96 ........................................... $372 744 $450 900.96 $150 ................................................... $300 ................................................... $4,261 ................................................ $0 ....................................................... $37 (IN); 25% (OON) ......................... $51 (IN); 25% (OON) ......................... $140 (IN); 25% (OON) ....................... $37 (IN); 25% (OON) ......................... 20% (IN); 25% (OON) ........................ $115 (IN); 25% (OON) ....................... 25%; (IN or OON) .............................. $193 (IN); $386 (OON) ...................... $386 (IN); $772 (OON) ...................... $4,509 ................................................ $0 ....................................................... $32 (IN); 25% (OON) ......................... $51 (IN); 25% (OON) ......................... $103 (IN); 25% (OON) ....................... $51 (IN); 25% (OON) ......................... $122 (IN); 25% (OON) ....................... $77 (IN); 25% (OON) ......................... 25%; (IN or OON) .............................. 0 0 3,000 0 25 38 77 38 77 51 20 0 0 4,509 0 25 38 77 38 77 51 20 Out of pocket expense Note: The calendar year catastrophic cap for TRICARE Select Group A retirees who are survivors of active duty deceased sponsors or medically retired Uniformed Service members and their dependents is $3,000. CALENDAR YEAR 2025 TRICARE PRIME AND TRICARE SELECT OUT-OF-POCKET EXPENSES—RETIREE BENEFICIARY CATEGORY [Page 2 of 2] Out of pocket expense Select Group A CY25 Select Group B CY25 Prime * Group A CY25 Prime * Group B CY25 Durable medical equipment ......... Inpatient admission: In-network ............................. 20% (IN); 25% (OON) .................. 20% (IN); 25% (OON) .................. 20% .................. 20%. $250/day up to 25% of hospital $225 per adm ............................... charges, plus 20% of sep. billed services. ‡ $1,221/day up to 25% of hosp. 25% .............................................. charges, plus 25% of sep. billed services. $250/day up to 25% of hospital $64 per day (IN); lesser of $386 charges, plus 20% of sep. per day or 20% (OON). billed services (IN); 25% (OON). $193 per adm ... $193 per adm. $193 per adm ... $193 per adm. $38 per day ...... $38 per day. khammond on DSKJM1Z7X2PROD with NOTICES Out of network ...................... Inpatient SNF/rehab facility .......... ‡ This is the CY24 rate. The CY25 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. VerDate Sep<11>2014 16:22 Nov 05, 2024 Jkt 265001 PO 00000 Frm 00033 Fmt 4703 Sfmt 4703 E:\FR\FM\06NON1.SGM 06NON1 88032 Federal Register / Vol. 89, No. 215 / Wednesday, November 6, 2024 / Notices The CY 2025 rates contained in this notice are effective January 1, 2025. Dated: October 31, 2024. Office of the Secretary Aaron T. Siegel, [Transmittal No. 23–65] Alternate OSD Federal Register Liaison Officer, Department of Defense. Arms Sales Notification [FR Doc. 2024–25753 Filed 11–5–24; 8:45 am] AGENCY: BILLING CODE 6001–FR–P dsca.ncr.rsrcmgmt.list.cns-mbx@ mail.mil DEPARTMENT OF DEFENSE Defense Security Cooperation Agency, Department of Defense (DoD). ACTION: Arms sales notice. The DoD is publishing the unclassified text of an arms sales notification. SUMMARY: FOR FURTHER INFORMATION CONTACT: khammond on DSKJM1Z7X2PROD with NOTICES Pamela Young at (703) 953–6092, pamela.a.young14.civ@mail.mil, or VerDate Sep<11>2014 16:22 Nov 05, 2024 Jkt 265001 PO 00000 Frm 00034 Fmt 4703 Sfmt 4703 This 36(b)(1) arms sales notification is published to fulfill the requirements of section 155 of Public Law 104–164 dated July 21, 1996. The following is a copy of a letter to the Speaker of the House of Representatives with attached Transmittal 23–65, Policy Justification, and Sensitivity of Technology. SUPPLEMENTARY INFORMATION: Dated: November 1, 2024. Stephanie J. Bost, Alternate OSD Federal Register Liaison Officer, Department of Defense. BILLING CODE 6001–FR–P E:\FR\FM\06NON1.SGM 06NON1

Agencies

[Federal Register Volume 89, Number 215 (Wednesday, November 6, 2024)]
[Notices]
[Pages 88030-88032]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-25753]


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DEPARTMENT OF DEFENSE

Office of the Secretary


TRICARE; Calendar Year (CY) 2025; TRICARE Prime and TRICARE 
Select Out-of-Pocket Expenses

AGENCY: Office of the Secretary, Department of Defense.

ACTION: Notice of calendar year (CY) 2025 TRICARE Prime and TRICARE 
Select out-of-pocket expenses.

-----------------------------------------------------------------------

SUMMARY: This notice provides the Calendar Year (CY) 2025 TRICARE Prime 
and TRICARE Select out-of-pocket expenses.

DATES: The CY 2025 rates contained in this notice are effective January 
1, 2025.

ADDRESSES: Defense Health Agency (DHA), TRICARE Health Plan, 7700 
Arlington Boulevard, Suite 5101, Falls Church, Virginia 22042-5101.

FOR FURTHER INFORMATION CONTACT: Debra Fisher, 703-275-6224, 
dha.ncr.healthcare-ops.mbx.thp-policy-and-programs-branch@health.mil.

SUPPLEMENTARY INFORMATION: The National Defense Authorization Acts for 
Fiscal Years 2012 and 2017, and subsequent implementing regulations 
(e.g., Sec.  199.17 of title 32 of the Code of Federal Regulations), 
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 2025 retiree COLA increase is 2.5%.
    The DHA has updated the CY 2025 out-of-pocket expenses as shown 
below:

  Calendar Year 2025 TRICARE Prime and TRICARE Select Out-of-Pocket Expenses--Active Duty Family Members (ADFM)
                                                    Category
                                                  [Page 1 of 1]
----------------------------------------------------------------------------------------------------------------
                                                                                            Prime *     Prime *
        Out of pocket expense             Select Group A CY25      Select Group B CY25      Group A     Group B
                                                                                             CY25        CY25
----------------------------------------------------------------------------------------------------------------
Annual enrollment fee:
    Individual.......................  $0......................  $0.....................          $0          $0
    Family...........................  $0......................  $0.....................           0           0
Annual deductible:
    E1-E4, individual................  $50.....................  $64....................           0           0
    E1-E4, family....................  $100....................  $128...................           0           0
    E5 & above, individual...........  $150....................  $193...................           0           0
    E5 & above, family...............  $300....................  $386...................           0           0
Annual catastrophic cap..............  $1,000..................  $1,288.................       1,000       1,288

[[Page 88031]]

 
Preventive visit.....................  $0......................  $0.....................           0           0
Primary care.........................  $27 (IN); 20% (OON).....  $19 (IN); 20% (OON)....           0           0
Specialty care.......................  $38 (IN); 20% (OON).....  $32 (IN); 20% (OON)....           0           0
ER visit.............................  $105 (IN); 20% (OON)....  $51 (IN); 20% (OON)....           0           0
Urgent care center visit.............  $27 (IN); 20% (OON).....  $25 (IN); 20% (OON)....           0           0
Ambulatory surgery...................  $25 (IN or OON).........  $32 (IN); 20% (OON)....           0           0
Ambulance, outpatient ground.........  $86 (IN); 20% (OON).....  $19 (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..................  $23.45 per day; $25 min.  $77 per adm. (IN); 20%            0           0
                                        per admission.            (OON).
Inpatient SNF/rehab facility.........  $23.45 per day; $25 min.  $32 per day (IN); $64             0           0
                                        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 2025 TRICARE Prime and TRICARE Select Out-of-Pocket Expenses--Retiree Beneficiary Category
                                                  [Page 1 of 2]
----------------------------------------------------------------------------------------------------------------
                                                                                            Prime *     Prime *
        Out of pocket expense             Select Group A CY25      Select Group B CY25      Group A     Group B
                                                                                             CY25        CY25
----------------------------------------------------------------------------------------------------------------
Annual enrollment fee:
    Individual.......................  $181.92.................  $579...................        $372        $450
    Family...........................  $364.92.................  $1,158.96..............         744      900.96
Annual deductible:
    Individual.......................  $150....................  $193 (IN); $386 (OON)..           0           0
    Family...........................  $300....................  $386 (IN); $772 (OON)..           0           0
Annual catastrophic cap..............  $4,261..................  $4,509.................       3,000       4,509
Preventive visit.....................  $0......................  $0.....................           0           0
Primary care.........................  $37 (IN); 25% (OON).....  $32 (IN); 25% (OON)....          25          25
Specialty care.......................  $51 (IN); 25% (OON).....  $51 (IN); 25% (OON)....          38          38
ER visit.............................  $140 (IN); 25% (OON)....  $103 (IN); 25% (OON)...          77          77
Urgent care center visit.............  $37 (IN); 25% (OON).....  $51 (IN); 25% (OON)....          38          38
Ambulatory surgery...................  20% (IN); 25% (OON).....  $122 (IN); 25% (OON)...          77          77
Ambulance, outpatient ground.........  $115 (IN); 25% (OON)....  $77 (IN); 25% (OON)....          51          51
Ambulance, outpatient air............  25%; (IN or OON)........  25%; (IN or OON).......          20          20
----------------------------------------------------------------------------------------------------------------
Note: The calendar year catastrophic cap for TRICARE Select Group A retirees who are survivors of active duty
  deceased sponsors or medically retired Uniformed Service members and their dependents is $3,000.


    Calendar Year 2025 TRICARE Prime and TRICARE Select Out-of-Pocket Expenses--Retiree Beneficiary Category
                                                  [Page 2 of 2]
----------------------------------------------------------------------------------------------------------------
                                 Select Group A    Select Group B
     Out of pocket expense            CY25              CY25         Prime * Group A CY25   Prime * Group B CY25
----------------------------------------------------------------------------------------------------------------
Durable medical equipment.....  20% (IN); 25%     20% (IN); 25%     20%..................  20%.
                                 (OON).            (OON).
Inpatient admission:
    In-network................  $250/day up to    $225 per adm....  $193 per adm.........  $193 per adm.
                                 25% of hospital
                                 charges, plus
                                 20% of sep.
                                 billed services.
    Out of network............  [Dagger] $1,221/  25%.............  $193 per adm.........  $193 per adm.
                                 day up to 25%
                                 of hosp.
                                 charges, plus
                                 25% of sep.
                                 billed services.
Inpatient SNF/rehab facility..  $250/day up to    $64 per day       $38 per day..........  $38 per day.
                                 25% of hospital   (IN); lesser of
                                 charges, plus     $386 per day or
                                 20% of sep.       20% (OON).
                                 billed services
                                 (IN); 25% (OON).
----------------------------------------------------------------------------------------------------------------
[Dagger] This is the CY24 rate. The CY25 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.


[[Page 88032]]

    The CY 2025 rates contained in this notice are effective January 1, 
2025.

    Dated: October 31, 2024.
Aaron T. Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2024-25753 Filed 11-5-24; 8:45 am]
BILLING CODE 6001-FR-P


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