Services
| Contact The Treasury Office | Hours of Operation |
|---|---|
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Main: (254) 288-8176 FAX: (254) 288-8761 |
Monday – Friday: 8:30 a.m. - 4 p.m. |
| Address | |
| Building 36000, Room 1555 Carl R. Darnall Army Medical Center |
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If you are enrolled in TRICARE (Prime, Extra or Standard), please view the TRICARE Website for the current deductibles, fees, and co-pays for care.
TRICARE Fees (.pdf file format)
Beneficiaries
Usually, beneficiaries do not have to pay for outpatient care at military hospitals. However, there are times when you must pay a reasonable portion of the cost of care. You can expect to pay some costs if you visit Darnall's Emergency Department and are admitted to the hospital or if you are transferred to a civilian hospital for further medical care. Transfers to civilian hospitals are based on medical necessity, not on financial considerations.
Active Duty Service Members
Active-duty service members have no charge when admitted to a military hospital. The service member pays nothing if he/she is transferred to a civilian facility and becomes an inpatient.
Family Members of Active Duty
Family members who go to a civilian emergency department incur costs that include the annual deductible (fiscal year 1 Oct. - 30 Sept.), the emergency room care, ambulance service, and hospital fees. The following costs apply depending on the TRICARE option you have chosen:
Deductible
Prime - No deductible for Active-duty family members
Standard or Extra -
- E-4 and below: $50 per person or $100 per family
- E-5 and above: $150 per person or $300 per family
Civilian Emergency Room Service Co-Payment
- Extra - 15% of contracted fee
- Standard - 20% of TRICARE allowable charges
Hospital Admission
Military Hospital
- Prime - $0
- Extra/Standard - Contact the Treasury Office for updates/changes 288-8176
Civilian Hospital (This applies even if Darnall refers you to the civilian hospital.):
- Prime - $0
- Extra* - $11.90 per day or $25 minimum
- Standard* - $11.90 per day or $25 minimum
* A Non-Availability Statement (NAS) is required to avoid paying the entire cost of care.
Ambulance Service
Darnall's Ambulance Service
- No charge, when available and if medically appropriate.
Civilian ambulance:
- Prime - $0
- Extra - 15% of contracted fee
- Standard - 20% of TRICARE allowable charges
Catastrophic Cap
Family members of active duty have a catastrophic cap of $1,000 per year. This means once you have paid a total of $1,000 for a fiscal year (1 Oct. - 30 Sept.), you are not responsible for any more of the TRICARE maximum allowable charges. However, you may still be responsible for additional health care costs. See your Health Benefits Advisor at the TRICARE Service Center.
Retiree & Retiree Family Members
Retirees and retiree family members under age 65 who go to a civilian emergency department incur costs that include the annual deductible (fiscal year 1 Oct. - 30 Sept.), the emergency room care, ambulance service, and hospital fees. The following costs apply depending on the TRICARE option you have chosen:
Deductible
- Prime - No deductible. There is an annual enrollment fee.
- Extra and Standard - $150 per person or $300 per family
Emergency Room Care
- Prime - $30 co-payment
- Extra - 20% of contracted fee
- Standard - 25% of TRICARE allowable charges
Hospital Admission
Military Hospital
- Retired enlisted - $0
- Retired officers - $0
- Other beneficiaries - Contact the Treasury Office for updates/changes 288-8176
Civilian Hospital (This applies even if Darnall refers you to the hospital.)
- Prime - $11 per day or $25 minimum
- *Extra - $250 per day or 25% of institutional services, plus 20% of professional charges.
- *Standard - $414 per day or 25% of institutional services, plus 25% of professional charges.
* A Non-Availability Statement (NAS) is required to avoid paying the entire cost of care.
Ambulance Service
Darnall's Ambulance Service
- No charge, when available and if medically appropriate.
Civilian Ambulance:
- Prime - $20 co-payment
- Extra - 20% of contracted fee
- Standard - 25% of TRICARE allowable charges
Catastrophic Cap
Retirees and their family members have a catastrophic cap of $3,000 per year. This means once you have paid a total of $3,000 for a fiscal year (1 Oct - 30 Sept), you are not responsible for any more of the TRICARE maximum allowable charges. However, you may still be responsible for additional heath care costs. See your Health Benefits Advisor at the TRICARE Service Center.
Veterans' Administration Eligibility
If you are a VA patient, tell the medical staff immediately. If you must be transferred, the staff may coordinate your transfer to the VA, rather than to a civilian hospital.
Civilian Emergencies
Civilians brought to Darnall for emergency care will be personally billed for any services provided by Darnall's Emergency Department (emergency treatment, transport services, or admission). Civilians are responsible for all ambulance service charges. Civilians are not authorized non-emergency care at Darnall.
TRICARE eligible Patients covered under Medicare
There are no charges for services provided by Darnall's Emergency Department or ambulance service. If you are transferred to a civilian hospital, Medicare is billed for the civilian care. Civilian ambulance services are billed to Medicare. There is no guarantee Darnall's ambulance service will be available when a patient must be transferred.
Dependent Parents & Parent-In-Laws
Dependent parents and parents-in-law will not incur any charges if seen in the Darnall ED; however will have to pay the Family Member Rate (Contact the Treasury Office for updates/changes 288-8176) per day if admitted to Darnall. They will be personally billed for any care or service provided by a civilian hospital or ambulance service unless they have other health insurance.
For more information, contact one of the Business Operations Division's Health Benefits Advisors, 288-8478/8984, or 286-7026.
Active Duty Physicals
Usually, beneficiaries do not have to pay for outpatient
Most patients admitted to the hospital are charged for inpatient care:
- Dependents of Retirees - Contact the Treasury Office for updates/changes 288-8176
- Active Duty & Retired Officers - No Charge
- Active Duty Enlisted - No Charge
- Retired Enlisted - No charge
- TRICARE Prime family members - No charge
- TRICARE Standard family members - Contact the Treasury Office for updates/changes 288-8176
Payments are generally due upon discharge. In addition to cash or check, the Treasurer's Office also accepts credit cards and ATM debit cards for payment.
The Treasurer's Office is responsible for all billing, collection and transfers of the Medical Services Accounts (MSA). These include civilian emergencies, civilian ambulance charges, cosmetic surgery, and miscellaneous accounts for Darnall.
page last modified on: 4/30/2013