‘‘(D) for 2017, $260 for an individual or 
$520 for a family group for a family group of 
two or more persons; 
‘‘(E) for 2018, $290 for an individual or 
$580 for a family group of two or more per-
sons; and 
‘‘(F) for any year after 2018, the amount 
of the applicable deductible for the previous 
year increased by the percentage by which re-
tired pay is increased under section 1401a of 
this title for such year. 
‘‘(3) 25 percent of the charges for inpatient 
care. The Secretary of Defense may exempt a pa-
tient from paying such charges if the hospital to 
which the patient is admitted does not impose a 
legal obligation on any of its patients to pay for in-
patient care. 
‘‘(4) A person covered by this section may not 
be required to pay a total in excess of a catastrophic 
cap, excluding the amount of any annual enrollment 
fee under paragraph (1), for health care received 
during any year under a plan contracted for under 
section 1079(a) of this title. The amount of such 
catastrophic cap for a year is— 
‘‘(A) for 2013, $3,000; and 
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‘‘(B) for any year after 2013, the amount 
of the catastrophic cap for the previous year in-
creased by the percentage by which retired pay 
is increased under section 1401a of this title for 
such year. 
‘‘(5) Notwithstanding paragraphs (1), (2), and 
(4), for a dependent of a member of the uniformed 
services who dies while on active duty, a member re-
tired under chapter 61 of this title, or a dependent 
of such a member— 
‘‘(A) there is no annual enrollment fee; 
‘‘(B) the annual deductible referred to in 
paragraph (2) for a year is $150 for an indi-
vidual or $300 for a family group of two or 
more persons; and 
‘‘(C) the catastrophic cap for a year is 
$3,000.’’. 
(c) TRICARE FOR LIFE ENROLLMENT FEES.—Sec-
tion 1086(d)(3) of such title is amended by adding at the 
end the following new subparagraph: 
‘‘(D)(i) Beginning January 1, 2014, a person de-
scribed in paragraph (2) (except as provided in clauses 
(vi) and (vii)), shall pay an annual enrollment fee as a 
condition of eligibility for health care benefits under this 
section. Such enrollment fee shall be an amount (rounded 
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to the nearest dollar) equal to the applicable percentage 
(specified in clause (ii)) of the retired pay of the member 
or former member upon whom the covered beneficiary’s 
eligibility is based, except that the amount of such enroll-
ment fee shall not be in excess of the applicable maximum 
enrollment fee (specified in clause (iii)). 
‘‘(ii) The applicable percentage of retired pay shall 
be determined in accordance with the following table: 
‘‘For: 
The applicable percent-
age for a family group 
of two or more persons 
is: 
The applicable percent-
age for an individual is: 
2014 
0.50% 
0.25%
2015 
1.00% 
0.50%
2016 
1.50% 
0.75%
2017 and after 
2.00% 
1.00%. 
‘‘(iii) For any year 2014 through 2017, the applicable 
maximum enrollment fees for a family group of two or 
more persons shall be determined in accordance with the 
following table: 
‘‘For: 
The applicable max-
imum enrollment fee for 
a family group whose 
eligibility is based upon 
a member or former 
member of retired grade 
O–7 or above is: 
The applicable max-
imum enrollment fee for 
a family group whose 
eligibility is based upon 
a member or former 
member of retired grade 
O–6 or below is: 
2014 
$200 
$150
2015 
$400 
$300
2016 
$600 
$450
2017 
$800 
$600. 
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‘‘(iv) For any year after 2017, the applicable max-
imum enrollment fee shall be equal to the maximum en-
rollment fee for the previous year increased by the per-
centage by which retired pay is increased under section 
1401a of this title for such year. 
‘‘(v) The applicable maximum enrollment fee for an 
individual shall be one-half the corresponding maximum 
fee for a family group of two or more persons (as deter-
mined under clauses (iii) and (iv)). 
‘‘(vi) Clause (i) shall not apply to a dependent of a 
member of the uniformed services who dies while on active 
duty, a member retired under chapter 61 of this title, or 
a dependent of such a member. 
‘‘(vii) Clause (i) also shall not apply to a person who, 
prior to the date of the enactment of this subparagraph, 
met the conditions described in paragraph (2)(A) and 
(B).’’. 
(d) TRICARE PHARMACY
PROGRAM
REQUIRE-
MENTS.— 
(1) 
AVAILABILITY
OF
PHARMACEUTICAL 
AGENTS
THROUGH
NATIONAL
MAIL-ORDER
PHAR-
MACY PROGRAM.—Section 1074g(a)(5) of such title 
is amended— 
(A) by striking ‘‘at least one of the means 
described in paragraph (2)(E)’’ and inserting 
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‘‘the national mail-order pharmacy program’’; 
and 
(B) by striking ‘‘may include’’ and all that 
follows through the end of the paragraph and 
inserting ‘‘shall include cost sharing by the eli-
gible covered beneficiary as specified in para-
graph (6).’’. 
(2) 
COST
SHARING
AMOUNTS.—Section 
1074g(a)(6) of such title is amended to read as fol-
lows: 
‘‘(6)(A) In the case of any of the years 2014 through 
2023, the cost sharing amounts referred to in paragraph 
(5) shall be determined in accordance with the following 
table: 
‘‘For: 
The cost 
sharing 
amount for 
30-day sup-
ply of a re-
tail generic 
is: 
The cost 
sharing 
amount for 
30-day sup-
ply of a re-
tail for-
mulary is: 
The cost 
sharing 
amount for 
a 90-day 
supply of a 
mail order 
generic is: 
The cost 
sharing 
amount for 
a 90-day 
supply of a 
mail order 
formulary 
is: 
The cost 
amount for 
a 90-day 
supply of a 
mail order 
non-for-
mulary is: 
2014 
$5 
$26 
$0 
$26 
$51
2015 
$6 
$28 
$0 
$28 
$54
2016 
$7 
$30 
$0 
$30 
$58
2017 
$8 
$32 
$0 
$32 
$62
2018 
$9 
$34 
$9 
$34 
$66
2019 
$10 
$36 
$10 
$36 
$70
2020 
$11 
$38 
$11 
$38 
$75
2021 
$12 
$40 
$12 
$40 
$80
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‘‘For: 
The cost 
sharing 
amount for 
30-day sup-
ply of a re-
tail generic 
is: 
The cost 
sharing 
amount for 
30-day sup-
ply of a re-
tail for-
mulary is: 
The cost 
sharing 
amount for 
a 90-day 
supply of a 
mail order 
generic is: 
The cost 
sharing 
amount for 
a 90-day 
supply of a 
mail order 
formulary 
is: 
The cost 
amount for 
a 90-day 
supply of a 
mail order 
non-for-
mulary is: 
2022 
$13 
$43 
$13 
$43 
$85
2023 
$14 
$45 
$14 
$45 
$90. 
‘‘(B) For any year after 2023, the cost sharing 
amounts referred to in paragraph (5) shall be equal to 
the cost sharing amounts for the previous year, adjusted 
by an amount, if any, as determined by the Secretary to 
reflect changes in the costs of pharmaceutical agents and 
prescription dispensing, rounded to the nearest dollar. 
‘‘(C) Notwithstanding subparagraphs (A) and (B), 
the cost-sharing amounts referred to in paragraph (5) for 
any year for a dependent of a member of the uniformed 
services who dies while on active duty, a member retired 
under chapter 61 of this title, or a dependent of such a 
member shall be equal to the cost sharing amounts, if any, 
for fiscal year 2013.’’. 
(3) REFILLS OF PRESCRIPTION MAINTENANCE 
MEDICATIONS
THROUGH
THE
NATIONAL
MAIL 
ORDER PHARMACY PROGRAM.— 
(A) IN GENERAL.—Such section 1074g is 
further amended by adding at the end the fol-
lowing new subsection: 
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