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Military Life Insurance, TRICARE, CHAMPVA
Supplements for Armed Forces & Services:
Active Duty, Transitioning Military,
Veterans, Retired Military, Reserve &
National Guard, Federal Employees
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USBA Group Life Insurance plans are underwritten by New York Life Insurance Company
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Home > Insurance Help & Plans Overview > TRICARE Standard/Extra Supplement
USBA TRICARE Standard/Extra Supplement Plan Family Photo
 
     
 
Plan Details
Features
Benefits Summary
FAQs
Rates

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30-Day Right to Examine:
Upon approval of your Application, you’ll be issued a Certificate of Insurance. If you are not completely satisfied with the provisions of your Certificate, you can return it within 30 days, without claim, for a prompt, full refund. Important Plan Information
 

USBA TRICARE Standard/Extra Supplement Plan

SELECTED RESERVE
or READY RESERVE?

If you’re an eligible TRICARE beneficiary, we invite you to compare our TRICARE Standard or TRICARE Extra Supplemental insurance plan to other providers. USBA understands how confusing the health care choices are today for military families and retirees. We also understand how important choosing the right health care supplement is … because your family will still have medical expenses even after TRICARE pays. And even though your costs may be small, in many cases they can be huge.

So why choose USBA’s TRICARE Standard/Extra Supplement Plan?

  • Guaranteed Acceptance (subject to pre-existing condition limitation*)
  • 30-Day Right to Examine
  • Your Choice of 2 Specially-designed Plans to Custom Fit Your Needs
  • Competitively Priced
  • Retirees and Spouses Get the Same Rates
  • Smokers Pay the Same Price As Non-smokers

Attention “Gray Area Reservists and Survivors”, effective September 1, 2010, TRICARE has a new health benefit program for Retired National Guard and Reservists who are under the age of 60, not qualified for non-regular retirement and not eligible for, or enrolled in, the Federal Employees Health Benefits (FEHB) program. You now have the option to purchase the TRICARE Retired Reserve (TRR) health benefits plan. If you are enrolled in TRR you are eligible to enroll in our High Option II Supplement Plan.

Before you begin the application process, be sure to review the USBA TRICARE Standard/Extra Supplement Plan Features, Benefits Summary, FAQs and Rates.

If you have questions, please don’t hesitate to call one of our highly-trained TRICARE specialists at (877) 297-9235.

NOTE: Coverage may not be available in all states.

Notice: ASI, the administrator of USBA’s TRICARE/CHAMPVA Supplement products was recently acquired by Selman & Company of Cleveland, Ohio. This acquisition does not change the terms or conditions of your TRICARE/CHAMPVA Supplement products. The insurer stays the same, claims file the same, the customer service 1-800-638-2610 remains the same. USBA was not a party to the acquisition and continues to operate independently.

Underwritten by Transamerica Premier Life Insurance Company, Cedar Rapids, IA and for NY residents, Transamerica Financial Life Insurance Company, Harrison, NY.

To qualify for this product, you must be:
  Arrow TRICARE-eligible recipient under age 65 and entitled to retired, retainer, or equivalent pay
  Arrow
TRICARE-eligible spouse under age 65, and dependent, unmarried children under age 21 (23 if in college)
  Arrow
TRICARE-eligible widow(er)s and ex-spouses
Arrow
Eligible Spouses and Children of active-duty service members
  Arrow
Must not be enrolled in Medicare
Check your eligibility for TRICARE by visiting here.
Plan Details    
Rates

Competitive Premiums to fit your budget - As a member, you benefit from our mass purchasing power, making the rates for this valuable coverage surprisingly competitive. What’s more … the insurance company guarantees you’ll never be singled out for a rate increase, no matter how many claims you file!*

TRICARE Standard/Extra Supplemental Plan Rate Chart

The first year discounted rates displayed above are not available to insureds in Kentucky or Ohio. The TRICARE Standard/Extra Supplement Base Rates below apply to residents in Kentucky and Ohio.

TRICARE Standard/Extra Supplemental Plan Rate Chart

Premiums shown are PER PERSON - Premiums increase based on your effective date of coverage and as you move from one age bracket to another. The insurance company reserves the right to change benefits or premiums on a group wide basis. Rates and/or benefits may be changed on a class basis. Rates are based on the attained age of the Insured Person and increase as you enter each new age category.

Your Payment Options:
You have the option of paying your premiums once a year (annually), twice a year (semi-annually), four times a year (quarterly), or monthly. If you pay your premiums monthly, quarterly, or semi-annually, the total premiums you pay in a year may be higher than if you make one annual payment. If you are interested in learning more about these payment options, please refer to your fulfillment package for details.

*Change of Policy Premium: We have the right on each Premium Due Date to change the rate at which premiums will be calculated. This includes the right to change premium rates for a benefit that applies to all individuals of the same class, age, plan, and effective date. Rates may be changed based on claims experienced on the Policy. We will give the Policyholder or Organization notice of any change at least 45 days before the Premium Due Date on which it is to become effective.

**Age of Retiree, Spouse, Widow/er, Former Spouse

***Newborn children not named in your enrollment form are automatically covered from birth for injury or sickness, including treatment of congenital defects and birth abnormalities, for 31 days. You must notify the Plan Administrator in writing and pay the additional premium due within 31 days of birth for coverage to continue beyond this period. Insured children who are incapable of self-sustaining employment because of mental retardation or physical disability and who are unmarried and chiefly dependent on the insured member for support and maintenance may continue coverage past policy age limits, with requested proof. Otherwise, each dependent child’s insurance terminates on the premium due date following the date he or she is no longer a dependent.

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Download Claim Form
Arrow TRICARE Standard/Extra Supplement Claim Form
Arrow TRICARE Standard/Extra Supplement
(NY Residents Only)
Claim Form (NY Residents Only)

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