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| Is there a maximum limit on benefits (lifetime,
annual, etc.)? |
| When the Tricare cap of $3,000 is met,
Tricare will pay 100% of covered medical expenses. The
supplement pays nothing. However, the supplement will
pay 100% of covered excess charges over the cap. Additionally,
Inpatient treatment for mental, nervous or emotional
disorders in excess of 45 days if under age 19, or 30
days if age 19 or older, is limited to 90 days (if approved
by Tricare) in a calendar year. Outpatient benefits for
mental, nervous or emotional disorders, drug addiction
or alcoholism are limited to a maximum of $500 in a 12
month period. |
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| Will the plan cover amounts beyond what
TRICARE allows? |
| The Plan will pay 100% of covered excess
charges up to the reasonable and customary community
standard level. |
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| Does the plan pay for services that aren't
covered by TRICARE? |
| No |
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| Will the plan pay the TRICARE outpatient
deductible? |
| The Comprehensive Plan reimburses the TRICARE fiscal year outpatient deductible subject to a modest fiscal year plan deductible of $75 per person and $150 per family. The High Option plan has a fiscal year Plan deductible of $150 per person and $300 family maximum.
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| How will the plan require premium payments? |
| Premiums may be paid
monthly by deduction from checking account (checkomatic), quarterly, semi-annually
or annually.
Credit cards may not be used to pay premiums. |
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| Will the plan cover the TRICARE Prime enrollment
fees or co-payments? |
| No, as we no longer offer a Prime Supplement. |
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| Does the plan convert to a Medicare Supplement?
If so, must it be in force as a TRICARE supplement for
any specified length of time before conversion? |
| No, the plan does not convert to a Medicare
Supplement Plan. At age 65, TRICARE FOR LIFE kicks in
and benefits are paid between Tricare and Medicare (providing
the individual has Part B of Medicare.) |
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| Will the plan cover you overseas? |
| Yes. TRICARE coverage is worldwide. If
TRICARE pays for covered medical expenses overseas, the
plan will pay its contractual benefit. |
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| Can premium payments be increased? Under
what conditions? |
| Premiums increase as a person moves from
one 5-year age bracket to
another (40, 45, 50, 55, 60). The company reserves the
right to change
premiums on a group wide basis to maintain the financial
solvency of the plan. |
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| What are the membership fees (annual, lifetime,
etc.), if any, when you join the organization that sponsors
the plan? |
| USBA has no membership fees. |
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| Does the plan cover the service member
when he/she retires? |
| Yes. If the member enrolls within 63 days
from the time he/she
retires from the military, providing his dependents had
already enrolled in our Tricare Supplement Plan, the
retiree will not be subject to the Pre-Existing Condition
provision. If the retiree waits beyond the 63 day period,
he/she is subject to the Pre-Existing Condition clause. |
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| Does coverage continue for surviving spouses
at no charge? |
| Yes, under the Comprehensive Plan, for
four years providing both Member and Spouse have coverage
under the policy on the date of member's death. |
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| If you're retired military and have a health
care plan (which pays before TRICARE) through a civilian
job, do you still need a TRICARE supplement if, between
them, your employer's plan and the TRICARE health care
option you've chosen will pay most or all of your civilian
medical bills? |
| No |
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Select and Download the Plan Application that's right for you:
Members of NGAUS or EANGUS
Members of the National Guard not affiliated with NGAUS or EANGUS
Members of the Reserve
All Others
Download Claim Form
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All plan information can be downloaded and saved in PDF format readable by Adobe Acrobat Reader. If you do not have Acrobat Reader, you may download it from the Adobe web site.
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Clicking on "Print this plan" takes you to a printer friendly version of the page. Printer friendly plans include plan rate tables.
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Click here to order your free, no-obligation Info Packet and we will rush it to you. |
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We're happy to help! Call us at 1-800-368-7021 from 8:00 a.m. - 4:30 p.m. Central time for live assistance (or leave a message after hours for prompt callback). You can also email us at usbainfo@usba.com.
Send comment about the web site contact: webmaster@usba.com.
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