
Choose from two payment plans featuring attractive rates! Economic Quarterly Premiums to Fit Your Budget
As a member, you benefit from our mass purchasing power, making the rates for this valuable coverage surprisingly affordable. What’s more … the insurance company guarantees you’ll never be singled out for a rate increase, no matter how many claims you file!
| Quarterly Premium Rates |
| Under Age 65 |
Member
Spouse
Each Child
|
$21.00
$21.00
$18.00
|
Premiums shown are per
person.
Budget Your Payments with
CHECKOMATIC …
The Direct Monthly Payment Plan
Your TRICARE Supplement Plan premiums can be deducted directly from your checking account every month … with no worries about missing a payment and losing your valuable insurance protection. Simply complete the Request and Authorization form that accompanies this
Plan Application and mail it, along with your enrollment form and first month’s premium payment.
Enclose a blank check (marked VOID) to be kept of file. All future premiums will be deducted from your checking account automatically on the first business day of each month. Completed form and voided check must be received by the 15th of the month prior to the month of deduction.
| Monthly Premium Rates |
| Under Age 65 |
Member
Spouse
Each Child
|
$7.00
$7.00
$6.00
|
Premiums shown are per
person.
You can purchase the TRICARE Reserve Select Supplement plan at any time throughout the year as long as you are eligible for the TRICARE Reserve Select program
There is no specific period of coverage coverage is effective unless terminated or you are not eligible for TRICARE Reserve Select program.
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
Download Claim Form
|