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Military Life Insurance, TRICARE, CHAMPVA
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National Guard, Federal Employees
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Plan Details
Benefits Summary

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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 CHAMPVA Supplement Plan

The USBA CHAMPVA Supplement Plan provides you with the protection you may need when a serious covered accident or sickness occurs. The USBA CHAMPVA Supplement Plan, when combined with your CHAMPVA benefits, is designed to provide you with the protection you need when you need it.

So why choose USBA’s CHAMPVA Supplement Plan?

  • Guaranteed Acceptance (subject to pre-existing condition limitation*)
  • 30-Day Right to Examine
  • Competitively Priced
  • Retirees and Spouses Get the Same Rates
  • Smokers Pay the Same Price As Non-smokers

Before you begin the application process, be sure to review the USBA CHAMPVA Suppplement Plan Features, Benefits Summary, FAQs and Rates.

If you have questions, please don’t hesitate to call one of our highly-trained product 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.


Application Download
Choose the application that’s right for you:
Arrow CHAMPVA Supplement
Arrow Download Claim Form
Arrow Download Claim Form (NY Residents Only)

To qualify for this product, you must be:
  Arrow CHAMPVA-eligible recipient under age 65
CHAMPVA-eligible spouse under age 65, and dependent, unmarried children under age 18 (23 if in college)
CHAMPVA-eligible widow(er)s under age 65
Plan Details    

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!*

USBA CHAMPVA Supplement Insurance Plan rates

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

USBA CHAMPVA Supplement Insurance Plan rates

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.

**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 the Application
That’s Right For You:
Download Claim Form
Arrow CHAMPVA Supplement Claim Form
Arrow CHAMPVA Supplement
(NY Residents Only)
Claim Form (NY Residents Only)

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