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About Our Plans
How the Standard/ Extra
High Option II
How To Enroll
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TRICARE Official Site
Do You Need a CHAMPVA Supplement ?
to Fit Your Budget
As a member, you benefit from your organizationís mass purchasing power,
making the rates for this valuable coverage more affordable. Whatís more, the
insurance company guarantees youíll never be singled out for a rate increase, no matter
how many claims you file!
|Age of Retiree, Spouse, Widow/er, Former Spouse
(Please note: Initial premium required is the same as the mode of payment.
One month - Checkomatic, one quarter - quarterly, etc.)
*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 handicap -- 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 childís insurance terminates on the
premium due date following the date he or she is no longer a dependent.
Rates are based on the attained age of the insured person and increase as you enter each new category. Rates and/or
benefits may be changed on a class basis.
NOTE: To pay premium semi-annually or annually, just multiply your quarterly premium by 2 or 4 respectively.
The supplement plan is not available in all states.
Exclusions may vary by state and underwriter. See your Certificate for complete details.
NOW ALSO AVAILABLE-- Budget your Payments with CHECKOMATIC ... The Direct Monthly Payment Plan
NOTE: Your CHECKOMATIC premium is the quarterly premium divided by three.
(Download the CHECKOMATIC form
if you plan to pay your premiums monthly.)