Tricare Supplement Insurance Program
A Supplement Program Designed for Tricare Eligible Members of
American Military Retirees Association





Click Below to
Learn More


About Tricare

About Our Plans

How the Standard/ Extra Supplement Works

High Option II

Eligibility

Rate Schedule

How To Enroll

Return to Index


Links


Tricare Official Site

DEERS Info




Here’s How The Tricare Extra/Standard
Supplement Works To Pay What
Tricare Extra/Standard Doesn’t Pay

Care Required
Tricare Extra/
Standard Pays
Your Tricare Extra/Standard Supplement High Option II Plan Pays
Inpatient confinement in civilian hospitals for RETIREES and dependent family members (room, board, supplies and staff services billed by the hospital) The Tricare Standard/DRG amount (contracted rate for Tricare Extra)minus your cost share. The lesser of $535/day or 25% of billed amount, not to exceed the Tricare Standard DRG amount (lesser of $250/day or 25% cost share of the contracted rate for Tricare Extra) PLUS 100% of covered excess charges up to the reasonable and customary community standard level. (After you satisfy the fiscal year plan deductible.)
Inpatient confinement in civilian hospitals for RETIREES and dependent family members (doctors, and other inpatient services not billed by the hospital) 75% of the Tricare Standard allowed amount (80% for Tricare Extra) for doctors and other professional services. Your cost share PLUS 100% of covered excess charges up to the reasonable and customary community standard level.
Inpatient confinement in military hospitals. All but the daily subsistence fee. The daily subsistence fee.
Outpatient care for RETIREES and dependent family members (office visits, clinics, lab, prescription drugs, etc.) 75% of the Tricare Standard allowed amount (80% for Tricare Extra)after you pay the Tricare Outpatient Deductible. Your cost share** PLUS 100% of covered excess charges up to the reasonable and customary community level, AFTER you pay the fiscal year plan deductible of $150 per person, $300 family maximum.
Inpatient confinement in civilian hospitals for ACTIVE DUTY dependents

Outpatient care for ACTIVE DUTY dependents (office visits, clinics, labs, prescription drugs, etc.)
All allowable charges except daily subsistence fee or $25, whichever is greater.

80% of the Tricare Standard allowed amount (85% for Tricare Extra) after you pay the Tricare Outpatient Deductible.
Active Duty Plan - $25 or the daily subsistence fee, whichever is greater, PLUS 100% of covered excess charges up to the reasonable and customary community standard level.

Active Duty Plan - Your cost share PLUS 100% of covered excess charges up to the reasonable and customary community standard level, AFTER you pay the Tricare Extra/Standard Outpatient Deductible.*


We will pay the Inpatient and Outpatient covered medical expenses once the fiscal plan deductible of $150 per person and $300 family maximum has been satisfied. Expenses incurred to satisfy the fiscal year TRICARE Standard/Extra Outpatient Deductible cannot be used to satisfy the High Option II Supplemental Plan Deductible.

Confined or Confinement means Being an Inpatient in a Hospital (or Skilled Nursing Facility) due to Sickness or Injury.
And Skilled Nursing Facility does not mean:
a) a hospital; or
b) a place for rest, custodial care, or the aged; or
c) a place for the treatment of mental disease, drug addicts or alcoholics.












Click on the following links to learn more!
About Tricare | About Our Plans | How the Standard/Extra Supplement Works
High Option II | Eligibility | Rate Schedule | How to Enroll | Return to Index


Last updated 18.7.2009