TRICARE Prime Insurance Supplement Plan

TRICARE Prime
Supplement Insurance Plan

Click Below to
Learn More

About TRICARE

About Our Plan

How the Prime Supplement Works

Termination/Exclusions

Rate Schedule

How To Enroll

Return to Index

Links

TRICARE Official Site

DEERS Info

Insurance Premium Rate Chart

Competitively-Priced Premiums to Fit Your Budget (Premiums shown are per person) Premiums increase based on your effective date of coverage. The insurance company reserves the right to change premiums on a group wide basis.(1)

PLAN A (RATES SHOWN ARE PER QUARTER)

Age of Retiree, Spouse, Widow/er	DISCOUNTED First-Year Rate* (includes 16% discount(2))	Base Rate (after 12 months (2))
Under 40	$ 39.48	$ 47.00
40-44	$ 41.16	$ 49.00
45-49	$ 49.56	$ 59.00
50-54	$ 60.48	$ 72.00
55-59	$ 74.76	$ 89.00
60-64	$ 83.16	$ 99.00
Each child	$ 36.12	$ 43.00

PLAN B (RATES SHOWN ARE PER QUARTER)

Age of Retiree, Spouse, Widow/er	DISCOUNTED First-Year Rate* (includes 16% discount(2))	Base Rate (after 12 months (2))
Under 40	$ 43.68	$ 52.00
40-44	$ 49.56	$ 59.00
45-49	$ 58.80	$ 70.00
50-54	$ 75.60	$ 90.00
55-59	$ 91.56	$ 109.00
60-64	$ 105.00	$ 125.00
Each child	$ 43.68	$ 52.00

*First-year discounted rates are not available to insureds in OH or KY.

(1) Rates are based on the attained age of the insured person. Rates and/or benefits may be changed on a class basis. Plan or rate changes may be subject to final approval by the applicable regulatory authorities.

(2) Members receive a 16% rate discount during their first twelve months of coverage. There are no other discounts. After the 12th month, the rates go up 16%.

These plans do not pay the TRICARE Prime annual enrollment fee.

The Prime Supplement Plans A and B are not available in NC and ND.
Plan B is not available in FL or IA.

Check with TRICARE to confirm your actual copay portion. TRICARE’s portion of coverage is provided here for your convenience, but is subject to change by DHA (Defense Health Agency).

Your Payment Options
Please note: You also may have the option of paying your premiums once a year (annually), twice a year (semi-annually), or four times a year (quarterly). If you pay your premiums monthly, quarterly or semi-annually, the total amount of premiums and/or administration fees that 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 Premiums
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 experience of 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.