TRICARE Supplement Insurance Plan

Your TRICARE health insurance plan wasn't designed to cover everything. With medical expenses on the rise, your out-of-pocket costs with your TRICARE coverage can become a financial burden.

The AUSA TRICARE Supplement Insurance Plan can help cover what TRICARE doesn’t. This supplement works alongside your current TRICARE coverage to help pay more of your covered medical bills—including hospital stays, doctor visits, and prescription drugs.

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Plan Highlights

  • Guaranteed acceptance*: AUSA members under age 65 cannot be turned down for this plan
  • Competitive rates: Enjoy affordable group rates negotiated exclusively for AUSA members
  • Excess Charges: Pays excess charges (up to 15% above the TRICARE-allowed amount)
  • Freedom: Choose any TRICARE-authorized doctor you want
  • Portable protection: The supplement will stay with you even if you move or change jobs
  • Dependable coverage: Your coverage cannot be cancelled—regardless of number of claims—up to age 65

*This policy is guaranteed acceptance, but it does contain a Pre-Existing Condition Limitation. Please refer to the brochure for more information on exclusions and limitations, such as Pre-Existing Conditions.

Monthly Premium Rates

TRICARE Select Active Duty Family Supplement Plan

All Ages
Spouse $16.71
Each Child* $9.25

TRICARE Reserve Select Supplement Plan

All Ages
Member $17.41
Spouse $17.41
Each Child* $9.25

To calculate premiums quarterly, semi-annually, or annually, just multiply your monthly premium by 3, 6, or 12 respectively.

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.

TRICARE Select Retiree Supplement Plan

Attained Age Member/Spouse Non-Smoker** Member/Spouse Smoker
Under 50 $25.21 $26.43
50-59 $37.77 $39.62
60-64 $41.74 $43.81
65 and older $49.67 $52.14
Each Child* $17.89

TRICARE Prime Supplement Plan

Attained Age Member/Spouse Non-Smoker** Member/Spouse Smoker
Under 50 $16.71 $17.34
50-59 $23.09 $24.01
60-64 $29.51 $30.75
65 and older $32.63 $34.00
Each Child* $16.61

*Newborn children not named in your activation 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 incapacities or physical disabilities, 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 coverage terminates on the premium due date following the date he/she is no longer a dependent.

**You are considered a non-smoker if you have not smoked cigarettes, cigars or a pipe, or used chewing tobacco, nicotine chewing gum or snuff during the 12 months before submitting an application for insurance.

Who Is Eligible?

AUSA members under age 65 and their families are eligible to enroll, including:

  • Military retirees and their families
  • Spouse and children of active-duty members
  • TRICARE Reserve Select (TRS) members and their families
  • Dependents up to age 21 (23 if a full-time student)

Resources

TRICARE Supplement Insurance Plan Brochure

Claim Forms

To submit a claim, download and complete the applicable form and mail it to the address shown at the bottom of this page or fax it to 866.817.9009.

TRICARE Supplement Insurance Plan Claim Form

Enroll Now

Enrollment Form*

*All states except MT and NY.

Montana Form

New York Form

This website explains the general purpose of the insurance described, but in no way changes or affects the Master Policy AGP-5890 as actually issued. In the event of a discrepancy between this website and the policy, the terms of the policy apply. All benefits are subject to the terms and conditions of the policy. Policies underwritten by Hartford Life and Accident Insurance Company detail exclusions, limitations, reduction of benefits and terms under which the policies may be continued in full or discontinued. Complete details are in the Certificate of Insurance issued to each insured individual and the Master Policy issued to the policyholder. This program may vary and may not be available to residents of all states.

The Hartford® is The Hartford Financial Services Group, Inc., and its subsidiaries, including issuing company Hartford Life and Accident Insurance Company, Hartford, CT 06155

TRICARE Form Series includes GBD-3000, GBD-3100, or state equivalent.

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