(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.