TRICARE Supplement Plan
A Supplement Program Designed for TRICARE Eligible Members of
American Military Retirees Association
Note: These entities are not affiliated with the TRICARE Supplement in any way.





Click Below to
Learn More


About TRICARE

About Our Plans

How the Standard/ Extra Supplement Works

High Option II

Young Adult

Eligibility

Rate Schedule

How To Enroll

Return to Index


Links


TRICARE Official Site

DEERS Info



Do You Need a CHAMPVA Supplement ?




It's Easy to Enroll


To start, you need to:

  1. CLICK HERE for your online enrollment form.
    Enrollment form is in PDF format. If you don't have Adobe Acrobat Reader, click on this link.

  2. Next, print out and complete the enrollment form.

  3. IF you plan to pay your premiums monthly, you will need to print the Checkomatic Payment Plan form.
    CLICK HERE for your Checkomatic form.


  4. Then, print out and complete the Checkomatic form.

  5. IF you are paying monthly, also include a voided check from the account you are having your premiums drafted from.

  6. Now, CLICK HERE for your AMRA membership form.

  7. And, print the AMRA membership form and complete it.

  8. Write a check for your initial premium, payable to: AMRA Group Health Program
    (Please note: Initial premium required is the same as the mode of payment.
    One month - Checkomatic, one quarter - quarterly, etc.)


    CLICK HERE to review the rate schedule.

So, you should now have:

  1. A completed enrollment form

  2. A check for your initial premium, payable to: AMRA Group Health Program

  3. A completed AMRA membership form

  4. A check for your AMRA membership, payable to: AMRA

  5. A completed Checkomatic form, IF you are paying monthly

  6. A voided check, IF you are paying monthly

  7. Additional documentation, IF you are applying for a waiver of the Pre-existing Condition Limitation Clause
    or IF you are affected by the PRIME PSA Change.

Finally, all you need to do is:

  1. Place all of the above in an envelope

  2. And, mail it to:

    Tricare Supplement Plan
    P.O. Box 3246
    Pensacola, FL 32516


If you have any questions, email us at: questions@tricaresupplement.com

We appreciate you choosing our AMRA TRICARE Supplement.
We look forward to helping you with your TRICARE supplemental coverage.






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