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 ?



Here’s How The TRICARE
Supplement Plan Works to Help Pay
Covered Expenses After TRICARE Pays


Care Required
TRICARE Standard/
Extra Pays
Your TRICARE Standard/Extra 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 the DRG/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)
(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 AFTER you satisfy the fiscal year plan deductible.
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 AFTER you satisfy the fiscal year plan deductible PLUS 100% of Covered Excess Charges up to the TRICARE Legal Limit.

For prescription drugs - the plan pays your copayment amounts.


The High Option II Supplement Plan pays the Inpatient and Outpatient covered medical expenses once the fiscal year Plan Deductible of $250 per person , $500 per family maximum has been satisfied. Expenses incurred to satisfy the fiscal year TRICARE Standard Outpatient Deductible cannot be used to satisfy the High Option II Supplemental Plan Deductible.

Definition
Confined or Confinement means Being an Inpatient in a Hospital (or Skilled Nursing Facility) due to Sickness or Injury.
Skilled Nursing Facility means one which: (a) is approved by Medicare or is qualified to receive approval by Medicare if so required; (b) operates pursuant to law; (c) primarily and continuously provides skilled nursing care and related services to persons convalescing from Sickness or Injury on an Inpatient basis for which a charge is made; (d) provides 24-hour-a-day nursing service by or under the supervision of registered nurses (R.N.); (e) provides adequate procedures for the administration of drugs; (f) maintains daily medical records of each patient; and (g) provides each patient with a planned program of medical care and treatment by or under the supervision of a Physician.












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


Last updated 18.7.2009