TRICARE Reserve Select Supplemental Insurance Plan | Benefits

The USBA TRICARE Supplement is Sponsored by NGAUS and EANGUS

Here's How the TRICARE Reserve Select Supplement Plan works to Pay After TRICARE Reserve Select Pays.

TRICARE Reserve Select ANNUAL DEDUCTIBLE

  • E-4 and below Deductible is $50 member only coverage or a maximum of $100 per family per year
  • E-5 and above Deductible is $150 member only coverage or a maximum of $300 per family per year
  • No plan deductible

Inpatient Benefit: We will pay the benefits described below for a Covered Person's Period of Confinement in a Hospital or Skilled Nursing Facility. The Period of Confinement must: a) be due to Sickness or Injury; b) begin while he or she is covered under this benefit; c) be approved by TRICARE.

Care Required TRICARE Reserve Select Pays Your TRICARE Reserve Select Supplement Pays
Benefits in a Government Hospital All TRICARE Reserve Select Allowed Amount except the Current Daily Subsistence fee. Current Daily Subsistence Charge.
Benefits in a Civilian Hospital or Skilled Nursing Facility All TRICARE Reserve Select allowable amounts except the first $25.00 or current daily subsistence charges (whichever is greater). For the Covered Member, Spouse or Child, we will pay:
a) The greater of:
  1. Current Daily Subsistence fee for each day of confinement; or
  2. $25 for all confinements which are due to the same or related Sickness or Injury and separated by less than 60 days; until the TRICARE cap* is met
  3. b) 100% of all Covered Expenses in Excess of the TRICARE allowed amount, not to exceed the legal limit - after the TRICARE deductibles are met.
Outpatient Benefit TRICARE Network Provider
85% of the TRICARE allowable charge after the annual deductible is met.

Non-Network Provider
80% of the TRICARE allowable charge after annual deductible is met.
TRICARE Network Provider
Your 15% cost share for covered expenses until the TRICARE cap is met   TRICARE Authorized, Non-Network Provider
Your 20% cost share PLUS 100% of the Covered Excess Charges up to Legal Limit.
Prescription Drug Charges
Mail Order (up to 90-day supply) Network Retail (up to 30-day supply) Non-Network Retail (up to 30-day supply)
All but the copyaments of $3 generic, $9 brand name or $22 non-formulary Retail Network
All but the copyaments of $5 generic, $12 brand name or $25 non-formulary Retail Non Network
All but $12 or 20% of the total cost for generic/brand name or $25 or 20% for non-formulary (whichever is greater) after the fiscal year deductible is met.
Mail Order
Copayments of $5 generic, $12 brand name or $25 non-formulary Retail network
Copayments of $5 generic, $12 brand name or $25 non-formulary Retail non-network
$12 or 20% of the total cost for generic/brand name or $25 or 20% for non-formulary (whichever is greater) after the fiscal year deductible.

Before you begin the application process, be sure to review the TRICARE RESERVE SELECT SUPPLEMENT Features, Benefits Summary, Rates and FAQ.

It's So Easy To Enroll in the TRICARE RESERVE SELECT SUPPLEMENT Enrollment Form

The Supplemental Insurance Plan is not available in ME, MT, NH and VT.