TRICARE Prime Supplemental Insurance | Rates

Premiums illustrated are Per Person. Members receive a 16% rate discount during their first twelve months of coverage.

PLAN AMonthly
Check-O-Matic
QuarterlySemi-AnnualAnnual
Under 40$13.16$39.48$78.96$157.92
40 - 44$13.72$41.16$82.32$164.64
45 - 49$16.52$49.56$99.12$198.24
50 - 54$20.16$60.48$120.96$241.92
55 - 59$24.92$74.76$149.52$299.04
60 - 65$27.72$83.16$166.32$332.64
Each Child*$12.04$36.12$72.24$144.48

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PLAN BMonthly
Check-O-Matic
QuarterlySemi-AnnualAnnual
Under 40$14.56$43.68$87.36$174.72
40 - 44$16.52$49.56$99.12$198.24
45 - 49$19.60$58.80$117.60$235.20
50 - 54$25.20$75.60$151.20$302.40
55 - 59$30.52$91.56$183.12$366.24
60 - 65$35.00$105.00$210.00$420.00
Each Child*$14.53$43.68$87.36$156.00

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Change of Policy Premiums: The Plan Underwriter has 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.

Premiums increase based on your effective date of coverage and as you move from one age bracket to another. The insurance company reserves the right to change premiums on a group wide basis.

*Newborn children not named in your enrollment form are automatically covered from birth for injury or sickness, including treatment of congenital defects, prematurity 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 incapacitation or physical disability and who are unmarried and chiefly dependent on the insured member for support and mainte-nance–may continue coverage past policy age limits, with requested proof. Otherwise, each dependent child’s insurance terminates on the premium due date following the date he or she is no longer a dependent.

It’s So Easy To Enroll in the TRICARE Prime Supplement

IMPORTANT NOTICE:

The Plan is currently not available in CO, ME, NH, NV, OR, WA.

  • The Corporate Plan Sponsor: Government Employee Association (GEA)
  • Plan Administer: Selman and Company
  • Underwritten by: Transamerica Premier Life Insurance Company, Cedar Rapids, IA Transamerica Financial Life Insurance Company, Harrison, NY (NY residents only)
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