TRICARE Supplement

The TRICARE Supplement Plan is administered by ASI and underwritten by Monumental Life Insurance Company and Transamerica Financial Life Insurance Company (NY residents only).

TRICARE-eligible employees who are also eligible for the State Health Benefits Program and are in one of the following categories may voluntarily enroll in the supplement plan:

  • Military retirees with 20 years of creditable military service and entitled to retired pay and their spouses/surviving spouses who are not eligible for Medicare.
  • Retired Reservists and National Guardsmen between the ages of 60 and 65 with 20 years of creditable service and their spouses/surviving spouses who are not eligible for Medicare.
  • Retired Reservists and National Guardsmen under age 60 and enrolled in TRICARE Retired Reserves (TRR) and their spouses/surviving spouses who are not eligible for Medicare.
  • Military retirees and their spouses/surviving spouses who reside outside the U.S. or its territories (all who are eligible for Medicare must be enrolled in Medicare).
  • Military retirees and their spouses/surviving spouses age 65 or older but ineligible for Medicare (all must have received a Statement of Disallowance from Social Security Administration).

Advantages of the TRICARE Supplement Plan

  • Available to all TRICARE participants regardless of rank or service
  • No medical examination required for enrollment
  • No pre-existing condition clause
  • No supplement plan deductibles, but TRICARE deductibles apply
  • Full reimbursement of the TRICARE Standard/Extra Outpatient Deductible and 50% reimbursement of the POS deductible
  • Full reimbursement of the TRICARE cost shares
  • Full reimbursement of the excess charge benefit (difference between the TRICARE allowed amount and the provider’s billed charge) when a nonparticipating provider is utilized
  • Flexibility and freedom to see any TRICARE-authorized civilian providers
  • Full portability if your enrollment with the Commonwealth of Virginia ends
  • Guaranteed Issue

The TRICARE Supplement Plan works with all three TRICARE options (Standard, Extra and Prime) to pay the following benefits.

  • 100 percent of the TRICARE Standard Outpatient Deductible of $150 individual (maximum $300 family)
  • 100 percent TRICARE Standard/Extra cost share
  • 100 precent applicable Excess Charges (when non-network providers are used)

Under the TRICARE Prime or Point of Service (POS) option, the supplement plan pays:

  • 100 percent of the TRICARE Prime copayments or cost shares
  • 50 percent of the POS deductible of $300 individual (maximum $600 family)
  • 100 percent TRICARE Prime POS cost share
  • 100 percent applicable Excess Charges

Monthly premium schedule

Employee Only - $60
Employee plus One - $119
Employee plus Two/More - $160

Making premium payments:

Monthly premiums will be payroll deducted on a pre-tax basis.

Special enrollment options:

During the special enrollment period from August 22 – September 6, you may:

  • Change to the TRICARE supplement from current COVA Care or COVA High Deductible Health Plan
  • Elect the TRICARE supplement from waived status
  • Take no action and remain in your current health plan

Call ASI’s toll-free number at 1-866-637-9911 for an enrollment package, questions about open enrollment, or other questions about the TRICARE supplement. Get the TRICARE enrollment form online.