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TRICARE Supplement

If you have TRICARE and would like a plan to cover out of pocket expenses, such as copays, coinsurances, and deductibles, for you and your family, the SEIB is offering the Selman TRICARE Supplement. This is for military personnel and their dependents who are not active duty, not Medicare eligible, and under age 65. This is a member-funded supplement and has monthly premiums. Please refer to the Brochure for Employees and Plan Design for Employees for details, exclusions, and limitations.

Premiums:

Membership Fee
Current Premium Rates
Total Amount Charged
Employee Only
$1.50
$59.00
$60.50
Employee plus Spouse
$1.50
$118.00
$119.50
Employee plus Child(ren)
$1.50
$118.00
$119.50
Employee plus Family
$1.50
$159.00
$160.50

Benefits:

Forms

Other Resources