USBA Has You Covered

To help eliminate the worry of unexpected and uncovered health care costs.

USBA TRICARE and CHAMPVA Supplements

Which Plan Fits Your Needs?

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Plan	Eligibility	Deductible	30 Day Right to Examine
TRICARE Prime Supplement	USBA Members who are covered under TRICARE Prime, who are under Age 65, who are not eligible for Medicare, who are not on Active Duty and who are a: Retired Member Retired Reserve Member Member’s Spouse who is under Age 65 and who is not eligible for Medicare Member’s Dependent Child(ren) who are unmarried and under Age 21 or under Age 23 if enrolled as a full-time student Member’s Dependent Child(ren) enrolled in TRICARE Young Adult	$0
TRICARE Select Supplement	USBA Members who are covered under TRICARE Select, who are under Age 65, who are not eligible for Medicare, who are not on Active Duty and who are a: Retired Member Member’s Spouse who is under Age 65 and who is not eligible for Medicare Member’s Dependent Child(ren) who are unmarried and under Age 21 or under Age 23 if enrolled as a full-time student Member’s Dependent Child(ren) enrolled in TRICARE Young Adult	$250 for individual or $500 for family
TRICARE Active Duty Family Member Supplement	USBA Members who are currently enrolled in TRICARE Active Duty Family Member Member’s Spouse who is under Age 65 and who is not eligible for Medicare Member’s Dependent Child(ren) who are unmarried and under Age 21 or under Age 23 if enrolled as a full-time student Member’s Dependent Child(ren) enrolled in TRICARE Young Adult	$0
TRICARE Reserve Select Supplement	Must be a member of the Selected Reserve or the Ready Reserve covered by TRICARE Reserve Select Member’s Spouse who is under Age 65 and who is not eligible for Medicare Member’s Dependent Child(ren) who are unmarried and under Age 21 or under Age 23 if enrolled as a full-time student Member’s Dependent Child(ren) enrolled in TRICARE Young Adult	$0
TRICARE Retired Reserve Supplement	USBA Members who are covered under TRICARE Retired Reserve Select, who are under Age 65, who are not eligible for Medicare, who are not on Active Duty and who are a: Retired Reserve Member Member’s Spouse who is under Age 65 and who is not eligible for Medicare Member’s Dependent Child(ren) who are unmarried and under Age 21 or under Age 23 if enrolled as a full-time student Member’s Dependent Child(ren) enrolled in TRICARE Young Adult	$250 for individual or $500 for family
CHAMPVA supplement	USBA Member who is a widow(er) of a veteran, who is covered under CHAMPVA, who is under Age 65, who is not eligible for Medicare and who is not on Active Duty Member’s Spouse who is covered under CHAMPVA, who is under Age 65, who is not eligible for Medicare and is not on Active Duty Member’s Dependent Child(ren) who are unmarried and under Age 21 or under Age 23 if enrolled as a full-time student	$250 for individual or $500 for family

Choose protection from unexpected medical expenses today

Have
questions?

Call one of our USBA Product Specialists:
877-297-9235 ext. 554
Monday – Friday 9:00 a.m. – 4:00 p.m. Central time

Armed With Compassion. Dedicated To Service.^SM

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