What Does Tricare Prime Cover For Retirees – TRICARE Supplemental Insurance helps protect you and your family by making it easier to manage your out-of-pocket medical expenses. Air Force photo.

As an active or retired military member, you may be eligible for health insurance coverage through TRICARE.

What Does Tricare Prime Cover For Retirees

Like most health insurance plans, TRICARE generally does not cover 100 percent of your medical expenses, except for service members who pay nothing out of pocket for their care.

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Depending on how often you and your family receive medical care, these out-of-pocket costs can add up. Also, you may not always plan for these expenses, so they don’t always fit into your household budget.

One way to manage out-of-pocket medical expenses is to purchase a TRICARE supplemental insurance plan. What is TRICARE Supplemental Insurance?

TRICARE Supplemental Insurance covers qualified medical expenses paid to civilian providers for people enrolled in a TRICARE health plan. This payment is paid after your regular TRICARE plan pays a portion of your medical bill.

AFA TRICARE Supplemental Insurance Plans AFA members up to age 65 and their dependents are covered by a TRICARE health plan. Members under age 65 cannot be denied coverage based on health if the member has TRICARE benefits. Support AFA and its mission by purchasing through your AFA membership

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When AFA members purchase supplemental insurance from AFAInsure, they help AFA continue its mission to support and protect the United States Air and Space Forces. Plans sold through AFAInsure, including the TRICARE supplement, are AFA group policies valid for all AFA members. The AFA receives reimbursement from members enrolled in these plans. Your premium payments do not support other military branches or associations with a broader military base.

You share the remaining costs after your TRICARE health plan pays its share of the medical bill. This includes inpatient and outpatient care, excess benefits, outpatient surgery and pharmacy costs.

Some supplemental plans have an annual deductible that varies depending on whether they cover an individual or a family.

Not all AFA members benefit financially from a TRICARE supplemental insurance plan. You should carefully consider the health needs of you and your family before purchasing this plan. In some cases, the cost of a supplemental plan may exceed the cost of your regular health plan.

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To learn more about the TRICARE AFA Supplemental Insurance Plan and to enroll in the plan, visit the AFA Insurance website.

) TRICARE supplemental insurance plans have a pre-existing condition limitation. See TRICARE Supplement Plan exclusions and limitations information, including pre-existing conditions, on the AFAInsure.com website.

This article explains the general purpose of the insurance described, but in no way modifies or affects the policy actually issued. In the event of any inconsistency between this article and the policy (Master Policy AGP-5924), the terms of the policy will apply.

All benefits are subject to policy terms and conditions. Hartford Accident and Life Insurance Company policies detail exclusions, limitations and conditions under which policies may be continued or terminated entirely. Full information is provided in the certificate of insurance issued to each insured and in the insured’s master policy. This program may vary and may not be available to residents of all states.

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