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CHAMPVA / TRICARE 2014 Supplement Comparison Chart

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(Approximate Yearly Rates) Disabled Veterans CHAMPVA Supplement Military Association Reserve Officers Association Association of the United States Army** Federal Employees & USPS Annuitants NAVAL Enlisted Reserve Association MOAA* Air Force Sergeants Association Marine Corps Association Air Force Association FLEET Reserve Association
Retired
Member
Rates
0-39
40-44
45-49
50-54
55-59
60-64
N/A $804.00 yr.
(Flat Rate)
$323.00
$323.00
$428.00
$537.00
$665.00
$770.00
$326.00
$326.00
$326.00
$489.00
$489.00
$541.00
$846.00 yr.
(Flat Rate)
$356.00
$356.00
$356.00
$520.00
$680.00
$860.00
$312.00
$312.00
$351.00
$488.00
$664.00
$852.00
$367.00
$367.00
$479.00
$603.00
$768.00
$852.00
$306.00
$306.00
$306.00
$478.00
$649.00
$840.00
$300.00
$324.00
$360.00
$456.00
$576.00
$636.00
$294.00
$372.00
$372.00
$431.00
$545.00
$697.00
Retired
Spouse
Rates



Each Child:
0-39
40-44
45-49
50-54
55-59
60-64
$388.00
$432.00
$504.00
$648.00
$764.00
$920.00
$304.00
$804.00 yr.
(Flat Rate)




$552.00
$323.00
$323.00
$428.00
$537.00
$665.00
$770.00
$178.00
$326.00
$326.00
$326.00
$489.00
$489.00
$541.00
$221.00
$846.00 yr.
(Flat Rate)




$444.00
$440.00
$440.00
$440.00
$652.00
$860.00
$984.00
$430.00
$430.00
$527.00
$644.00
$722.00
$852.00
$293.00
$367.00
$367.00
$479.00
$603.00
$768.00
$852.00
$355.00
$393.00
$393.00
$393.00
$617.00
$838.00
$969.00
$312.00
$300.00
$324.00
$360.00
$456.00
$576.00
$636.00
$240.00
$414.00
$521.00
$521.00
$531.00
$614.00
$658.00
$198.00
Supplement Plan Have Deductible? $250/$500 $250/$500 $300/600 $350/700 $ 0 $100/200 $250/500 $250/500 $150/300 $250/500 $300/600
Supplement Plan Pay Gov't TRICARE Deductible? Yes
Pre-existing Illness Waiting Period (Non-Prime Rollback) 6 Months 6 Months 6 Months 12 Months COVERED 6 Months 6 Months 12 Months 12/24 Months 6 Months 24 Months
Doctor's Office Visits Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
Hospitalization Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
Prescriptions Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
Pays Over What TRICARE Allows Yes Yes Yes Yes Yes Yes Yes Yes
CHAMPVA Compatible? Yes Yes Yes Yes Yes
Toll-Free 1-800-242-6797 1-800-481-8831 1-800-247-7988 1-800-882-5707 1-800-899-1900 1-800-424-9883 1-800-247-2192 1-800-882-5541 1-866-340-4360 1-800-638-2610 1-800-424-1120
* Nonsmoker Rates
**Smoker Rates
***Discount for 3+ family members enrolled
Copyright 1994 form CS1FL
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This comparison is not meant to be a contract of insurance but only a brief summary of rates and benefits. Rates and benefits may change and vary by state. This is intended to be used soley for general comparison. Contact each for underwriting, limitations, exclusions and provisions. Federal Publishing is no way connected with the department of AirForce, Navy, Army, Marine Corp., or Coast Guard. The services offered are not endorsed by the Department of Defense, Department of Veterans Affairs or the United States Office of Personnel Management and are offered to all parties regardless of sex, creed or color.