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TRICARE Reserve Select Health Plan

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Did you know that TRICARE offers a health care plan for members of the Selected Reserves? If not, don't feel bad as many reserve families are unaware of the TRICARE Reserve Select health plan.

About the Plan
The TRICARE Reserve Select is a premium based, cost share, health plan. What this means is that if you enroll in the plan you will pay a monthly premium for the coverage. Once you meet the annual deductible you will then be eligible to participate in the cost share part of the plan.

About the Deductibles
The annual deductible is determined by the servicemembers rank and whether or not he or she has the individual or family plan. The dollar amount ranges anywhere from $50 to $300.

Eligibility
In order to be eligible for this plan, servicemembers in the Selected Reserves of the Ready Reserves must meet the following criteria:

  • He or she is not on active duty orders.
  • He or she is not covered under the Transitional Assistance Management Program (TAMP).
  • He or she is not eligible or enrolled in the Federal Employee Health Benefits (FEHB) program.

Premium Rates and Deductibles
According to TRICARE, the following premium rates for calendar year 2013 are:

  • Member only: $51.62 per month
  • Member and family: $195.81 per month

The fiscal year for TRICARE is October 1-September 30, which mean that you must meet the annual outpatient deductible sometime during this timeframe in order for the cost-sharing to go into effect. The rates for the annual deductible for 2013 are:

  • Sponsor Rank E-4 and below: $50 per individual (If only the servicemember is covered.)
  • Sponsor Rank E-4 and below: $100 per family
  • Sponsor Rank E-5 and above: $150 per individual (If only the servicemember is covered.)
  • Sponsor Rank E-5 and above: $300 per family

Services Covered
The TRICARE Reserve Select health plan provides coverage for a wide variety of services including, but not limited to:

  • Emergency Care
  • Ambulance Services
  • Outpatient Visits
  • Maternity Care
  • Hospitalization
  • Prescriptions
  • Mental/Behavioral Health Services
  • Preventative Care which includes immunizations and wellness exams

To learn about all of the services covered by TRICARE Reserve Select please see this comprehensive list. Furthermore, in regards to the cost share, you can view detailed information here about how much you will have to pay when utilizing the services of a Network Provider and/or a Non-Network Provider.

Paying Your Premiums
Upon enrollment you will be required to submit two months of premium payments with your application. And then, beginning in 2013, TRICARE Reserve Select premium payments will only be accepted via a credit/debit card or electronic fund transfer (EFT).

How To Enroll
Enrolling in the TRICARE Reserve Select health plan is a two-step process that must be conducted online. Complete details and step-by-step instructions are located on the TRICARE Select Reserve Web site. Please note that if you run into technical difficulties while trying to enroll, you may call 1-800-477-8227 for assistance.

Contact Information for the TRICARE Regions
If, for whatever reason, you are unable to access the TRICARE Web site, featured below you will find the contact information for the various TRICARE regions.

North Region
Phone: 1-800-555-2605
Fax: 1-888-299-4114

Mailing Address:
Health Net Federal Services, LLC
TRICARE Reserve Select Enrollment
P.O. Box 105402
Atlanta, Georgia 30348-5402

South Region
Phone: 1-877-298-3408
Fax: 1-866-836-9535

Mailing Address:
Humana Military Healthcare Services
Attn: PNC Bank
P.O. Box 105389
Atlanta, Georgia 30348-5389

West Region
Phone: 1-888-874-9378
Fax: 1-866-441-8843

Mailing Address:
TriWest Healthcare Alliance
P.O. Box 42048
Phoenix, Arizona 85080-2048

Overseas

Eurasia-Africa:
Phone: +44-20-8762-8384

Latin America and Canada:
Phone: 1-215-942-8393

Pacific:
Singapore Phone Number: +65-6339-2676
Sydney Phone Number: +61-2-9273-2710

Mailing Address for Overseas
International SOS Assistance, Inc.
TOP TRS Enrollments
P.O. Box 11689
Philadelphia, PA 19116

Fax number for Overseas: +1-215-354-5015

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