Retired Association for the Uniformed Service

RAUS
RETIRED ASSOCIATION FOR THE UNIFORMED SERVICES, INC.

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The RAUS CHAMPVA Supplement Plan
Coverage

Here's How The CHAMPVA Supplement Plan Works
To Pay Covered Expenses After CHAMPVA Pays

COVERED CARE REQUIRED CHAMPVA PAYS YOUR CHAMPVA SUPPLEMENT PAYS

Inpatient Services
Confinement in civilian hospital or skilled nursing facility

DRG* rate, less the beneficiary share

The lesser of (1) $535/day times the number of inpatient days (2) 25% of billed amount, or (3) the DRG* rate.

Inpatient Services
Non-DRG* based

75% of the Allowable Amount

25% of the Allowable Amount

Inpatient Physician Services
Visits, surgeons, anesthesiologist, etc.

75% of the Allowable Amount

25% of the Allowable Amount

Outpatient Services
Office visits, clinics, laboratory and pharmacy services, durable medical equipment (non-VA source)

75% of the Allowable Amount2,
the CHAMPVA Annual Ourpatient Deductible

25% of the Allowable Amount

We will pay the Inpatient and Outpatient covered medical expenses once the Calendar Year plan deductible of $250 per person and $500 family maximum has been satisfied. Expenses incurred to satisfy the CHAMPVA Calendar Year Outpatient deductible cannot be used to satisfy the CHAMPVA Supplement Plan deductible.

*Diagnosis-Related Groups (DRG)- An agreement between most hospitals and CHAMPVA to accept a fixed rate for inpatient care regardless of the billed amount.
Confined or confinement means being an inpatient in a hospital (Or skilled nursing facility) due to sickness or injury. And skilled nursing facility does not mean:
a) a hospital; or
b) a place for rest, custodial care, or the aged; or
c) a place for the treatment of mental disease, drug addicts or alcoholics

 

Click below to download and print the RAUS Membership Application and insurance enrollment forms including rates.

RAUS CHAMPVA Supplement Plan Enrollment Form - For residents of CO and SD only.

Mail membership application and enrollment forms with your payment for dues and premium to:

RAUS
504 Autumn Springs Court, Suite 8
Franklin, TN  37067-8278
1-800-321-RAUS (7287)

If you do not have the current Acrobat Reader software, obtain it FREE from Adobe's web site. Click here.

View RAUS CHAMPVA Plan Profile
View RAUS CHAMPVA Supplement Plan Brochure
View CHAMPVA Supplement Sample Certificate
View CHAMPVA Supplement Sample Certificate (NY Residents)

For more about CHAMPVA Supplement Plan, select:

 

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This plan is sponsored by:
Retired Association for the Uniformed Services
504 Autumn Springs Court, Suite 8
Franklin, TN 37067-8278

RAUS
Administered by:
Selman & Company
6110 Parkland Boulevard
Cleveland, OH 44124-4187
Phone: 800.735.6262
Fax: 440.646.9339

Underwritten by:
Monumental Life Insurance Company, Cedar Rapids, IA

Transamerica Financial Life Insurance Company, Harrison, NY (NY residents only)
AEGON companies

(# 19837953)
 

Copyright (c) 1997-2014 Retired Association for the Uniformed Services, Inc.
Revised: June 29, 2015