Retired Association for the Uniformed Service

RAUS
RETIRED ASSOCIATION FOR THE UNIFORMED SERVICES, INC.

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RAUS TRICARE Prime Supplement Plan
Coverage

What the TRICARE Prime Supplement Plans Pays
For Retirees and Eligible Dependents
(You must be enrolled in TRICARE Prime to apply for one of the following plans)

In-Network Charges
The Plan Pays

Out-of-Network Charges
(Point of Service Option)
The Plan Pays

You Pay

Plan A Your eligible TRICARE Prime copayments and cost shares up to the TRICARE Prime catastrophic limits.1
Nothing

The Point of Service deductable3 your 50% cost share for Out-of-Network charges and charges in excess of the TRICARE allowed amount.

Plan B Your eligible TRICARE Prime copayments and cost shares up to the TRICARE Prime catastrophic limits.1

Your 50% of the TRICARE allowed amount2 (your cost share) for In-Patient and Out-Patient charges after you pay the Point of Service deductible.

The Point of Service deductable3 and charges in excess of the TRICARE allowed amount.

1 In-Network-$3,000 per enrollemnt year for retirees and dependents. In-Network Care must be provided or referred by a Primary Care Manager; or referred by a Health Care Finder; or is for an emergency.
2 Subject to a maximum payable under this benefit of $7,500 per family per fiscal year.
3 These plans do not cover the Point of Service (POS) deductible.
 
  - These plans do not pay the TRICARE Prime annual enrollment fee.
  - The Prime Supplement Plan A and B are not available in NC and ND. Plan B is not available in FL, VT and IA.

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

RAUS TRICARE Prime Supplement Plan Enrollment Form - For residents of all states except NY.
RAUS TRICARE Prime Supplement Plan Enrollment Form - For NY State residents

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)
(This product is currently unavailable in ME, MT, NH, OR and WA)

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

View RAUS TRICARE Prime Supplement Plan Profile
View RAUS TRICARE Prime Supplement Plan Brochure

For more about TRICARE Prime 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