Retired Association for the Uniformed Service

RAUS
RETIRED ASSOCIATION FOR THE UNIFORMED SERVICES, INC.

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The RAUS Group TRICARE Supplement Plan
Coverage

Here's How The TRICARE Standard/Extra Supplement Plan Works
To Pay Covered Expenses After TRICARE Pays
(This product is currently unavailable in ME, MT, NH and VT)

CARE REQUIRED TRICARE STANDARD/EXTRA PAYS YOUR TRICARE STANDARD/EXTRA SUPPLEMENT PAYS
Inpatient care in civilian hospitals for RETIREES and dependant family members (room, board, supplies and staff services billed by the hospital). The TRICARE Standard DRG amount (contracted rate for TRICARE Extra) minus your cost share. The lesser of the DRG/day or 25% of billed amount
not to exceed the TRICARE Standard DRG amount
(lesser of $250/day or 25% cost share of the
contracted rate for TRICARE Extra) AFTER you
satisfy the fiscal year plan deductible.
Inpatient care in civilian hospitals for RETIREES and dependent family members (doctors, and other inpatient services not billed by the hospital). 75% of the TRICARE Standard allowed amount (80% for TRICARE Extra) for doctors and other professional services. Your cost share AFTER you satisfy the fiscal year Plan Deductible.
Inpatient care in military hospitals. All but the daily subsistence fee. The daily subsistence fee.
Outpatient care for RETIREES and dependent family members (office visits, clinics, lab, prescription drugs, etc.) 75% of the TRICARE Standard allowed amount (80% for TRICARE Extra) after you pay the TRICARE Outpatient Deductible . Your cost share AFTER you satisfy the fiscal year plan deductible PLUS 100% of covered excess charges up to the TRICARE Legal Limit.
For prescription drugs - the plan pays your copayment
amounts.
Inpatient care in civilian hospitals for ACTIVE DUTY dependents. All allowable charges except daily subsistence fee or $25, whichever is greater. Active Duty Plan - $25 or the daily subsistence fee, whichever is greater.
Outpatient care for ACTIVE DUTY dependents (office visits, clinics, lab, prescription drugs, etc.) 80% of the TRICARE Standard allowed amount (85% for TRICARE Extra) after you pay the TRICARE Outpatient Deductible. Active Duty Plan - Your cost share PLUS 100% of Covered Excess Charges up to the TRICARE Legal Limit.
For prescription drugs - the plan pays your copayment
amounts.

The High Option II Supplement Plan pays the Inpatient and Outpatient covered medical expenses once the fiscal year Plan Deductible of $250 per person, $500 per family maximum has been satisfied. Expenses incurred to satisfy the fiscal year TRICARE Outpatient Deductible cannot be used to satisfy the High Option II Plan Deductible.

 

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

Group TRICARE Standard/Extra Supplement Plan Enrollment Form - For residents of all states except NY.
Group TRICARE Standard/Extra 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 Plan Profile
View RAUS TRICARE Standard Brochure
View TRICARE Choices: At A Glance Brochure
View TRICARE Supplement Sample Certificate
View TRICARE Supplement Sample Certificate (NY Residents)

For more about TRICARE 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