|
Home
Health & Welfare
Health Insurance
TriCare Supplement Insurance
The TRICARE Supplement plan is offered to State of North
Carolina TRICARE eligible employees as an alternative choice
to the State Health Plan (SHP). If you are eligible for the
TRICARE medical plan provided by the Department of Defense,
you have the opportunity to enroll yourself and your eligible
dependents in the ASI TRICARE Supplement plan. Eligible employees
must drop their SHP coverage to enroll in the TRICARE Supplement
plan.
What is the TRICARE Supplement Plan? The TRICARE Supplement
plan provides TRICARE beneficiaries additional coverage that
pays 100 percent of the member’s out-of-pocket covered
costs. The State of North Carolina pays for coverage under
the Plan for the Employee only premium. You may enroll your
spouse or dependents by paying the cost as illustrated below.
| |
University
Cost |
Employee
Cost |
Total
Cost |
| Employee Only |
$60.50 |
$0.00 |
$60.50 |
| |
|
|
|
| Employee/ Spouse |
$60.50 |
$59.00 |
$119.50 |
| |
|
|
|
| Employee/ Child/ Children |
$60.50 |
$59.00 |
$119.50 |
| |
|
|
|
| Employee/ Family |
$60.50 |
$100.00 |
$160.50 |
You can get complete information about the TRICARE Supplement
Plan at www.ncemployee22.absmil.net
How do I enroll? Please complete the TRICARE
enrollment
form, complete the SHP enrollment
form to cancel your enrollment and return these two forms
with a copy of your Military ID Card to the Benefits Office.
You are also required to complete a TRICARE Other
Health Insurance (OHI) form if you or your dependents
were previously enrolled under the SHP or another health plan.
Send completed OHI form to TRICARE. The OHI form is required
to notify TRICARE that they will become primary payer. Failure
to notify TRICARE may result in claims being denied.
|
