AFA-sponsored TRICARE Supplement Insurance Plans help pay for medical expenses that are not covered by your TRICARE health insurance program.

Like many other health plans, TRICARE’s annual deductibles and co-payments can result in hundreds or even thousands of dollars in “out-of-pocket” expenses each year for plan participants.

TRICARE Supplement Plans help reduce these out-of-pocket expenses. Once you meet any TRICARE deductibles,¹ the supplement plans cover:

• 100% of your co-pays for doctor visits, hospital stays, emergency care and ambulatory surgery
• 100% of your prescription drug co-pays
• 100% of the difference between what your doctor bills you and the amount TRICARE allows, otherwise known as “excess charges”

AFA offers three supplement plans:

TRICARE Prime Supplement Insurance Plan for military retirees under age 65 and their dependents who are enrolled in TRICARE Prime.

TRICARE Select Supplement Insurance Plan for military retirees under age 65 and their dependents, and the dependents of active duty military personnel who are enrolled in TRICARE Select.

TRICARE Reserve Select Supplement Insurance Plan for members of the Reserves or National Guard under age 65 and their dependents who are enrolled in TRICARE Reserve Select.

Through AFA, members are guaranteed acceptance² for the TRICARE supplemental coverage. Members cannot be denied coverage based on age or health as long as the member is eligible for TRICARE benefits.

After you complete your enrollment, we will send you a Certificate of Insurance, which outlines all features, benefits, exclusions and limitations of your coverage. You can examine it for 30 days, risk-free. If you are not satisfied, return it to the group administrator within 30 days. Any premiums paid will be refunded, less any claims paid.

¹ An exception is the TRICARE Select Supplement, High Option for Retirees, which includes a $250 individual, $500 family deductible on inpatient and outpatient benefits.

² TRICARE Supplement plans contain a Pre-Existing Condition Limitation. Please refer to the information below on exclusions and limitations, such as Pre-Existing Conditions.

Hartford Life and Accident Insurance Company
One Hartford Plaza
Hartford, CT 06155
www.thehartford.com

TRICARE Form Series includes GBD-3000, GBD-3100, or state equivalents

Forrest T. Jones & Company*
P.O. Box 418131
Kansas City, MO 64141-8131
www.ftj.com

* For Arizona residents, the administrator is Forrest T. Jones Consulting Company.