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TRICARE Reserve Select

TRICARE Reserve Select. 27 MAY 09. TRICARE Reserve Select (TRS). Premium-based health plan qualified National Guard and Reserve members may purchase You are qualified to purchase TRS if you are: A member of the Selected Reserve and;

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TRICARE Reserve Select

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  1. TRICARE Reserve Select 27 MAY 09

  2. TRICARE Reserve Select (TRS) • Premium-based health plan qualified National Guard and Reserve members may purchase • You are qualified to purchase TRS if you are: • A member of the Selected Reserve and; • Not eligible for or enrolled in the Federal Employees Health Benefits (FEHB) program

  3. Continuous Open Enrollment • If you qualify, you may purchase TRS coverage to begin in any month throughout the year • Coverage begins on the first day of the first or second month after the postmark date of your TRS Request form • You choose which month coverage begins

  4. Continuous Coverage • You must qualify for and purchase TRS no later than 60 days after loss of other TRICARE coverage to ensure no break in health care coverage • TRS is effective immediately following the termination of other TRICARE coverage • Member’s qualification for TRS must be reflected in DEERS; member must not be eligible for or enrolled in the FEHB program

  5. 2009 TRS Premiums • First month’s premium due with TRS Request form • Premium amounts adjusted annually Payment is due in advance of each month’s coverage.

  6. Comprehensive Coverage • Similar to TRICARE Standard and TRICARE Extra: • Emergency and urgent care • Immunizations and health screenings • Maternity care • Behavioral health care • Annual eye exams • Prescription drug coverage • TRICARE-authorized providers • Military treatment facility, space-available basis only For details, refer to your TRICARE Reserve Select Handbook

  7. What You Pay for Covered Services * Non-network providers may also charge up to 15% above the TRICARE-allowable charge. For more details about costs for covered services, visit www.tricare.mil/tricarecost

  8. Changes to TRS Coverage • Change in family composition • Marriage, divorce, newborn, etc. • Take one of the following actions • Purchase new coverage • Change type of coverage (e.g., member-only to member-and-family) • Terminate coverage • If change impacts type of coverage (e.g., member-only to member-and-family), premium increase or decrease is effective based on date of change

  9. TRS Survivor Coverage Coverage may continue for up to six months beyond the date of the member’s death: • If member-and-family coverage is in effect at the time of death, DEERS will transfer to TRS survivor coverage • If member-only coverage is in effect at the time of death, TRS coverage will terminate, and survivors may purchase coverage within 60 days • Coverage termination date is recorded in DEERS as six months after the date of death • Monthly premiums apply: One family member—Member-only premium amounts Two or more family members—Member-and-family premium amounts

  10. Qualifying for and Purchasing TRS Step 1 – Qualify • Log on to the Guard and Reserve Web Portal at https://www.dmdc.osd.mil/Guard-ReservePortal • Complete the TRICARE Reserve Select (TRS) Requestform(DD Form 2896-1) • Print and sign the form Step 2 – Purchase • Submit completed form with premium payment to regional contractor within specified deadline Qualification for TRS must be visible in DEERS before you can complete Step 2.

  11. Disenrollment from TRS You mustsubmit a TRS Request form to disenroll from TRS. Do—Log on to the Guard and Reserve Web Portal to complete the TRS Request form Do—Mail your completed TRS Request form to your TRICARE regional contractor Don’t—Stop paying premiums. You will be charged for overdue premiums

  12. Termination of TRS Coverage • Failure to pay premiums • You are still responsible for overdue amounts. • Loss of Selected Reserve status • Gain eligibility for other TRICARE program • May purchase TRS again if you qualify at time of purchase

  13. Who to Call for Help and Information • Contact your National Guard or Reserve personnel office for help with DEERS • Contact your regional contractorfor help with purchasing coverage, and for customer service after your TRS coverage begins

  14. TRICARE Regional Contractors If residing overseas, contact Humana Military for assistance.

  15. In Conclusion… • Questions? • Comments or feedback? • Visit www.tricare.mil/evaluations/feedback • USCGR POC: Lisa.M.Evers@uscg.mil

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