TRICARE Supplement Insurance Plan

An MBA TRICARE Supplement Insurance Plan can help protect you by covering many of the out-of-pocket costs your TRICARE plan doesn't cover.

Although your health benefits offer high-quality coverage, TRICARE leaves you responsible for some out-of-pocket costs – costs that can really add up if you or a loved one suffer from a serious or chronic medical condition.

An MBA TRICARE Supplement Insurance Plan can help protect you by covering many of those costs.

Please note that you must be enrolled in the TRICARE core plan to be eligible for this coverage.

Yes! I want to help protect myself or my loved ones from uncovered medical costs!

Enroll Now

Who is eligible?

  • Persons must be under age 65 (by their coverage effective date) *
  • A child covered by the TRICARE Young Adult Program and is under age 26
  • Unmarried dependent children from birth to age 21, or 23 if a full-time student
* Other stipulations may apply. Your enrollment process will inform you of your potential eligibility.

What's covered?

The Supplement Plan pays eligible out-of-pocket expenses, after any applicable deductible, as follows:

100% of co-pays and cost-shares for TRICARE (Select, Prime, Reserve Select)
100% of covered Excess Charges above the TRICARE Select Allowable Amount
100% of the TRICARE (Select) outpatient deductible, if elected
100% of Cost-shares and covered Excess Charges for Prime Point of Service
100% of the daily subsistence fee the insured must pay in a government facility
The daily inpatient charges from the first day

Learn more about the TRICARE Supplemental Insurance Plan in this helpful video
TRICARE Supplemental Insurance Plan
Make this smart and timely decision for your family's financial future today!

How do I submit a claim?

1

Present your Identification Card to your medical provider’s billing department for submission of your claim.

2

Submit your Explanation of Benefits and itemized bill or receipt to:

Web TPA
P.O. Box 1868
Grapevine TX 76099

or by fax: (469) 417-1960

A claim form is not required.

3

To check your claim status call
(855) 688-1302

You may also create an account at:
webtpa.com

Speak to an agent: 1 877-622-1020
Existing members call: 1 800-336-0100

All benefits are subject to the terms and conditions of the policy. Policies underwritten by Hartford Life and Accident Insurance Company and Hartford Life Insurance Company detail exclusions, limitations, and terms under which lhe policies may be continued in force or discontinued.

The Hartford ® is The Hartford Financial Services Group, Inc., and its subsidiaries, including issuing companies Hartford Life and Accident Insurance Company and Hartford Life Insurance Company, Hartford, CT 06155.

TRICARE Form Series includes SRP-1269, or state equivalent.
TRICARE Supplement may not be available in all states.

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