Non-Active Rates

2025 TRICARE Supplement Rates

These rates apply to Active Members and Retirees enrolled in TRICARE.

	You	You + Child(ren)	You + Spouse	You + Family
TRICARE Supplement	$60.50	$119.50	$119.50	$160.50

These rates apply to:

Participants enrolled in COBRA coverage;
Former Teachers, State or Public School Employees enrolled in State Extended Coverage (SEC);
Former Members of the General Assembly who are currently eligible to retire from a State Retirement System which the General Assembly appropriates funds, but have chosen not to retire;
SHBP Employing Entities who have entered into a contract with DCH to provide SHBP coverage to its employees, including Federally Qualified Health Centers (FQHC), Critical Access Hospitals (CAH) and other entities prescribed by State law.

	You	You + Child(ren)	You + Spouse	You + Family
Anthem Gold	$1,080.09	$1,836.15	$2,268.18	$3,024.25
Anthem Silver	$1,015.32	$1,726.04	$2,132.17	$2,842.89
Anthem Bronze	$965.85	$1,641.95	$2,028.28	$2,704.38
Anthem HMO	$1,042.21	$1,771.75	$2,188.63	$2,918.18
UHC HMO	$1,082.04	$1,839.46	$2,272.27	$3,029.70
UHC HDHP	$955.67	$1,624.64	$2,006.90	$2,675.87
Kaiser HMO	$861.00	$1,463.70	$1,808.10	$2,410.80