Non-Active Rates

2024 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	$1023.90	$1,740.62	$2,150.18	$2,866.90
Anthem Silver	$959.26	$1,630.75	$2,014.45	$2,685.94
Anthem Bronze	$910.81	$1,548.38	$1,912.70	$2,550.28
Anthem HMO	$983.07	$1,671.21	$2,064.44	$2,752.58
UHC HMO	$1013.03	$1,722.16	$2,127.37	$2,836.50
UHC HDHP	$896.19	$1,523.52	$1,882.00	$2,509.33
Kaiser HMO	$834.73	$1,419.04	$1,752.94	$2,337.25