Non-Active Rates

2022 TRICARE Supplement Rates

January 1 - December 31, 2022

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

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

 

2021 Tricare Supplement Rates

2022 COBRA, State Extended Coverage & Contract Group Employer Rates

January 1 - December 31, 2022

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 $896.78 $1,524.53 $1,883.25 $2,511.00
Anthem Silver $827.69 $1,407.07 $1,738.15 $2,317.53
Anthem Bronze $783.21 $1,331.46 $1,644.74 $2,192.99
Anthem HMO $856.52 $1,456.09 $1,798.70 $2,398.26
UHC HMO $898.47 $1,527.40 $1,886.79 $2,515.72
UHC HDHP $771.19 $1,311.03 $1,619.51 $2,159.34
Kaiser HMO $697.46 $1,185.67 $1,464.65 $1,952.87

 

2021 Cobra Rates