Non-Active Rates

2021 TRICARE Supplement Rates

January 1 - December 31, 2021

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

 

2020 Tricare Supplement Rates

2021 COBRA, State Extended Coverage & Contract Group Employer Rates

January 1 - December 31, 2021

These rates apply to:

  • Participants enrolled in COBRA coverage;
  • Former Teachers, State or Public School Employees enrolled in State Extended Coverage (SEC);
  • 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 $776.92 $1,320.77 $1,631.54 $2,175.38
Anthem Silver $714.34 $1,214.37 $1,500.10 $2,000.14
Anthem Bronze $675.84 $1,148.93 $1,419.27 $1,892.36
Anthem HMO $743.62 $1,264.16 $1,561.60 $2,082.14
UHC HMO $775.71 $1,318.71 $1,628.99 $2,171.99
UHC HDHP $660.80 $1,123.36 $1,387.67 $1,850.23
Kaiser HMO $663.36 $1,127.70 $1,393.04 $1,857.40

 

2020 Cobra Rates