Non-Active Rates

2023 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	$983.04	$1,671.16	$2,064.38	$2,752.50
Anthem Silver	$918.86	$1,562.06	$1,929.60	$2,572.80
Anthem Bronze	$871.52	$1,481.58	$1,830.19	$2,440.25
Anthem HMO	$943.31	$1,603.62	$1,980.94	$2,641.26
UHC HMO	$978.35	$1,663.20	$2,054.55	$2,739.39
UHC HDHP	$856.90	$1,456.73	$1,799.49	$2,399.33
Kaiser HMO	$760.23	$1,292.38	$1,596.47	$2,128.63