ASI Corporation | Helping your family save hard-earned income with TRICARE and the AMRA TRICARE Suppliment

 

How To Enroll Manually

1. Print your name on the enrollment form of the brochure
 

2. Sign and date the enrollment form
 

3. Check the appropriate box to indicate which coverage you have chosen
 

4. Make your check payable to   " Group Health Program"
and mail it, with your enrollment form, to:

ASI Insurance Administrator
P.O. Box 2107
Rockville, MD 20847

Please contact us for limitations, exclusions, pre-existing conditions, renewability, effective date, enrollment packet order, and wavier of premium for surviving spouse and dependents.

If you have other health insurance, please click here to fill out the OHI North form, OHI South form, OHI West form.

Filing a Claim:

If you have satisfied your pre-existing period Download your Claim Form Here

For insureds still within the pre-existing period Click here to download the ASI claim form .

Remember in addition to filing your claim, a copy of the Tricare EOB is necessary to pay your claim, so please write your certificate # on the EOB and mail it to
Association & Society Insurance Corporation
P.O. Box. 2510
Rockville, MD 20847-2510.

 

 TRICARE Supplemental Individual Health Plan
 

If you are retired from the military, are a spouse of a retired military or an active duty service member, or a spouse of a disabled veteran and have CHAMPVA benefits, you are your eligible dependents may be eligible to participate in the ASI TRICARE Supplement plan.

TRICARE is the Department of Defense's health benefit program for the military community. The TRICARE Supplement wraps around your TRICARE coverage entitlement so that in most cases, you will obtain 100% reimbursement for TRICARE covered services. In addition, the Supplement affords you the ability to seek care from any TRICARE authorized civilian facility or provider.

Choosing the right coverage for your family is important, and we are available to assist you with any questions or concerns that you may have.

Just call or email us and we will be right there to meet your needs.

Eligibility for TRICARE Standard, Extra, Prime Supplement:

  • Under age 65, and entitled to retired, retainer, or equivalent pay
  • If you are age 65 or over and ineligible for Medicare, you may apply for the plan by attaching a copy of your Social Security Notice of Disallowance of Benefits to your enrollment form. 
  • Coverage is also available for your TRICARE-eligible spouse under age 65
  • Dependent, unmarried children under 21 (23 if in college)
  • Eligible spouses and children of active-duty service members may enroll
  • TRICARE-eligible widow(er) and ex-spouses may also enroll. 

If you live overseas:

TRICARE Standard is available to both active duty, retired military, and their family members worldwide. TRICARE does not require providers overseas to be authorized. However, no benefits are available for care that is not normally covered by TRICARE.
The TRICARE Supplement works the same overseas as it does in the U.S. Your claim must be sent to TRICARE first. Then your TRICARE Explanation of Benefit Statement (EOB) must be submitted to ASI for processing of supplement benefits.

To find out which benefit option you and your family are qualified for, please read about each of the plans carefully:

Click here to read about and sign up for TRICARE Standard, Extra, and Prime benefits.

Click here to read about and sign up for CHAMPVA benefits.

Click here to read about and sign up for TRICARE Reserve Select benefits. 

Form SRP-1269 (1969)

*May be subject to pre-existing condition limitations

Underwritten by Hartford Life and Accident Insurance Company, Simsbury, CT 06089

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Note: These entities are not affiliated with the TRICARE Supplement in any way. 

The Hartford
AMRA
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