MEDIPLUS^® TRICARE Reserve Select Supplement Insurance Plan

Affordable Members-Only Monthly Group Rates

The MEDIPLUS® rates listed are effective October 1, 2025.

Thanks to the collective buying power of Military Officers Association of America (MOAA) members, you pay an affordable, members-only group rate. See your monthly rate below:

*You’re classified as a nonsmoker if you haven’t smoked cigarettes, cigars or used a pipe or chewing tobacco, nicotine product or snuff during the 12 months prior to the date you apply for coverage.

**When you enroll in MEDIPLUS®, you will be automatically enrolled and have access to Wellness Discounts. Wellness Discounts are $5.00/month for Member and $5.00/month for Spouse. Children will have access to the same Wellness Discounts if a Member and/or Spouse has the Wellness Discounts. Wellness Discounts for Child(ren) Only is not available. The Wellness Discounts are not insurance. Wellness Discounts are not underwritten by, provided by, or endorsed by Hartford Life and Accident Insurance Company. If you wish to opt out of these great value-added Wellness Discounts, please call 1-800-247-2192 or visit moaainsurance.com/optout to cancel.

For your convenience, you’ll be billed quarterly. Rates and/or benefits may be changed on a class-wide basis.

When you enroll in MEDIPLUS®, you will be automatically enrolled and have access to Wellness Discounts.

• Alternative Health and Fitness – Discounts of 10 to 50% for gym memberships, chiropractic care, acupuncture and more.
• Mental Wellness – Mental Health Counseling sessions with a licensed professional counselor for $80 per session.
• Durable Medical Supply Discounts – Save between 5% and 40% on diabetic supplies, beds, wheelchairs, insulin pumps and more.
• Expert Medical Review – Get a second opinion of your case in the event of a serious or complex medical diagnosis. $100 per session.

These Wellness Discounts will be available to MOAA Members and their Spouses regardless of age. Upon reaching age 65, you will be able to keep access to the Wellness Discounts as long as you choose.

Wellness Discounts are $5.00/month for Member and $5.00/month for Spouse. Children will have access to the same Wellness Discounts if a Member and/or Spouse has the Wellness Discounts. If you wish to opt out of these great value-added Wellness Discounts, please call 1-800-247-2192 or visit moaainsurance.com/optout to cancel.

Wellness Discounts are not underwritten by, provided by, or endorsed by Hartford Life and Accident Insurance Company.

Wellness Discounts Information:

THIS PLAN IS NOT INSURANCE and is not intended to replace health insurance. This plan does not meet the minimum creditable coverage requirements under M.G.L. c.111M and 956 CMR 5.00. This plan is not a Qualified Health Plan under the Affordable Care Act. The range of discounts will vary depending on the type of provider and service. The plan does not pay providers directly. Plan members must pay for all services but will receive a discount from participating providers. The list of participating providers is at moaa.telemedsimplified.com. A written list of participating providers is available upon request. You may cancel within the first 30 days after effective date or receipt of membership materials (whichever is later) and receive a full refund. Discount Plan Organization and administrator: Careington International Corporation, 7400 Gaylord Parkway, Frisco, TX 75034; phone 800-441-0380.

The Wellness Discounts are not available in Utah, Vermont or Washington.

Valuable Coverage

The MEDIPLUS^® TRICARE Reserve Select Supplement offers you and your family coverage for Hospital bills, doctor bills, and prescription drugs. Once you pay the annual TRICARE Reserve Select deductible, MEDIPLUS^® works with TRICARE Reserve Select to help cover your medical expenses.

Pays Covered Excess Charges

If your TRICARE-authorized doctor charges you more than what TRICARE allows, you’re left to pay the rest of the bill. Not with MEDIPLUS^®, because it covers up to 15% of covered excess charges above the TRICARE-allowed amount after the TRICARE deductibles are met. This is especially valuable because excess charges can’t be applied to TRICARE’s annual catastrophic cap.

Pre-existing Conditions Limitation (Waiting Period for Current Health Conditions)

If you enroll in this MEDIPLUS^® TRICARE Reserve Select Supplement within 30 days of the date your TRICARE Reserve Select coverage begins, you and your family will qualify for MEDIPLUS^® without the waiting period for current health conditions.

Change in Military Status? MEDIPLUS^® Has Other Options for You

If you go back to Active Duty: If you are covered by this MEDIPLUS^® TRICARE Reserve Select Supplement and then are reactivated to active duty, your family will then qualify for Active Duty TRICARE Select or TRICARE Prime.
If you decide to stay with TRICARE Select, your family may still need a supplement. MEDIPLUS^® Active Duty Family TRICARE Select Supplement would be available to you. This supplement has similar benefits as the TRICARE Reserve Select Supplement.

If you are Deactivated: If you go back on active duty and purchase TRICARE Reserve Select when you are deactivated, you can switch back to the MEDIPLUS^® TRICARE Reserve Select Supplement without any waiting period as long as you let us know within 30 days of the date your TRICARE Reserve Select coverage begins.

Should any of these situations occur, please call the Plan Administrator at 1-800-247-2192 immediately to discuss the best options for you and your family. You must inform the administrator of any changes to your primary TRICARE coverage as you are their only source for that information.

DirectClaim: MOAA’s electronic filing process for MEDIPLUS^® TRICARE Supplement claims

Filing MEDIPLUS^® claims is fast and easy with DirectClaim, another unique benefit to MEDIPLUS^®. With DirectClaim, you will not have to complete MEDIPLUS^® claim paperwork after you access most of your eligible TRICARE benefits. You will be informed when your claim is filed electronically by a message on your MEDIPLUS^® Explanation of Benefits (EOB) form.

Please be aware that some TRICARE Supplement claims cannot be processed electronically, such as any prescription claims and most Skilled Nursing or Skilled Nursing Facility, nursing home claims and claims filed from overseas. For these, you will need to submit paper claim filings to MEDIPLUS^®. Claim forms are accessible on this website.

If a claim for service is submitted through DirectClaim and TRICARE has paid the provider(s) directly, any payment due under a MEDIPLUS^® TRICARE Reserve Select Supplement will be paid directly to the provider(s).

It’s important that the MEDIPLUS^® applicant’s name appears on the enrollment form the same as it is on their military ID card to ensure proper claims processing.

If you have any questions about DirectClaim, please call the MOAA Insurance Plans Administrator at 1-800-247-2192 or email moaa.service@getamba.com.

Guaranteed Satisfaction

Your satisfaction is guaranteed with MEDIPLUS^®. Take 30 days after you receive your Certificate of Insurance to examine the coverage. Pay for it only after you determine it’s the right protection for you. If you’re not completely satisfied with MEDIPLUS^® after the 30–day free look, return your Certificate to cancel your request for coverage. You’re under no obligation.

Eligibility:

As a TRICARE-covered member of MOAA under age 65, you and your family are eligible for coverage. Your spouse or children can also enroll as long as you are enrolled in the plan. Your spouse is eligible as long as he/she is under age 65, not yet eligible for Medicare and not legally separated or divorced from you. Your unmarried children are eligible if they are under age 21 (23 if enrolled full-time in higher-learning or 26 if enrolled in TRICARE Young Adult; or age 25 if a resident of Montana). Member and Spouse may not duplicate coverage by enrolling as dependents of each other.

Termination:

Your MEDIPLUS^® protection will not be canceled due to claims or a change in your health, and you cannot be singled out for a rate increase. Your coverage continues as long as you pay your premiums when due, keep your Military Officers Association of America (MOAA) membership, remain ineligible for Medicare and the MEDIPLUS^® master policy remains in force. Your dependent’s coverage will remain in effect as long as your coverage is active, premiums are paid, and they meet eligibility requirements. Your spouse is eligible for coverage as long as they are not legally separated or divorced from you.

Hospital/Skilled Nursing Facility:

Hospital means an institution which TRICARE recognizes as a hospital. Skilled Nursing Facility means an institution that: operates pursuant to law; in addition to room and board accommodations, is primarily engaged in providing skilled nursing care under the supervision of a Physician; provides continuous 24 hour a day nursing service by or under the supervision of a registered graduate nurse (R.N.); and maintains a daily medical record of each patient. Skilled Nursing Facility does not mean a Hospital or any institution or part thereof that is used mainly as a home or place for: the aged, or for rest, custodial or educational care; alcoholism and drug addiction; the treatment of Mental Illness. Confined or Confinement means being an inpatient in a Hospital or Skilled Nursing Facility due to Sickness or Injury.

Pre-Existing Conditions Limitation (Waiting Period for Current Health Conditions):

We will not pay a benefit under The Policy for any expenses Incurred: during the first 6 months of the Covered Person’s coverage; and which are the result of Pre-existing Conditions. Please consider this limitation before canceling any other health insurance you may have.

Exclusions and Limitations:

These TRICARE Supplements do not cover: 1.) injury or sickness resulting from war or act of war, whether war is declared or undeclared; 2.) intentionally self-inflicted injury; 3.) suicide or attempted suicide, whether sane or insane. The Policy limits coverage for: 1) routine physical exams and immunizations, except when: a) rendered to a child up to 6 years from the child’s birth; or b) ordered by a Uniformed Service: i)for a Covered Dependent of an Active Duty Member; ii)for such Dependent’s travel out of the United States due to your assignment; or c) required for school enrollment (but not sports physicals) by a Covered Child aged 5 through 11; 2) domiciliary or custodial care; 3) eye refractions and routine eye exams except when rendered to a child up to 6 years from the child’s birth; 4) eyeglasses and contact lenses; 5) prosthetic devices, except those covered by TRICARE; 6) cosmetic procedures, except those resulting from Sickness or Injury, while a Covered Person; 7) hearing aids; 8) orthopedic footwear; 9) care for the mentally or physically incapacitated if: a) the care is required because of the mental or physical incapacitation; b) or the care is received by an Active Duty Member’s child who is covered by the TRICARE Extended Care Health Option (ECHO); 10) drugs which do not require a prescription, except insulin; 11) dental care unless such care is covered by TRICARE, and then only to the extent that TRICARE covers such care; 12) any confinement, service, or supply that is not covered under TRICARE; 13) Hospital nursery charges for a well newborn, except as specifically provided under TRICARE; 14) any routine newborn care except Well Baby Care; 15) any expense or portion thereof which is in excess of the Legal Limit; 16) expenses in excess of the TRICARE Catastrophic Cap; 17) that part of any Covered Expense which is in excess of the TRICARE Allowed Amount, except as otherwise stated in the plan benefits; 18) expenses which are paid in full by TRICARE; 19) any expense or portion thereof applied to the TRICARE Outpatient Deductible; 20) purchase of a wheel chair, hospital type bed, or other durable equipment, unless TRICARE determines that purchasing the equipment costs less than renting it; 21) any part of a Covered Expense which the Covered Person is not legally obligated to pay because of payment by a TRICARE alternative program; 22) any claim under more than one of the TRICARE Supplement Plans. If a claim is payable under more than one plan or benefit, payment will only be made under the provision that provides the highest coverage.

Important Information Regarding Veterans’ Administration (VA) Hospitals: TRICARE supplement insurance policies pay benefits only after TRICARE has first reviewed and approved the expense. A review by TRICARE results in a TRICARE Explanation of Benefits (“EOB”). Many VA Hospitals currently do not submit their claims through TRICARE. Only claims TRICARE processes, resulting in an EOB, are subject to benefits under Hartford Life and Accident Insurance Company’s TRICARE supplement insurance policies. If you use VA facilities for your care, please be aware of this TRICARE supplement policy requirement.

VA Hospitals also can charge the veteran a Category C co-payment based on a means test per Public Law 99 Section 272. This law specifically applies only to the veteran and not the insurance company. Hartford Life and Accident Insurance Company is not liable for payment of these charges.

Important Information About This Coverage.