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Enrollment
GUARANTEED ACCEPTANCE -
Satisfaction Guaranteed
(This product is currently unavailable in ME,
MT, NH and VT)
It's easy to enroll in the TRICARE
Supplement Plan. Just complete the RAUS Membership Application form. We will
enroll you as a RAUS member and send you the complete package of information
and Supplement Insurance Enrollment Form.
You cannot be turned down for coverage, although a
pre-existing condition may initially limit the extent of your coverage. To
download/view Pre-Existing Condition Plan Enhancements (Effective October
1, 2004) in the Adobe Acrobat PDF format,
click here.
After your completed Enrollment Form and first
premium payment have been processed, you'll receive a certificate of
insurance which you can examine for 30 days risk free. Return it for a full
refund if you are not completely satisfied.
Step 1 - Download and print the
following individual forms:
Step 2 - Select one of the
optional plans:
- High Option II Retiree Plan
- Active Duty Family II Plan
Step 3 - Determine your
quarterly premiums based on your selected plan and your present
age. Don't forget to include coverage for a spouse and/or children.
Step 4 - Complete the forms and mail
them along
with your check for the first premium payment and your discounted initial RAUS membership
dues to:
RAUS
PO Box 2534
Brentwood, TN 37024-2534
1-800-321-RAUS (7287)
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To download and print the complete insurance plan,
coverage, rates and necessary forms (including the RAUS Membership
Application) in Adobe Acrobat PDF format,
click here.
If you do not have the current Acrobat Reader software, you may obtain it FREE
from Adobe's website. Click on the following link
to go there and follow the instructions. |
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