1. Informed Decision Briefers: A1C Cirone SSgt Swift SSgt Swift

2. HealthCare Options TRICARE Prime TRICARE Standard TRICARE Extra Continued Health Care Benefit Plan (CHCBP)

3. TRICARE Prime No Enrollment Fee for Active Duty & Family Members enrolled No Annual Deductibles No co-pays

4. TRICARE Standard No Annual Enrollment Fee Annual Deductibles: For E1-E4 $50 Individual/or $100 Family For E5 & above $150 Individual/ or $300 Family Cost Shares for Outpatient Visit 20% of allowed charges AFTER deductible is met

5. TRICARE Extra No Annual Enrollment Fee Annual Deductibles: For E1-E4 $50 Individual/or $100 Family For E5 & above $150 Individual/ or $300 Family Same as Standard, difference is using a Network Provider you pay 15% for Civilian Outpatient Visit (saves you 5%)

6. Coverage Ends On 0001 on the day after you separate your Medical Coverage ends…

7. CHCBP Continued Health Care Benefit Plan (CHCBP) Transitional Benefits from 18-36 months after separation Benefits Similar to TRICARE Standard Quarterly Premiums $933 Individual/$1,996 for Family Must enroll within 60 days of separation 1-800-444-5445

8. Pharmacy Benefits Choices: Military Treatment Facility $0 TRICARE Mail Order Pharmacy $3 Generic/$9 Brand Name (upto 90 days supply) Retail Network Pharmacy (upto 30 days supply) Non-network Pharmacy

9. Dental Benefits Active Duty Members seen at the Dental Clinic Family Members can be enrolled with United Concordia Single premium $9.32, Family Premium $23.31 a/o 1 Feb 05 2 Dental Cleanings a Year Follows 20 day of the month rule 1-888-866-8499

10. Website Resources www.tricare.osd.mil www.humana-military.com www.tricareonline.com www.ucci.com

11. How to contact us? 14 Medical Group Clinic Beneficiary Services Office 434-2137/2138