If space is not available or if a facility doesnot exist close to a retired member or a dependent,CHAMPUS provides for partial payment ofcivilian health care. Through CHAMPUS,uniformed services retired members and theirfamilies have one of the best health plans availableanywhere. CHAMPUS shares most health carecosts from civilian hospitals and doctors when aperson can’t get care through a military hospitalor clinic. CHAMPUS covers most health care thatis medically necessary.You may want to consider purchasing a supple-mental CHAMPUS insurance plan when youretire, if you do not already have one. Yourcoverage under CHAMPUS is slightly differentfrom that you had while on active duty; you needto know those differences before using it. Onceyou retire, CHAMPUS coverage for you and yourdependents is limited as follows:Pays up to 75 percent of the outpatientcharges for you and your dependents, oncea 0 per person or 0 per familydeductible is met; pays up to 75 percentof inpatient (hospital) charges, with nodeductibleDoes not cover all health carePays only for medically necessary care andservices provided at an appropriate levelof careDoes not cover certain people (active-dutyservice members, parents, parents-in-law,and persons eligibleSurvivor Benefit PlanA program that assuresfor survivors of retiredfor Medicare)financial protectionuniformed servicemembers went into effect on September 21, 1972,as Public Law 92-425. This program, called theSurvivor Benefit Plan (SBP), provides an annuityincome for survivors of retired uniformed servicemembers.Until passage of this law, the retired pay ofretired members of the uniformed services endedwith their death, unless they had electedvoluntarily to participate in the Retired Service-man’s Family Protection Plan. Therefore,surviving members of a retiree’s family oftenfound themselves with little or no incomefollowing the retiree’s death. SBP fills thatfinancial gap in the area of service benefits.As a prospective retiree, your family isautomatically covered under SBP at the time ofyour retirement. You may elect SBP coverage toguarantee you family receives 55 percent of yourmaximum retired pay to a minimum amountdesignated by law. You also have the option todecline any coverage under this plan. If you haveno spouse or dependent child at retirement time,you can join the plan at that time by naming asbeneficiary a person who has an insurable interestin you. You can begin participation later if youacquire a spouse or child after retiring.If you elect not to participate in SBP or electa lesser coverage, your spouse must sign a spousalconcurrence statement.Several SBP options are available to you. Youmay select only one of the following options:Spouse only or former spouse only—Thesetwo choices provide a monthly SBP check to yourspouse or former spouse for life in the event ofyour death. If your spouse or former spouseremarries before age 55, the payments aresuspended; but if that marriage ends, the SBPpayments start again. Former spouse electionsmust be voluntary. If you agree to make formerspouse election as part of a divorce agreement orcourt decree, then that election can be enforcedand you must honor that election.Spouse and children or former spouse andchildren—In these two cases, your spouse orformer spouse is the primary beneficiary; thechildren are paid an annuity only if your spouseor former spouse remarries before age 55 or dies.Children only—Your children are covereduntil age 18, or age 22 if full-time students.Disabled children are paid for life if their disabilitycauses them to be incapable of self-support. Thedisability must have been incurred when the childwas under the age of 18 or before age 22 whileattending school full time.Persons with insurable interest—You mayelect SBP to cover a beneficiary who has alegitimate financial interest in your continued life.This beneficiary is normally a close familymember, such as a parent or sibling. Thebeneficiary receives 55 percent of the retired payremaining after the premium deduction is made.Since the federal government pays a substantialpart of the SBP cost, you give up only a smallpart of your retired pay to provide maximumcoverage for dependents.5-20
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