Welcome Members RAUS TRICARE Supplement RAUS CHAMPVA Supplement RAUS TRICARE Prime Supplement

• Membership
• Check Points
• TRICARE Claim Forms

• About Our TRICARE Supplement
• TRICARE Extra/Standard Supplement Plan
• Insurance Coverage
• Insurance Rates
• How To Enroll

• About Our CHAMPVA Supplement
• CHAMPVA Supplement Plan
• Insurance Coverage
• Insurance Rates
• How To Enroll

• About Our TRICARE Prime Supplement
• The TRICARE Prime Supplement Plan
• Insurance Coverage
• Insurance Rates
• How To Enroll

The RAUS CHAMPVA Supplement Plan
Enrollment
GUARANTEED ACCEPTANCE - Satisfaction Guaranteed

It's easy to enroll in the CHAMPVA 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:

• RAUS Membership Application (required if you are not already a member)

• RAUS CHAMPVA Supplement Plan Enrollment Form - For residents of CO and SD only.

Step 2 - Determine your premium based on your selected plan and your present age.  Don't forget to include coverage for a child.

Step 4 - Complete and mail all forms along with your check payable to Selman Co for the first premium payment and your initial RAUS membership dues check payable to RAUS to:

Mail To:

RAUS PO Box 2534 Brentwood, TN  37024-2534 615-794-4400

Click below to download and print the RAUS Membership Application and insurance enrollment forms including rates. RAUS CHAMPVA Supplement Plan Enrollment Form - For residents of CO and SD only. Mail membership application and enrollment forms with your payment for dues and premium to: RAUS 504 Autumn Springs Court, Suite 8 Franklin, TN  37067-8278 615-794-4400

If you do not have the current Acrobat Reader software, obtain it FREE from Adobe's web site. Click here. View RAUS CHAMPVA Plan Profile View RAUS CHAMPVA Supplement Plan Brochure View CHAMPVA Supplement Sample Certificate View CHAMPVA Supplement Sample Certificate (NY Residents) For more about CHAMPVA Supplement Plan, select: About Us The Plan Coverage Group Rates Enrollment