Your Membership Offers You Valuable Insurance Coverage
- Guarantee your acceptance (subject to pre-existing condition limitations)*
- Pay all your co-payments after the annual TRICARE outpatient deductible and Plan deductible are satisfied
- Give you the choice of annual Plan deductibles ($150/$300)
- Pay 100% of your covered excess charges
- Provide a valuable Survivors’ Continuation Benefit
For questions, call 800-808-4514 and speak to an AMS Plan Administrator, toll-free, weekdays from 8:00 a.m. to 8:00 p.m. Eastern Time.
Your enrollment comes with a Satisfaction Guarantee! You will have a full 30 days to examine your policy. If for any reason you are unhappy with the coverage during this time, return it for full 100% refund of all the premiums you have paid, minus any claims paid.
*This policy is guaranteed acceptance but does contain a Pre-Existing Condition Limitation. Please click on Learn More for more information on exclusions and limitations, such as Pre-Existing Conditions
Underwritten by Hartford Life and Accident Insurance Company, Hartford, CT 06155 .
Don Sheehan (Licensed in all applicable jurisdictions)
AMS_TRICARE_WEB_5963_092022
TRICARE Form Series includes
GBD-3000, GBD-3100, or state equivalent
This coverage is available to members and their dependents. You must be a member of AMS to enroll in the supplemental insurance plan. If you are not a member of AMS, please visit amsmilitary.org/join to join today.
For questions about membership call 800-379-6128.
Learn MoreTo enroll:
- Print and send in the enrollment form by clicking on "Printable Enrollment Form" below. Please enclose your payment with the completed form and mail to AMS Insurance Program, P.O. Box 153085, Irving, TX 75015.
OR
- Complete the Online Enrollment Form by clicking "Online Enrollment Form" below. Your enrollment form will be electronically submitted.
Online Enrollment Form
Printable Enrollment Form
If you have any questions about this plan call the AMS Insurance Program, toll-free at 1-800-808-4514, weekdays from 8:00 a.m. to 8:00 p.m., Eastern Time.
Please note: Coverage is not available in all states.
All benefits are subject to the terms and conditions of the policy. Policies underwritten by Hartford Life and Accident Insurance Company detail exclusions, limitations, and terms under which the policies may be continued in force or discontinued. You can review the terms and conditions by clicking the link below.
Terms and Conditions