Do I need Medicare if I have TRICARE for Life?

Asked by: Rene Kunze  |  Last update: February 11, 2022
Score: 4.4/5 (72 votes)

When you use TRICARE For Life, you don't pay any enrollment fees, but you must have Medicare Part A and Medicare Part B. ... Medicare Part B has a monthly premium, which is based on your income.

Can you have TRICARE for life without Medicare?

Because you're not entitled to premium-free Medicare Part A, you do not need Medicare Part B to keep your TRICARE benefit. You do not transition to TFL. You may continue enrollment in TRICARE Prime if you live in a PSA, or if qualified, you may enroll in TRICARE Select.

Does TRICARE replace Medicare?

Medicare is your primary payer. TRICARE pays second to Medicare or last if you have other health insurance. ... When retired service members or eligible family members reach age 65 and are eligible for Medicare, they become eligible for TRICARE For Life and are no longer able to enroll in other TRICARE plans.

Do retired military have to pay for Medicare?

RETIRED MILITARY. Retired military who are under 65 years of age, and their families, are eligible for TRICARE health coverage. When a military retiree or spouse reaches 65, they are eligible for Medicare and TRICARE for Life medical coverage. ... Medicare pays first for Medicare-covered services.

Does TRICARE for Life pay secondary to Medicare?

There is no fee for enrolling in TRICARE For Life. TRICARE For Life is available worldwide and enrollment is not required. It offers secondary coverage after Medicare in the U.S. and U.S. Territories. In other overseas locations, TRICARE For Life is the primary payer.

TRICARE and Medicare: TRICARE for Life

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Do military Retirees Need Medicare Part B?

If you're 65, but have an active duty sponsor, you don't have to have Medicare Part B until your sponsor is retired. ... You're automatically entitled to Medicare Part A and are enrolled in Medicare Part B starting the first day of the month you turn 65.

Is TRICARE for Life free for military retirees?

Is TRICARE For Life free for military retirees? There are no enrollment fees or monthly premiums for retirees who are TRICARE beneficiaries. However, you must have Medicare Part A and B to qualify, and you have to pay Part B premiums, which are based on your income.

What is not covered by TRICARE for Life?

In general, TRICARE excludes services and supplies that are not medically or psychologically necessary for the diagnosis or treatment of a covered illness (including mental disorder), injury, or for the diagnosis and treatment of pregnancy or well-child care.

Is TRICARE for life a good deal?

A. Tricare is a great benefit. This Department of Defense-run health plan covers uniformed and retired career service members, National Guard and Reserve members, other qualifying personnel and their families. ... Here's some good news on costs: There's no annual enrollment fee or monthly premium for Tricare for Life.

Can you lose TRICARE for Life?

Nothing. The good news is your family's existing TRICARE coverage doesn't change. Your spouse can remain in his or her TRICARE plan. And if you have children, they remain in their current plan until they change plans or lose TRICARE eligibility.

What Medicare plan do I need with TRICARE for Life?

To receive TRICARE for Life benefits, you must be enrolled in Medicare Part A (hospital insurance) and Medicare Part B (medical insurance). Together, these parts are known as original Medicare. You should automatically qualify for Medicare benefits when you turn age 65.

What is the difference between TRICARE Prime and TRICARE for Life?

Once you have TFL, you're no longer eligible for TRICARE Prime, unless you're under the age of 65. ... “TRICARE For Life is an individual entitlement,” said Breslin. “That means coverage is only for the Medicare and TRICARE eligible beneficiary, and not for family members who aren't eligible for Medicare.”

What happens to TRICARE when I turn 65?

TRICARE and Medicare beneficiaries who are age 65 must have Medicare Part A and Part B to remain TRICARE-eligible and be able to use TFL. TRICARE beneficiaries who aren't eligible for premium-free Medicare Part A at age 65 on their own work history or their spouse's work history remain eligible to enroll in USFHP.

Does TRICARE for life cover dental work?

TRICARE covers adjunctive dental care. as part of the "medical" benefit. Dental coverage for diagnostic and preventive services, restorative services, orthodontics, oral surgery, endodontics and other non-medical services are provided under two different dental plans: ... TRICARE Dental Program.

Does TRICARE for Life pay Medicare Part B deductible?

Does TRICARE For Life cover the Medicare Part B deductible? If you're on active duty, your TRICARE coverage pays out first for your services covered under Medicare. If you have both TRICARE and Medicare, TRICARE pays the Medicare deductible and other services not covered by Medicare.

What is the best Medicare plan for retired military?

Military retirees with TRICARE For Life coverage may consider the AARP Medicare Advantage Patriot Plan. This plan provides the freedom to visit doctors and hospitals in our network for a $0 monthly premium and additional benefits that may include: Monthly credits applied to your Medicare Part B premium.

Does Medicare coverage start the month you turn 65?

The date your coverage starts depends on which month you sign up during your Initial Enrollment Period. ... If you qualify for Premium-free Part A: Your Part A coverage starts the month you turn 65. (If your birthday is on the first of the month, coverage starts the month before you turn 65.)

Is Silver Sneakers covered by TRICARE for Life?

Does TRICARE for Life Cover SilverSneakers? TRICARE For Life doesn't provide SilverSneakers coverage. But, enrolling in an Advantage plan could provide you with extra benefits. If there is an Advantage plan with fitness benefits in your area, enrolling will give you access.

Does TRICARE for life cover cataract surgery?

TRICARE covers cataract surgery and related supplies and services. More specifically, TRICARE covers the standard intraocular lens (IOL), a fixed lens designed to target vision at a single focal point.

How much is TRICARE for Life for retired military?

The TRICARE Select enrollment fees for a Group A retired beneficiary are: For an individual plan, you'll pay $12.50 per month or $150 annually. For a family plan, you'll pay $25.00 per month or $300 annually. The catastrophic cap will increase from $3,000 to $3,500.

Will TRICARE for Life pay for nursing home?

Skilled nursing care is covered by TRICARE in the U.S. and U.S. Territories within skilled nursing facilities (SNF) if you have a hospital stay of three or more days. ... TRICARE and Medicare do not cover assisted living facilities or long term care, which is needed if you can no longer perform everyday tasks by yourself.

Does TRICARE for Life pay for eyeglasses?

If you have TRICARE For Life (TFL), you also don't have eye exam coverage. With FEDVIP, you can choose from multiple vision plans and eye care providers. The plans vary in coverage and cost. But most plans include routine eye exams, vision correction, glasses, and contact lenses.

What is TRICARE for retirees called?

TRICARE Retired Reserve (TRR) is a premium-based health plan available for purchase by qualified members of the Retired Reserve until reaching age 60. TRR provides coverage and costs similar to TRICARE Select, but TRR beneficiaries must also pay monthly premiums in addition to copayments, cost-shares, and deductibles.

Is TRICARE for Life and TRICARE Select the same?

The TRICARE Select health plan is similar to a preferred provider organization (PPO) for eligible beneficiaries not enrolled in TRICARE Prime (except ADSMs and TRICARE For Life beneficiaries). TRICARE Select allows beneficiaries to choose their own TRICARE-authorized provider and manage their own health care.

Does TRICARE for Life pay Medicare Advantage copays?

Does Tricare for Life offer Medicare Advantage plans? Tricare for Life (TFL) acts as secondary insurance to Medicare for members of the military. The plan helps pay out-of-pocket healthcare costs, such as copays and coinsurance.