Do I need Medicare Part D if I have VA benefits?

Asked by: Kenton Reynolds  |  Last update: February 11, 2022
Score: 4.5/5 (26 votes)

Drug coverage from the VA (Veterans Affairs) is considered creditable prescription drug coverage, which means the coverage is at least as good as what Medicare drug plans provide, so you do not need to enroll in a Medicare Part D plan.

Can you have VA benefits and Medicare Part D?

If you choose to enroll in a Medicare prescription drug plan you will still be eligible to receive all of your current VA health and prescription drug benefits. You do not have to choose between VA prescription drug benefits and a Medicare prescription drug plan; you may have either or both.

Will VA fill outside prescriptions?

The VA will not fill or rewrite prescriptions prescribed by your private physician. ... You need to have a primary-care provider assigned by the VA. You must provide your VA healthcare provider with your medical records from your non-VA provider.

Can I opt out of Medicare if I have VA benefits?

If you have VA benefits, you do not have to enroll in Medicare in order to keep your VA benefits. That being said, the Veterans Administration actually recommends veterans enroll in Medicare when they become eligible.

How do VA benefits work with Medicare?

You can have both Medicare and Veterans Affairs (VA) benefits, but Medicare and VA benefits do not work together. Medicare does not pay for any care that you receive at a VA facility. ... VA benefits will not pay for Medicare cost-sharing (deductibles, copayments, coinsurances).

VA Benefits and Medicare Part D

39 related questions found

Do I need Medicare Part B if I am a veteran?

The VA itself strongly recommends that veterans with VA health care also enroll in Medicare Parts A and B as soon as they become eligible (unless they have group insurance from a current employer). Here's why: VA health coverage isn't set in stone and isn't the same for everyone.

Does the VA pay secondary to Medicare?

VA benefits aren't secondary insurance to Medicare, as they cover care at different types of facilities. Yet, if you're eligible for both, enrolling in both can round out your health care.

Can you go to any hospital with VA benefits?

Once enrolled, veterans can receive treatment at a VA healthcare facility anywhere in the country.

Can the VA bill Medicare?

We don't bill Medicare or Medicaid, but we may bill Medicare supplemental health insurance for covered services.

Are veterans eligible for Medicare?

Veterans can receive both Veteran Affairs (VA) health care benefits and Medicare when they become eligible. It's recommended for veterans to enroll in Medicare so they have more coverage options when seeking care from non-VA health care facilities.

Does Walmart Fill VA prescriptions?

Walmart will no longer accept a popular military prescription health insurance soon. A new change will soon affect veterans and members of the military who fill their prescriptions at Walmart, Fox-affiliate KNWA reported on Nov.

Does the VA cover OFEV?

If you are covered by any form of government-funded healthcare programs (Medicare, Medicaid, Tricare, VA, etc.), you are not eligible for the program. Also, if you are paying cash, you will not be eligible. If you are eligible, you may receive OFEV for as little as $0 per month.

Can I fill my VA prescription at CVS?

Veterans who use this benefit can receive care at one of more than 1,700 VA locations across the country. ... The veteran visits MinuteClinic to receive treatment. If medication is prescribed during the visit, the patient will be able to fill the prescription at CVS Pharmacy.

Who Pays First VA or Medicare?

Medicare pays for Medicare-covered services or items . The VA pays for VA-authorized services or items . For active-duty military enrolled in Medicare, TRICARE pays first for Medicare- covered services or items, and Medicare pays second .

Do I need Medicare Part D if I don't take any drugs?

No. Medicare Part D Drug Plans are not required coverage. Whether you take drugs or not, you do not need Medicare Part D. But that doesn't mean you should skip getting a drug plan.

Do veterans get free healthcare?

The VA will provide you free health care for conditions that are caused or made worse by your military service. ... You can also receive more care from the VA if you have an income below certain limits. If you are a 50% or greater disabled veteran or a former POW, all your medical care from the VA is free.

Why can't VA pay Medicare?

VA medical centers can bill Medicare Advantage plans (supplemental Medicare), as these are private insurance policies purchased through a third party. By law, however, the VA cannot bill traditional Medicare (Medicare Part A Part B) plans issued by the federal government.

Does the VA count as health insurance?

All Veterans applying for VA medical care are required to provide information on their health insurance coverage, including coverage provided under policies of their spouses. ... VA health care is NOT considered a health insurance plan.

How do I know if I'm eligible for Medicare Part A?

You are eligible for premium-free Part A if you are age 65 or older and you or your spouse worked and paid Medicare taxes for at least 10 years. You can get Part A at age 65 without having to pay premiums if: You are receiving retirement benefits from Social Security or the Railroad Retirement Board.

Does VA cover ER visits?

In general, VA can pay for emergency medical care at a local ER for a Veteran's service-connected condition, or if the care is related to a Veteran's service-connected condition. VA can also pay for emergency medical care for a Veteran's non-service connected condition.

Do VA benefits affect Social Security?

If you receive VA compensation, this will not affect your Social Security benefits.

Can I use my VA health care anywhere?

You may select any VA facility that is convenient for you. If the facility you choose cannot provide the health care that you need, VA will make other arrangements for your care based on administrative eligibility and medical necessity.

How can you lose your VA benefits?

Veterans could lose their VA benefits for two reasons: Incarceration and multiple foreclosures. For incarcerated veterans, a reduction or loss of benefits is determined by the crime committed and the resulting prison sentence E.G. whether the offense was a felony or misdemeanor.

Do veterans have to pay for prescriptions?

Typically, VA drug coverage has no premiums and no or limited copayments for prescriptions—but you must use VA pharmacies and facilities. You may want Part D coverage if you: Live far from a VA pharmacy or facility, or do not want to use a VA provider to get prescriptions.

Is VA insurance primary or secondary?

VA health benefits always provide primary coverage in VA facilities. If you have VA benefits and become eligible for Medicare, you should consider the benefits of both types of insurance and whether you should enroll in Medicare now or delay enrollment—and the potential consequences of delayed enrollment.