You must have Medicare Part B, unless you qualify for an exception listed above. 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.TRICARE benefits include covering Medicare's coinsurance and deductible for services covered by Medicare and TRICARE.TRICARE supplements don’t qualify as 'other health insurance.'. TRICARE pays second to Medicare or last if you have other health insurance Health insurance you have in addition to TRICARE, such as Medicare or an employer-sponsored health insurance.There are no enrollment forms or enrollment fees for TRICARE For Life.

When you have Medicare Parts A and B, you automatically receive coverage from TRICARE For Life. If you choose not to enroll in TRICARE Prime or US Family Health Plan, you’ll automatically be covered by TRICARE For Life. You can contact your regional contractor for more details.

You can get a refund for any Prime enrollment fees that you paid.

If you have Medicare due to a disability, you can continue your TRICARE Prime enrollment (if you qualify).

Finally, the TRICARE For Life contractor processes and pays the TRICARE portion of the claims.

Then, Medicare forwards your claims to the TRICARE For Life contractor.

Medicare processes and pays their portion of your claims.

Providers file claims with Medicare first.

Please note: If you have TRICARE Prime or receive coverage from TRICARE For Life, your claims won’t process through the regional contractor. TRICARE Prime will waive your individual enrollment fee. If you're under age 65, entitled to Medicare Part A, and have Medicare Part B, you don’t have to disenroll from TRICARE Prime or the US Family Health Plan. If you have Medicare Part A, you must also have Medicare Part B to remain eligible for TRICARE, including prescription drug coverage. Your TRICARE coverage options when entitled to Medicare depend on your age: >Have Medicare and TRICARE? Click here to see your plan options Using Medicare and TRICARE Together

TRICARE For Life can reimburse you for copayments you paid for TRICARE services.

If you enroll in a Medicare Advantage plan, you may have to pay copayments at the time of service.

This doesn’t apply to emergency services.

You must get all your health care services from the Medicare Advantage plan’s network of providers.

You may pay a plan premium each month in addition to your Medicare Part B premium.

Medicare Advantage plans provide all of your Part A and Part B services and usually Part D pharmacy coverage.

Medicare Advantage plans (also known as Medicare Part C) are a Medicare coverage option offered by private companies that contract with Medicare.

Medicare and TRICARE coordinate benefits which eliminates the need for you to file claims.

If you’re eligible for TRICARE and have Medicare Part A and Part B, TRICARE For Life provides wraparound coverage which pays your out-of-pocket costs in Original Medicare for TRICARE covered services.

Medigap pays your out-of-pocket costs in Original Medicare.

Medicare Supplement Insurance (Medigap) coverage is optional.

You pay a premium each month, which is based on your level of income.

Medicare Part B is medical insurance, which primarily covers outpatient services.

Medicare Part A is hospital insurance which is financed by payroll deductions when you are or were working.

When using Original Medicare you may get health care services from any Medicare participating or Medicare Non-participating provider, regardless of their specialty.

If eligible, you have the option of using Original Medicare or enrolling in a Medicare Advantage plan. The Centers for Medicare and Medicaid Services manages Medicare. Check with your regional contractor for details.) You can also get a refund for any Prime enrollment fees that you paid. If you do, your Prime enrollment fees are waived. (If you have Medicare due to a disability, you can continue your TRICARE Prime enrollment.

Under age 65 with certain disabilities.

Medicare is a health insurance program for people: NOTE: Your plan options vary depending on your situation. They can enroll in a TRICARE Prime option or use TRICARE For Life. The person who's under age 65 and is Medicare-eligible.Request enrollment changes within 90 days of the Medicare-eligible family member's Medicare effective date.Enroll in a different TRICARE health plan.TRICARE-eligible family members under age 65 can:.Aren't eligible to enroll in other TRICARE health plans.Are automatically covered by TRICARE For Life.TRICARE beneficiaries age 65 and entitled to Medicare:.

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