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    • About Me
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    • VA / TriCare & Medicare
    • Dual Medicare & Medicaid

  • Home
  • About Me
  • turning 65
  • About Medicare
  • Contact
  • VA / TriCare & Medicare
  • Dual Medicare & Medicaid

VA Health Benefits or TriCare with Medicare

VA Health Benefits with Original Medicare:

  Veterans who qualify for VA health benefits can use their Original Medicare coverage alongside their VA benefits. The VA typically becomes the primary payer for services provided within the VA health care system, covering most or all of the costs. However, if you seek care outside of the VA system and within the Medicare network, Original Medicare would cover its portion of the services according to its guidelines and you could be responsible for your portion of costs.

VA Health Benefits with Medicare Advantage:

 Veterans who qualify for VA health benefits can use their Medicare Advantage plans alongside their VA coverage. Generally, if you're eligible for VA health care and Medicare, you can receive care from both systems. However, VA benefits usually do not cover care outside of VA facilities unless it's authorized by the VA, and Medicare Advantage plans typically require you to use their network of providers. So, if you receive care outside of the VA system and within the network of your Medicare Advantage plan, your plan would cover those services. Medicare Advantage plans  often include additional benefits like dental, vision, and wellness programs. 

TriCare with Original Medicare:

  If you're eligible for both Medicare and TriCare, TriCare typically becomes your primary payer for services covered by both TriCare and Medicare. This means TriCare pays first for your health care services, and Medicare pays second as a secondary payer, covering some or all of the remaining costs, depending on the situation. Generally, if you receive care within the TriCare network, you may not have any out-of-pocket costs for covered services. If you receive care outside of the TriCare network but still within the U.S., Medicare may cover its portion according to its guidelines and you could be responsible for your portion of costs. 

TriCare with Medicare Advantage:

 TriCare is a health care program for active-duty service members, retirees, and their families. If you're eligible for both Medicare and TriCare, you can generally use your TriCare benefits alongside your Medicare Advantage plan. TriCare becomes your primary payer for services covered by both TriCare and Medicare. Your Medicare Advantage plan may cover services that TriCare doesn't, such as dental or vision, and in such cases, your Medicare Advantage plan would be the primary payer for those services.  Medicare Advantage plans  often include additional benefits like dental, vision, and wellness programs. 

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