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The most sweeping improvements to the Department of Defense's healthcare
system in nearly 30 years began October 1, 2001. You will gain access to
expanded medical coverage known as TRICARE For Life, as long as you are a
uniformed services beneficiary who is Medicare-eligible, and have
purchased Medicare Part B.
TRICARE For Life acts as a secondary payer to Medicare
Claims filed automatically
No monthly premium (except Medicare Part B)
TRICARE For Life is provided to:
Medicare-eligible military retirees, including retired guard members and
Medicare-eligible family members and widows/widowers (dependent parents
and parents-in-law are excluded)
Certain former spouses if they were eligible for TRICARE before age 65
There is no fee for TRICARE For Life. All you need to do is pay your
monthly fee for Medicare Part B. Your monthly fee for Medicare Part B is
automatically deducted from your Social Security check once you are
Services in Military Facilities
- You may continue to obtain medical services at military hospitals and
clinics. Under a program known as TRICARE Plus, some beneficiaries may be
allowed to enroll for primary care at military facilities, based on local
availability. Check with your local military treatment facility for
Services Payable by TRICARE and Medicare
- In most cases, Medicare will pay first and the remaining out-of-pocket
expenses will be paid by TRICARE.
Services Payable by TRICARE but Not Medicare, such as overseas care
- TRICARE will pay and the patient will be responsible for an annual
deductible and cost share.
Services Payable by Medicare but Not TRICARE, such as chiropractic
- Medicare pays as usual with TRICARE paying nothing. You must pay
Services Not Payable by Medicare or TRICARE, such as most cosmetic surgery
- You are responsible for the cost of non-covered services.
REGISTERING IN DEERS
To take advantage of this benefit, you and your eligible family members
must enroll in
Medicare Part B
and have up-to-date information in the
Defense Enrollment Eligibility Reporting System (DEERS).
As a retiree, you are registered in DEERS through the Defense Finance and
Accounting Service (DFAS), so any information updates are made through
DFAS. Your family members with valid military ID cards are registered in
DEERS, so, updates must be made through DEERS. Contact DEERS at
1-800-538-9552. ID card will need to register in DEERS.
To obtain a military ID card, contact your local military personnel
Enrolling in Medicare Part
DEERS automatically notifies eligible beneficiaries within 90 days prior
to their attaining the age of 65 that their medical benefits are about to
be changed. They will ask you to contact the nearest Social Security
Office regarding enrollment in
Fact Sheet #15 Page 1 of 2
receive your initial information from Medicare, you will receive a
Medicare Card indicating both Medicare Part A and Part B coverage.
If you only have Medicare Part A, you can enroll in Medicare Part B during
the annual General Open Enrollment Period, which runs from January 1st to
March 31st every year. Medicare Part B coverage will then begin on July
1st of the year in which you enroll. For more information on enrolling in
Medicare Part B, beneficiaries should visit the Social Security
Administration online at
or call toll free 1-800-772-1213, TTY/TDD: 1-800-325-0778.
When you receive medical care, your doctor or hospital will usually file
a claim with Medicare since by law Medicare must pay your bills first.
When Medicare receives your claims, they will determine if the services
you received are a benefit and, if so, pay your doctor and/or hospital.
Medicare will then automatically send your claim to TRICARE for payment
of the remaining amount. The TRICARE payment will automatically be sent
to your doctor or hospital. You will receive an Explanation of Benefits
from TRICARE indicating the amount they paid with a tear-off
If you and/or your family members are receiving health care overseas and
are enrolled in Medicare Part B, you can take advantage of TRICARE For
Life. Because Medicare typically does not provide benefits for medical
care received overseas, TRICARE becomes your primary source of health
benefits. TRICARE For Life will provide the same level of coverage
afforded retirees under the age of 65 and you will be responsible for
the same TRICARE cost shares and deductibles as under-65 retirees.
Frequently Asked Questions
Is TRICARE For Life a permanent program, or must Congress renew it each
TRICARE For Life is a permanent program.
I'm thinking about dropping my other health Insurance (Medigap or other
private insurance), what should I be aware of?
This is a personal decision. We suggest you carefully evaluate your
health insurance needs to determine if you should continue purchasing
coverage. If you have other health insurance and you drop it, keep in
mind that you may not be able to get this coverage back if you change
your mind. The other consideration is that according to some state laws
you may not get back your annual premium.
When should I drop my other health insurance coverage?
If you choose to drop your coverage, the best time to do so is after you
are entitled to TRICARE For Life.
How do I drop my other health insurance?
You will need to contact your other health insurance program for details
on dis-enrollment. Remember to allow yourself enough time to disenroll
so it coincides with the date you become eligible for TRICARE For Life.
If I keep my other health insurance, what happens?
TRICARE becomes the third payer.
Should I wait until October 2001, when TRICARE For Life begins to check
my DEERS status?
No. Update your DEERS information as soon as possible to ensure a smooth
transition to TRICARE For Life for you and your eligible family members.
When can I begin using this program?
October 1, 2001, as long as you and other eligible family members are
enrolled in Medicare Part B and registered in DEERS.
Is there an annual fee?
There is no fee for TRICARE For Life.
F O R M O R E I N F O R M A T I O N 1-888-DOD-LIFE (1-888-363-5433)
How Do I Get Help
Or More Information?
Veterans Service Representatives are available to discuss
this or any veterans’ issue with you.
Veterans Service Representatives are available to discuss claims or any
veterans' issues with you. Call your closest office for the nearest
location to you:
Monday through Thursday, 7:30 a.m. to 4:30 p.m.
Victorville: (760) 843-2790 San Bernardino: (909) 387-5516
Chino: (909) 465-5241
Part time offices in: Barstow, Yucca Valley and 29 Palms.
Fact Sheet #15 Page 2 of 2
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