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I receive all of my medications through the VA, so can I disenroll from my Medicare Part D plan?

Category: Medicare Plan Disenrollment
Updated: Aug, 19 2023


Yes. You are permitted to disenroll from your Medicare Part D plan or Medicare Advantage plan during the Annual Open Enrollment Period (AEP) -- October 15th through December 7th -- or outside the AEP using a Special Enrollment Period (SEP) if you have alternative creditable prescription drug coverage such as the coverage provided through the VA or TRICARE.

However, as an alternative, you may wish to consider joining a low-cost Medicare Part D prescription drug plan (PDP) or Medicare Advantage plan that includes drug coverage (MAPD).

If you pay a small (or $0) monthly premium for the Medicare plan, you will have access to additional pharmaceutical or healthcare coverage that can work together to complement your VA or TRICARE coverage - coverage that is available just in case your healthcare needs change outside of the annual Open Enrollment Period (AEP).


As reference for the Medicare Part D plan Special Enrollment Period, please see:

Medicare Manual, Section 30.3.8 - SEPs for Exceptional Conditions

"CMS has the legal authority to establish SEPs when an individual or group of individuals meets exceptional conditions specified by CMS, including on a case-by-case basis. The SEPs CMS has established include: ...

11. SEP for Disenrollment from Part D to Enroll in or Maintain Other Creditable Coverage - Individuals may disenroll from a Part D plan (including PDPs and MA-PDs) to enroll in or maintain other creditable drug coverage (such as TRICARE or VA coverage). The effective date of disenrollment is the first day of the month following the month a disenrollment request is received by the Part D plan." [emphasis added]

Medicare Prescription Drug Benefit Manual, Chapter 3 - Eligibility, Enrollment and Disenrollment
Updated: August 19, 2011 (Revised: November 16, 2011, August 7, 2012, August 30, 2013, August 30, 2014, July 6, 2015, September 1, 2015, September 14, 2015, December 30, 2015, May 27, 2016, August 25, 2016, June 15, 2017, July 31, 2018 & August 12, 2020)

(source: https://www.cms.gov/ Medicare/ Eligibility-and-Enrollment/ MedicarePresDrugEligEnrol/ Downloads/ CY_2017_PDP_Enrollment_and_ Disenrollment_Guidance_8-25-2016.pdf)


As reference for the Medicare Advantage plan Special Enrollment Period, please see:

Medicare Manual, Section 30.4.4 - SEPs for Exceptional Conditions

"CMS has the legal authority to establish SEPs when an individual or group of individuals meets exceptional conditions specified by CMS, including on a case-by-case basis. The SEPs CMS has established include: ...

14. SEP for Disenrollment from Part D to Enroll in or Maintain Other Creditable Coverage - Individuals may disenroll from a Part D plan (including PDPs and MA-PDs) to enroll in or maintain other creditable drug coverage (such as TriCare or VA coverage). The effective date of disenrollment is the first day of the month following the month a disenrollment request is received by the Part D plan. Additionally, individuals enrolled in an MA-PD plan who have or are enrolling in other creditable coverage may use this SEP to disenroll from the MA-PD plan by enrolling in an MA-only plan." [emphasis added]

Medicare Managed Care Manual, Chapter 2 - Medicare Advantage Enrollment and Disenrollment
Updated: August 19, 2011 (Revised: November 16, 2011, August 7, 2012, August 30, 2013, August 14, 2014, July 6, 2015, September 1, 2015, September 14, 2015, December 30, 2015, May 27, 2016, August 25, 2016, , June 15, 2017, July 31, 2018 & August 12, 2020)

(source: https://www.cms.gov/ Medicare/ Eligibility-and-Enrollment/ MedicareMangCareEligEnrol/ Downloads/ CY_2017_MA_Enrollment_and_ Disenrollment_Guidance_8-25-2016.pdf)





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