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FAQs on VA and TRICARE Coverage



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Category: VA and TRICARE Coverage


Most Viewed FAQs in Category
Is Medicare and Humana the same thing? Do they both have the same benefits? Does Humana pay more for medication than Medicare?
No Medicare and Humana are not the same. Humana is one of the largest private insurance companies that provides, along with other products, Medicare Advantage plans and Medicare Part D prescripti . . .

How will my CHAMPVA coverage work with my Medicare prescription drug coverage?
Joining a Medicare drug plan is always your choice. You are not required to join a Medicare drug plan; it is optional. If you have CHAMPVA and you join a Medicare prescription drug plan, Medicare . . .

Will my VA health benefits work with my Medicare Part D prescription drug coverage?
Yes.  VA prescription drug coverage can work together with a Medicare Part D plan. If you are entitled to VA health benefits, your coverage will not change when you are eligible for Medicare.& . . .

I receive my prescription drug benefits from the Veterans Administration (VA) and have not enrolled in a Medicare Part D plan, will I still receive a rebate?
No.  If you receive VA benefits and have not enrolled in a Medicare Part D plan, you will not receive the Doughnut Hole rebate.  On the positive side, if you are receiving VA prescription dr . . .

How will my TRICARE coverage work with my Medicare prescription drug plan?
Your TRICARE coverage can work together with a Medicare Part D plan (as does VA coverage).If you are now entitled to TRICARE, your coverage will not change when you become eligible for a Medicare Part . . .

Where do I find more information on Tri-Care (TRICARE) - for instance, where can I download the Tri-Care Forms?
To find more information on TRICARE, visit tricare.mil, or call the TRICARE Pharmacy Program at 1-877-363-1303. TTY users should call 1-877-540‑6261. In the past, you could also use the TRICA . . .

What do I need to know if I have drug coverage from TRICARE, the Department of Veteran's Affairs (VA), or the Federal Employee Health Benefits Program (FEHB)?
As long as they still qualify, most people keep their TRICARE, VA, or FEHBP prescription drug coverage.Contact your benefits administrator or your insurer for information about your TRICARE, VA, or FE . . .

I presently receive my prescriptions from the Veterans Administration (VA) - how does the prescription drug coverage from the VA work with the Medicare Part D plans?
If you have VA coverage (that is, prescription drug coverage as part of Veterans Administration benefits), then you may not need Medicare Part D coverage. However, if you find that the VA does not co . . .

I have VA benefits and do not need Medicare Part D, so am I being charged $53.50 for IRMAA when I am not even enrolled in a Part D plan?
No.  You are not being charged for Medicare Part D IRMAA, but rather only Medicare Part B IRMAA. Income-Related Monthly Adjustments Amounts (IRMAA) are charged to Medicare beneficiaries who . . .

How does TRICARE work with Medicare Part B?
As noted in the Medicare & You Handbook: If you have Medicare Part A (hospital and in-patient coverage) and TRICARE (insurance for active-duty military, military retirees, and th . . .

Newest FAQs in Category
I receive all of my medications through the VA, so can I disenroll from my Medicare Part D plan?
Yes. You are allowed to disenroll from your Medicare Part D plan or Medicare Advantage plan during the Annual Enrollment Period (AEP - October 15th through December 7th) or outside the AEP using a Sp . . .

I have VA benefits and do not need Medicare Part D, so am I being charged $53.50 for IRMAA when I am not even enrolled in a Part D plan?
No.  You are not being charged for Medicare Part D IRMAA, but rather only Medicare Part B IRMAA. Income-Related Monthly Adjustments Amounts (IRMAA) are charged to Medicare beneficiaries who . . .

What is TRICARE?
TRICARE provides health benefits for the military. As noted in the Medicare & You Handbook: [TRICARE is a] health care plan for active-duty service members, military retirees, and their fami . . .

How does TRICARE work with Medicare Part B?
As noted in the Medicare & You Handbook: If you have Medicare Part A (hospital and in-patient coverage) and TRICARE (insurance for active-duty military, military retirees, and th . . .

I receive my prescription drug benefits from the Veterans Administration (VA) and have not enrolled in a Medicare Part D plan, will I still receive a rebate?
No.  If you receive VA benefits and have not enrolled in a Medicare Part D plan, you will not receive the Doughnut Hole rebate.  On the positive side, if you are receiving VA prescription dr . . .

Will my VA health benefits work with my Medicare Part D prescription drug coverage?
Yes.  VA prescription drug coverage can work together with a Medicare Part D plan. If you are entitled to VA health benefits, your coverage will not change when you are eligible for Medicare.& . . .

How will my TRICARE coverage work with my Medicare prescription drug plan?
Your TRICARE coverage can work together with a Medicare Part D plan (as does VA coverage).If you are now entitled to TRICARE, your coverage will not change when you become eligible for a Medicare Part . . .

What do I need to know if I have drug coverage from TRICARE, the Department of Veteran's Affairs (VA), or the Federal Employee Health Benefits Program (FEHB)?
As long as they still qualify, most people keep their TRICARE, VA, or FEHBP prescription drug coverage.Contact your benefits administrator or your insurer for information about your TRICARE, VA, or FE . . .

How will my CHAMPVA coverage work with my Medicare prescription drug coverage?
Joining a Medicare drug plan is always your choice. You are not required to join a Medicare drug plan; it is optional. If you have CHAMPVA and you join a Medicare prescription drug plan, Medicare . . .

Is Medicare and Humana the same thing? Do they both have the same benefits? Does Humana pay more for medication than Medicare?
No Medicare and Humana are not the same. Humana is one of the largest private insurance companies that provides, along with other products, Medicare Advantage plans and Medicare Part D prescripti . . .






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Tips & Disclaimers
  • The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change.
  • Medicare has neither reviewed nor endorsed the information on our site.
  • We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227.
  • We are an independent education, research, and technology company. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. We are not compensated for Medicare plan enrollments. We do not sell leads or share your personal information.
  • Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Our PDP-Compare.com and MA-Compare.com provide highlights of annual plan benefit changes.
  • The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
  • Limitations, copayments, and restrictions may apply.
  • We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
  • When enrolling in a Medicare Advantage plan, you must continue to pay your Medicare Part B premium.
  • Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). Read more on IRMAA.
  • Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. In certain situations, you can appeal IRMAA.
  • You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Members may enroll in a Medicare Advantage plan only during specific times of the year. Contact the Medicare plan for more information.
  • If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or your state Medicaid Office.
  • Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.
  • A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Providers who do not contract with the plan are not required to see you except in an emergency.
  • Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home.
  • Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
  • Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition.
  • Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The plan deposits money from Medicare into the account. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins.
  • Medicare MSA Plans do not cover prescription drugs. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan
  • There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Those who disenroll during the calendar year will owe a portion of the account deposit back to the plan. Contact the plan provider for additional information.
  • Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
  • Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the medicare.gov site. Beneficiaries can appoint a representative by submitting CMS Form-1696.