TRICARE For Life and the VA

Nothing you've earned goes away.

This is the first thing every veteran asks us, and it should be. Here is how a veteran plan sits with the coverage you already have.

VA health careStays TRICARE For LifeStays Medicare Part A and BStays Veteran-designed planThe new layer

Start here

Which of these sounds like you?

The answer changes what we recommend, so we ask it on every call.

Lane one

I have TRICARE For Life or CHAMPVA.

This is who the veteran plans were designed for.

  • You keep it, as long as Part A and Part B stay active.
  • It keeps paying second, after the plan.
  • Copays for covered medical care are still picked up by TRICARE For Life.
  • Prescriptions stay with TRICARE or CHAMPVA. Nothing changes at the pharmacy.
  • The plan can lower your Part B premium and add dental, vision and hearing.
Lane two

I use the VA only.

A plan can still help, but the trade-offs are real and we say them plainly.

  • Your VA care does not change. A Medicare plan has no effect on it.
  • A plan gives you options outside the VA, when you want them.
  • Outside the VA, the plan's copays are yours to pay. Nothing picks them up for you.
  • If you fill prescriptions at a regular pharmacy, you need a plan with drug coverage. We will point you to one.

TRICARE For Life is for military retirees and their eligible family members. Not sure which lane you are in? Ask. We will work it out with you in a couple of minutes.

Follow one doctor's bill

Who pays, in what order.

Pick the coverage you have. Then follow one visit, outside the VA, from the first bill to the last dollar.

  1. First

    The doctor bills your plan.

    With a veteran plan, the plan handles your Medicare benefits. So the bill goes there first.

  2. Second

    The plan pays its share.

    What is left over is the copay printed on the plan's benefit sheet.

  3. Third

    TRICARE For Life pays second.

    It pays after the plan, the same way it pays after Medicare today, and generally covers the copay for covered care.

    Third

    The copay is yours.

    Nothing pays after the plan. That is the real trade-off of using a plan outside the VA, and we will say so on the call.

And at the VA? Nothing changes, whichever coverage you have. VA care runs on its own track. It does not bill the plan, and the plan does not affect it.

What you may have heard

Four worries, answered straight.

The worry

"I'll lose my TRICARE For Life."

The fact

You keep TRICARE For Life as long as you keep Medicare Part A and Part B. These plans require both, so the two go hand in hand.

The worry

"This will affect my VA care or my disability rating."

The fact

No. VA health care and VA disability are separate from Medicare. Joining a Medicare plan does not touch either one.

The worry

"Medicare Advantage means giving up my doctors."

The fact

Most of the bad stories are about HMOs, which can cause problems alongside TRICARE For Life. The veteran plans we work with are PPOs. You can go in or out of network, and we check your doctors by name first.

The worry

"There has to be a catch."

The fact

You still pay your Part B premium. On plans with a reduction, you pay less of it. The carriers pay us, so there is no bill from us either.

About the copays printed on the benefit sheet

You will see copays listed on every plan's benefit sheet. Carriers have to print them, because not every veteran has TRICARE For Life. If you do, it pays after the plan and generally covers them. If you use the VA only, those copays apply to you. Your advocate walks through which one is true for you before you decide anything.

Two minutes

Find out what's available where you live.

See which veteran plans are in your county, and whether one could lower your Part B premium. No cost. No obligation.