Medicare Blog

how does medicare d coverage work if you are covered by the va

by Sigurd Berge Published 2 years ago Updated 1 year ago
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Drug coverage from the VA (Veterans Affairs) is considered creditable prescription drug coverage, which means the coverage is at least as good as what Medicare drug plans provide, so you do not need to enroll in a Medicare Part D plan.

Can you have VA benefits and Medicare Part D?

If you choose to enroll in a Medicare prescription drug plan you will still be eligible to receive all of your current VA health and prescription drug benefits. You do not have to choose between VA prescription drug benefits and a Medicare prescription drug plan; you may have either or both.

Do I need Medicare if I am covered by the VA?

If you have VA benefits, you do not have to enroll in Medicare in order to keep your VA benefits. That being said, the Veterans Administration actually recommends veterans enroll in Medicare when they become eligible.

How do VA benefits and Medicare work together?

You can have both Medicare and Veterans Affairs (VA) benefits, but Medicare and VA benefits do not work together. Medicare does not pay for any care that you receive at a VA facility. In order for your VA coverage to cover your care, you must generally receive health care services at a VA facility.

Will the VA fill outside prescriptions?

The VA Medical Center will only fill non-VA prescriptions for veterans who are enrolled in the VA healthcare system and are in receipt of Aid and Attendance (A&A) or housebound benefits or have been authorized by VA to receive care in the community.Dec 22, 2014

Does VA pay secondary to Medicare?

We don't bill Medicare or Medicaid, but we may bill Medicare supplemental health insurance for covered services.Oct 13, 2021

Do veterans need Medicare Part B?

Should I get Medicare Part B if I have VA benefits? The Department of Veterans Affairs recommends that you get Medicare Part B if you have VA benefits because you may incur a late penalty if you don't enroll when you're eligible.

Is VA creditable coverage for Medicare Part B?

Under Medicare Part B, VA health care is NOT creditable coverage. Creditable coverage under Medicare Part B can only be provided through an employer.Apr 2, 2018

Can the VA bill Medicare?

VA medical centers can bill Medicare Advantage plans (supplemental Medicare), as these are private insurance policies purchased through a third party. By law, however, the VA cannot bill traditional Medicare (Medicare Part A Part B) plans issued by the federal government.Aug 27, 2020

Do all Veterans get benefits?

All Veterans receive coverage for most care and services, but only some will qualify for added benefits like dental care.Oct 12, 2021

Does Walmart Fill VA prescriptions?

Walmart will no longer accept a popular military prescription health insurance soon. A new change will soon affect veterans and members of the military who fill their prescriptions at Walmart, Fox-affiliate KNWA reported on Nov. 11.Nov 12, 2021

What is the copay for VA prescriptions?

The tiered structure established copayments for 30-day prescriptions at $5 for Tier 1 (top 75 generics), $8 for Tier 2 (all other generics) and $11 for Tier 3 (sole source/brand name). Veterans in Priority Groups 2 through 8 are limited to a $700 annual copayment cap.

Does the VA cover medications?

Typically, VA drug coverage has no premiums and no or limited copayments for prescriptions—but you must use VA pharmacies and facilities. You may want Part D coverage if you: Live far from a VA pharmacy or facility, or do not want to use a VA provider to get prescriptions.

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