Medicare Blog

how to coordinate va benefits and medicare

by Alaina Nikolaus V Published 2 years ago Updated 1 year ago
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Where can you get help coordinating Medicare and VA benefits? Various government-supported offices have staffers to help you combine and manage your health plans: The VA Health Resource Center (HRC), at 1-877-222-8387 Medicare’s Benefits Coordination & Recovery Center (BCRC), at 1-855-798-2627 (TTY: 1-855-797-2627)

The Medicare and VA systems are entirely separate, with no coordination of benefits between them. You would use your VA identity card at VA facilities and your Medicare card anywhere else. You'll find more information at the VA website on how VA care works with other insurance.

Full Answer

How do VA benefits and medicare work together?

If you served in the military, you might have access to VA benefits and Medicare. How do the two types of coverage work together? If you get medical care at a VA hospital, your VA benefits will generally cover the costs.

How do I use my VA benefits?

You’ll need to choose which benefits to use each time you receive care. To use VA benefits, you’ll need to get care at a VA medical center or other VA location. We’ll also cover your care if we pre-authorize you (meaning we give you permission ahead of time) to get services in a non-VA hospital or other care setting.

What happens if I sign up for Medicare instead of VA?

Having Medicare means you’re covered if you need to go to a non-VA hospital or doctor—so you have more options to choose from. Funding for VA health care could change in the future. We encourage you to sign up for every health care benefit that you’re eligible for so you have options if you need them.

How does the VA prescription drug plan compare to Medicare?

The VA’s prescription drug plan typically offers a more generous benefits package than Medicare Part D, the program's prescription drug benefit. The VA covers the cost of drugs that you get at VA pharmacies, while Part D covers those that you get at in-network pharmacies.

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Do I need a Medicare supplement if I have VA benefits?

Although it's not absolutely necessary, it is strongly recommended that any Medicare eligible Veterans and Disabled Veterans enroll in Medicare Part B (Medical Coverage, Dr's, other outpatient services, etc). There is usually a monthly fee for Part B but it is worth it.

Can VA benefits be secondary to Medicare?

VA benefits aren't secondary insurance to Medicare, as they cover care at different types of facilities. Yet, if you are eligible for both, enrolling in both can round out your health care.

Is Medicare primary or secondary to VA insurance?

The VA pays for VA-authorized services or items . For active-duty military enrolled in Medicare, TRICARE pays first for Medicare- covered services or items, and Medicare pays second . For inactive-duty military enrolled in Medicare, Medicare pays first and TRICARE may pay second .

How does VA disability affect Medicare?

Having VA benefits does not affect Medicare costs. You can qualify for premium-free Medicare Part A coverage, but you'll likely have to pay premiums or a monthly fee for your other Medicare coverage depending on your plan.

What happens to my VA disability when I turn 65?

Even after veterans reach full retirement age, VA's disability payments continue at the same level. By contrast, the income that people receive after they retire (from Social Security or private pensions) usually is less than their earnings from wages and salary before retirement.

Will I lose my VA disability if I go to a nursing home?

The VA may pay all or part of the nursing home costs for disabled and elderly veterans. The Department of Veterans Affairs (VA) provides both short-term and long-term care in nursing homes to veterans who aren't sick enough to be in the hospital but are too disabled or elderly to take care of themselves.

Does VA require Medicare Part B?

The VA itself strongly recommends that veterans with VA health care also enroll in Medicare Parts A and B as soon as they become eligible (unless they have group insurance from a current employer). Here's why: VA health coverage isn't set in stone and isn't the same for everyone.

Do veterans get free healthcare for life?

If you are a 50% or greater disabled veteran or a former POW, all your medical care from the VA is free. There are other groups that may get some, or all VA medical care for free, see our VA Copay page for details.

What is the best Medicare plan for military retirees?

Military retirees with TRICARE For Life coverage may consider the AARP Medicare Advantage Patriot Plan. This plan provides the freedom to visit doctors and hospitals in our network for a $0 monthly premium and additional benefits that may include: Monthly credits applied to your Medicare Part B premium.

How can you lose your VA benefits?

VA disability compensation payments are reduced if a Veteran is convicted of a felony and imprisoned for more than 60 days. Veterans rated 20 percent or more are limited to the 10 percent disability rate. For a Veteran whose disability rating is 10 percent, the payment is reduced by one-half.

Why do military retirees have to pay for Medicare?

By law, TRICARE Prime and TRICARE Select end at age 65. This requires service retirees to enroll in Medicare at age 65 to maintain a major health care plan and our TRICARE benefits. TRICARE For Life (TFL) acts as our Medicare supplement, and TFL allows us to continue using the TRICARE pharmacy.

How does Medicare work with Tricare?

When you have Medicare Parts A and B, you automatically receive coverage fromTRICARE For Life. There are no enrollment forms or enrollment fees for TRICARE For Life. Medicare is your primary payer. TRICARE pays second to Medicare or last if you have other health insurance.

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