if you are eligible for both tricare and medicare part a, then in most cases you must have medicare part b to keep tricare. understanding how medicare and tricare work together and when to buy part b can be confusing. Please review the following pages carefully to understand what you need to do to keep your tricare coverage:
- Active Service Members
- family members on active duty
- Retired Service Members and Family Members
- tricare reservation selection
- tricare withdrawal reserve
- american family health plan
- those who do not qualify for medicare part a
- covers hospitalization, skilled nursing facility care, hospice care, and some home health care
- no cost if you or your spouse paid medicare taxes while working
- learn more about medicare part a
- covers certain medical services, outpatient care, medical supplies, and preventive services.
- you pay a monthly premium
- learn more about medicare part b
- medicare prescription drug plan: covers drugs on the medicare formulary
- you pay a monthly premium
- you don’t need it if you have tricare
- learn more about medicare part d
- Enroll in Part B when you’re first eligible to avoid a late enrollment penalty.
- if your sponsor is on active duty, you can delay enrollment in part b without penalty.
- get started with medicare
- if so, you can sign up later in part b. however, you won’t have tricare coverage if you don’t have medicare part b.
- if you are receiving social security disability payments, you will automatically get medicare part a and part b in the 25th month of disability.
- withdrawal from social security,
- social security disability, or
- railroad retirement board (rrb) benefits.
- if you have questions about medicare and tricare eligibility, please call the defense manpower data center (dmdcs) support office at 1-800-538-9552
- if you have questions about medicare, call 1-800-medicare or visit www.medicare.gov
what is medicare?
Medicare is a federal health insurance program for people 65 years of age or older, people under 65 with certain disabilities, people of any age with end-stage renal disease, ALS (Lou Gehrig’s disease), or mesothelioma.
Reading: Who qualifies for tricare insurance
sign up for medicare
are you turning 65?
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You should sign up for Medicare benefits a few months before your 65th birthday to avoid a gap in coverage. You are eligible to enroll in Medicare Part B at age 65, even if you are not eligible for Medicare Part A.
If you didn’t sign up for medicare part b when you first became eligible, or you dropped out, you can sign up during medicare’s general enrollment period (January 1 through March 31 of each year). you may have to pay a medicare part b late enrollment penalty. Your monthly Part B premium may increase 10% for each full 12-month period that you could have had Part B but didn’t sign up.
do you have employer sponsored group coverage?
do you have any disability?
medicare part b premiums
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Your Part B premium is based on your income. most people pay the standard monthly premium. For more information about Part B premiums, call Social Security at 1-800-772-1213 (Tty: 1-800-325-0778).
Your Part B premiums are deducted from your monthly payment if you receive:
If you receive retirement or disability benefits from Social Security or the Railroad Retirement Board (RRB), Part B premiums are deducted from your monthly payment. If not, you will be billed quarterly for your Part B premiums.
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