Beneficiaries Eligible for TRICARE and Medicare | TRICARE

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
  • 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

    • 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
        • 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.

          • 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 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?

            • 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.
            • do you have any disability?

              • if you are receiving social security disability payments, you will automatically get medicare part a and part b in the 25th month of 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:

                • withdrawal from social security,
                • social security disability, or
                • railroad retirement board (rrb) benefits.
                • 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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                  have questions about eligibility and medicare?

                  • 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