TRICARE for Life: Top 10 "Need-to-Knows

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TRICARE for Life: Top 10 "Need-to-Knows
If you’re nearing retirement, transitioning health care coverage shouldn’t be a hassle. As you’re preparing to switch to TRICARE for Life (TFL), the following facts and tips will help you make a seamless transition to TRICARE for Life (TFL) coverage.
Enroll in Medicare Part B when first eligible.

TFL enrollment hinges on enrollment in Medicare Part B. You must remain enrolled in Medicare Part B (medical care) in order to maintain TRICARE eligibility.
Keep DEERS up to date.

Although Medicare provides data to DEERS, you must maintain your TRICARE eligibility by keeping DEERS up to date any time there is a life changing event, like becoming eligible for Medicare. Contact DEERS online at www.dmdc.osd.mil/rsl
or call toll-free 1-800-538-9552.

Enrollment in TFL is seamless.
If you are receiving Social Security benefits, you will transition smoothly to TFL upon your 65th birthday; if you are not receiving Social Security benefits at the time of your 65th birthday, you will need to visit the nearest Social Security office and enroll in Medicare.

Medicare authorized providers are also TRICARE authorized.
You can visit any Medicare provider for care since all Medicare providers are also TRICARE authorized. Simply show your Medicare card and Uniformed Services ID card at your appointment.

Claims are paid automatically between Medicare and TFL.
As a TFL beneficiary, you will not need to submit a paper claim when you have a doctor’s visit (in most cases). The provider will submit the claim to Medicare. Medicare will then submit the claim to TRICARE once the Medicare portion is paid.
TFL is considered a second payer to Medicare.

For services covered by Medicare and TRICARE, Medicare will pay its portion of the claim and TRICARE will pay the remainder. For services that are covered by Medicare and not by TRICARE (such as chiropractic care) TRICARE will not make a payment and the beneficiary will be responsible.

Services covered by TRICARE but not Medicare (such as overseas claims) may be billed directly to Wisconsin Physicians Services (WPS) and TRICARE will pay as primary insurer. You will be responsible for any cost shares. Payments for services that are not covered by either program remain your sole responsibility.

Other health insurance (OHI) coordinates differently with TFL and Medicare.
TFL beneficiaries who have OHI need to submit their Medicare Summary Notice with a paper claim and OHI explanation of benefits (EOB) to Wisconsin Physician Services. The paper claims may be sent to:

Wisconsin Physician Services
TRICARE for Life
P.O. Box 7890
Madison, WI 53707-7890

Enrollment in Medicare Part D is not necessary.
The TRICARE pharmacy benefit is considered creditable coverage and pays equally to Medicare.

TFL beneficiaries may continue to use any of the TRICARE pharmacy programs.
You may fill prescriptions at any military treatment facility pharmacy, through the
TRICARE Mail Order Pharmacy or through any TRICARE network or non-network pharmacy.

TRICARE coverage continues for eligible family members after the death of a sponsor.
Surviving spouses remain eligible for TRICARE unless they remarry. If they remarry, they lose TRICARE eligibility and cannot regain eligibility later, even in cases of divorce or death of the new spouse. Unmarried surviving children remain eligible for TRICARE until their 21st birthday (or 23rd birthday if enrolled in college full time and if at the time of the sponsor’s death, the sponsor provided more than 50 percent of the child’s financial support.) For more information on TRICARE for Life, please visit www.tricare4u.com
or call Wisconsin Physicians Services toll-free at 1-866-773-0404.
________________________________________________________________

Sharpen Skills at TRICARE University
Would you like to learn more about your TRICARE benefits in a convenient, interactive way? Service members and their families can take advantage of "TRICARE University," which includes three complimentary online training courses as part of its curriculum.
Learn more about TRICARE basics, TRICARE Reserve Select benefits and more.
http://tricareu.tricare.osd.mil/publiccourse/toc.html

quote:

TRICARE coverage continues for eligible family members after the death of a sponsor.
Surviving spouses remain eligible for TRICARE unless they remarry. If they remarry, they lose TRICARE eligibility and cannot regain eligibility later, even in cases of divorce or death of the new spouse

If she remarries to a retired military she gets TFL and keeps it after the that new spouse dies.

SEE LINK: Take Action, pass on.:
tricare for active duty , and veterans and seniors under attack again;

<<Link removed for Violation of Terms of Service>>

This message has been edited. Last edited by: Dave_M,

maggieb6, thanks for the heads-up and and the link. Because I have previously use the link all of my information was there and the whole process only took about one minute.

Again, thanks!

Bruce, "album custos"
Proud member, Derelict Veterans Group

I have been covered by TFL since it started and haven't paid a nickel other than Prescriptions.
The Medicare Part B part gets expensive

First, I apologize if this is the wrong forum for this question.

Many years ago, I married while on active duty and my new wife was required to wait 1 year to become eligible for medical care (then it was Champus).

I am now long retired, 66 years old, and remarrying after the death of my former wife. . . for my new wife to become eligible for Tricare for Life, does she have to wait the year as was the case once time.

Everything I read on the web only says, "eligible at the time she is issued an ID card" . . but is there a waiting period before she can use the benefit.

Any reply will be appreciated!

Thanks!

JimL113 (USAF E-7 retired)

Oooops! In my question above I said "married on active duty". I meant to say, "married soon after retiring from active duty"!

Sorry for the oversight!

JimL113 (USAF E-7 retired)

I believe that you need to enroller her in DEERS and you might want to call Tri-care to see what else to do.

Tri-care Prime