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TRICARE and Medicare: A Brief Overview and FAQs

September 1, 2019 by bob

Are you active duty military or are you retired from service? TRICARE for Life is an all-encompassing insurance plan designed for those who are currently serving in the military or have served in the past. TRICARE for Life offers an abundance of services to military personnel and their families, and travels with you whether you are serving locally or abroad, or retired from any branch of the military. Here is some helpful information about TRICARE for Life:

Who is Eligible to Join TRICARE for Life?

To be eligible to join TRICARE for life, you must be active duty military, retired military, a military dependent, a Medal of Honor recipient or family member, or a current or retired Reservist. TRICARE for Life is for those in the service and for their family members.

TRICARE for Life: Prescription Drug Coverage

Ordering and managing your prescriptions is easy when you are a member of TRICARE for Life! TRICARE for Life partners with Express Scripts to ensure you get the medications you need, when you need them. Whether you are located stateside or are deployed, there are several convenient options for getting your medications. Medications can be picked up from a local pharmacy, or delivered straight to your home. You can access your Express Scripts account by calling customer service, logging on to their website, or using the mobile app. The TRICARE for Life and Express Scripts partnership allows you to get your prescriptions at affordable prices.

TRICARE Coordination of Benefits

Navigating the complex world of health benefits can be daunting, but the expert customer service representatives at TRICARE for Life are always there to help patients get the answers they need. Whether you are trying to book an appointment for a wellness exam or have a question about what procedures are covered under your plan, you will be taken care of by professionals who have your best interests in mind. You can get assistance with benefits questions or scheduling appointments directly by calling the representatives at TRICARE for Life, or contact us at IC USA for help. 

How do TRICARE and Medicare Work Together?

By law, TRICARE for Life is treated as a secondary insurance to Medicare when it comes to covering medical expenses. When you visit the doctor, sustain a medical emergency, or have a procedure completed, Medicare kicks in first to pay medical expenses as outlined by your plan. After Medicare has paid their portion, TRICARE for Life kicks in as a secondary medical insurance to cover the rest of the expenses.

Does TRICARE Cover Gym Memberships?

Unfortunately, no. TRICARE for Life does not cover gym memberships for routine health and wellness programs. There may be considerations available to those who need a physical workout as part of a necessary treatment plan stemming from an injury or surgery. Your plan representative can discuss your plan coverage with you in further detail.

Do I need Medicare if I Already Have TRICARE?

Unexpected accidents, injuries, and illnesses can happen at any time, and medical bills can add up quickly as a result, even if you have top-notch medical insurance. When you are covered by both Medicare and TRICARE for Life, you get the peace of mind of knowing that you will be covered should you face a medical emergency. Depending on the plan you sign up for, Medicare will cover up to 80% of qualified medical care expenses and prescriptions. When you are covered by both Medicare and TRICARE for Life, up to 100% of your qualified expenses can be covered!

At Insurance Connections, making sure you have the right insurance coverage to fit in with your lifestyle is our number one priority. We shop around for the best rates and best coverage so you do not have to. We do not work directly for any insurance company, but instead are here to help you navigate to the right insurance policy for your needs and provide you with unbiased guidance along the way. Should you have any questions about Medicare or TRICARE, we are here to help, so feel free to contact us today!

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