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TRICARE for Life


TRICARE For Life (TFL) is Medicare-wraparound coverage
available to:

  • Medicare-eligible uniformed service retirees, including
    retired guard members and reservists,

  • Medicare-eligible family members and widows/widowers (dependent
    parents and parents-in-law are excluded),

  • Medicare-eligible Congressional Medal of Honor recipients
    and their family members

  • Certain Medicare-eligible unremarried former spouses.

Is your Information Updated in the Defense Enrollment
Eligibility Reporting System (DEERS)?

To take advantage of TFL, you and your eligible family members’
information must be up-to-date in DEERS. You may update your
information by phone or by visiting your nearest ID card issuing
facility. Visit www.dmdc.osd.mil/rsl
to locate the nearest ID card facility.

Medicare Part B Requirements for TFL

To participate in the TFL program, you must be entitled to
Medicare Part A and enrolled in Medicare Part B. A Medicare-eligible
beneficiary who is a family member of an active duty service
member (ADSM) is NOT required to purchase Part B. However,
when the ADSM retires, the Medicare-eligible beneficiary is
required to purchase Medicare Part B.

Medicare Part B Penalty Waiver and Special Enrollment Period

The Medicare Prescription Drug, Improvement and Modernization
Act of 2003 makes two very important changes relating to enrollment
in Medicare Part B for certain uniformed services beneficiaries.
First, it eliminates the Medicare Part B surcharge for uniformed
services beneficiaries who were subject to a higher premium
(currently paying more than $78.20 a month) for enrolling
in Part B during the years 2001 to 2004.

Second, the legislation provides the opportunity for uniformed
services beneficiaries who are entitled to Medicare Part A
but are not enrolled in Medicare Part B to enroll in Part
B without a premium surcharge. For more information, please
visit the TRICARE For Life
and Medicare Part B page
.

Costs

There are no TRICARE enrollment fees or TRICARE annual premiums;
you must (if other than an active duty family member) pay
your monthly Medicare Part B premium. With TFL, if your only
health insurance program is Medicare (Part A and Part B),
TRICARE acts as second payer to Medicare. TRICARE pays your
remaining out-of- pocket expenses (Medicare deductibles and
cost shares) for services paid by Medicare and covered by
TRICARE. If the service received is not a covered service
under TRICARE, you are responsible for paying the Medicare
deductibles, cost-shares, co-payments, and/or other fees associated
with having received that service. Also, if the service is
authorized by TRICARE but not authorized by Medicare, there
maybe an associated TRICARE deductible and cost-share.

TFL Claims

The TRICARE Dual-Eligible Fiscal Intermediary Contract (TDEFIC)
is a single, nationwide contract for claims processing, customer
service and administrative services for individuals who are
dually eligible for TRICARE and Medicare, regardless of whether
they are over or under age 65. TRICARE Management Activity
awarded this contract to Wisconsin Physicians Service (WPS)
of Madison, Wisconsin. You may call WPS TRICARE For Life (TFL)
at 1-866-773-0404

For more information on TFL benefit, the following resources
are available to you:

Fact Sheet: Dual Eligibility and TRICARE For Life
TRICARE
For Life Brochure

TFL Claims
Processors

TFL Cost Matrix
English

Spanish

TRICARE
For Life News Releases

Federal Register Interim Final Rule for TFL

   Online
Version (html)

   Print
Version (pdf)

Federal Register Interim final rule for FEHBP
   Online
Version (html)

   Print
Version (pdf)

FAQ Database

 

TRICARE Links
TRICARE Overview
TRICARE Prime
TRICARE Standard
TRICARE Extra
 
TRICARE & American Association of Pediatrics
TRICARE & DEERS (Defense Enrollment Eligibility Reporting System)
TRICARE & WIC (Women, Infants, and Children)
TRICARE Claims How to file a TRICARE Claim
TRICARE Continued Health Care Benefits
TRICARE Dental
TRICARE Eligibility
TRICARE Family-Centered Care includes Obstetric Care
TRICARE for Life
TRICARE for Life and Medicare
TRICARE Generic Pharmacy Brochure
TRICARE Information – Puerto Rico
TRICARE Overseas
TRICARE Pharmacy
TRICARE Prime Enrollment Info
TRICARE Prime Remote
TRICARE Prime Travel and Non-Medical Attendant (NMA)
TRICARE Providers
TRICARE Reserve Select
TRICARE Standard vs Prime

Comments

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