Page 15 - Nellis AFB Bullseye 10-23-15
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BULLSEYE Health and Wellness 15October 23, 2015
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Q: My mom is a surviving spouse using TRICARE for Life. If she gets a Medicare Part D plan
through my late father’s workplace insurance, will it affect her TFL drug prescription benefits?
A: Yes, having Part D definitely will affect her TFL prescription drug benefit. For most
TRICARE beneficiaries, there is almost zero advantage to enrolling in a Medicare
Part D prescription drug plan. The only TRICARE beneficiaries likely to achieve any
financial advantage from Part D are those whose incomes are below the federal poverty
level and who qualify for financial aid to help pay their Medicare Part B premiums. If
your mom is not in that group and signs up for Part D, TRICARE would pay second
after Medicare on her prescription drug claims — but that wouldn’t be automatic; she
would have to file separate claims with TRICARE to be reimbursed for the Part D plan’s
drug co-payments and deductibles. More important, TFL beneficiaries who enroll in
Part D are locked out of the TRICARE Mail-Order Pharmacy program, which offers
the lowest co-pays and greatest convenience of any TRICARE prescription drug option.
Send your questions to askthedoc@us.af.mil
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