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Medicare Eligibility


The following are important rules about Medicare eligibility. Be sure that you follow these guidelines to ensure that you remain eligible for TRICARE.

Active Duty Family Members

When you are entitled to Medicare Part A, you are not required to have Medicare Part B coverage to remain eligible for TRICARE. However, when your active duty sponsor retires, you must have Medicare Part B coverage to retain TRICARE eligibility.

Retirees and Their Eligible Family Members

When you are entitled to Medicare Part A, due to age, disability, or end-stage renal disease, you must have Medicare Part B coverage to remain eligible for TRICARE, unless you enroll in the US Family Health Plan. Note: If you are eligible for both Medicare and TRICARE Prime, Prime enrollment fees are waived.

Note: If you are not eligible for premium-free Medicare Part A at age 65, based on your work record or that of a family member, you retain your eligibility for TRICARE and are not required to have Medicare Part B coverage. If you become entitled to Medicare Part A on a spouse’s work record following your 65th birthday, you should consider enrolling in Medicare Part B when first eligible to avoid paying a surcharge for late enrollment. Call Medicare at 1-800-633-4227 or visit Medicare's Web Site for information about premium surcharges.
 
Last Reviewed: February 10, 2009