Who pays first the VA or Medicare?

 

Medicare is the secondary payer for veterans with VA health benefits.

This means that Medicare will generally pay for services that are not covered by the VA, or for the remaining balance of a bill that is not covered by the VA. However, there are some exceptions to this rule.

For example, if you are a veteran with active-duty military service, TRICARE pays first for Medicare-covered services, and Medicare pays second.

Also, if you receive care from a military hospital or any other federal provider, TRICARE pays first.

It is important to note that Medicare and the VA cannot pay for the same service. Therefore, if you receive a bill for a service that was covered by the VA, you should not submit it to Medicare.

If you have both Medicare and VA health benefits, it is important to let your doctor or other healthcare provider know. This will help them to coordinate your care and ensure that you are getting the most out of your benefits.

Here are some additional things to keep in mind:

• If you are a veteran with VA health benefits and you enroll in Medicare Part B, you will still be able to receive VA health care. However, you will be responsible for paying any Medicare cost-sharing (deductibles, copayments, coinsurances).
• If you have Medicare and VA health benefits, you can choose which benefits to use each time you see a doctor or get health care.
• If you have any questions about how your Medicare and VA health benefits work together, you should talk to a VA counselor or Medicare representative.
• If you would like to discuss your healthcare options please  click this Permission to Contact link and a licensed agent will be in contact or you may call 954-532-8711 To speak with a licensed agent.