How Does Medicare And Tricare Work Together?

  1. 37376 POINTS
    David G. Pipes, CLU®, RICP®
    Business Development Officer, T.D. McNeil Insurance Services, Fresno, California
    If you are currently on Tricare you will be required to enroll in Medicare parts A & B when you reach age 65.  In most cases this happens automatically.  The part B has a charge.  When you have a claim the claim is processed first by Medicare.  They pay the benefit on their schedule.  The balance of the bill is then sent to Tricare.  Tricare then pays what they will pay subject to any applicable deductibles and co-payments.  The balance is then due and payable by you.  In practice most physicians and hospitals get complete information about how the bill will be handled before they treat you.   If you are responsible for any part of the bill, they will demand payment, frequently, before treatment starts.
    Answered on March 12, 2014
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