TRICARE For Life
TFL
Quick Definition
Medicare wraparound coverage for TRICARE-eligible beneficiaries age 65+.
Video Explanation
Full Definition
TRICARE For Life (TFL) is Medicare wraparound coverage that supplements Medicare for TRICARE-eligible beneficiaries age 65 and older. TFL pays after Medicare, covering most out-of-pocket costs and providing comprehensive healthcare coverage with minimal expenses.
Who qualifies for TFL: • Age 65 or older • TRICARE-eligible (retiree, family member, survivor) • Enrolled in Medicare Part A AND Part B • Live in the United States or U.S. territories • Registered in DEERS
How TFL works: 1. Medicare pays first as primary insurance 2. TRICARE For Life pays second, covering Medicare gaps 3. You have minimal out-of-pocket costs 4. No enrollment fees for TFL (but must pay Medicare Part B premium)
What TFL covers: • All Medicare-covered services • Many services not covered by Medicare • Prescription drugs through TRICARE Pharmacy Program • Care overseas (TRICARE pays primary) • Medical supplies and equipment
Cost example Doctor visit with $200 allowable charge: • Medicare pays 80% = $160 • TFL pays remaining 20% = $40 • Your cost = $0 (after Medicare deductible)
Important: You MUST maintain Medicare Part B to keep TFL. If Part B lapses, you lose TFL coverage and revert to paying Medicare cost-shares out-of-pocket.
TFL provides excellent coverage at minimal cost—your only regular expense is the Medicare Part B premium ($174.70/month in 2024 for most beneficiaries). No TRICARE enrollment fees, no catastrophic cap to worry about, and comprehensive coverage with almost no out-of-pocket expenses.
Related Questions
What is TRICARE For Life and who qualifies?
TRICARE For Life is Medicare wraparound coverage for TRICARE-eligible beneficiaries age 65+ who have Medicare Parts A and B.
How do TRICARE and Medicare work together?
TRICARE For Life works with Medicare for beneficiaries 65+ who have both Medicare Part A and B, with Medicare paying first and TRICARE second.
Do surviving family members keep TRICARE after a service member dies?
Yes, surviving family members retain TRICARE coverage indefinitely if the sponsor died on active duty or after retirement with 20+ years of service.
How much do prescriptions cost with TRICARE?
Prescription costs vary by location: military pharmacies are free, network pharmacies charge $13-$60 copays, and home delivery offers lower costs for 90-day supplies.
What TRICARE coverage is available for surviving spouses?
Surviving spouses retain TRICARE eligibility indefinitely or until remarriage before age 55, with coverage matching their deceased sponsor's status.
Can I have TRICARE and other health insurance?
Yes, you can have TRICARE with other health insurance. TRICARE coordinates benefits and usually pays after other insurance.
What are the main differences between all TRICARE plans?
TRICARE offers Prime, Select, For Life, Reserve Select, Retired Reserve, and Young Adult plans with varying costs, networks, and eligibility requirements.
What are the costs for TRICARE For Life?
TRICARE For Life has no enrollment fee. You pay Medicare premiums plus any Medicare cost shares. TFL pays most remaining costs after Medicare.
Should I choose TRICARE For Life or Medicare Advantage?
TFL with Original Medicare is usually better than Medicare Advantage because TFL acts as comprehensive secondary coverage with minimal out-of-pocket costs.
Related Terms
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