|Veteran's Benefits and Medicare Advantage Plans|
March 1, 2018
Medicare eligible Veterans have options when it comes to healthcare. Veteran's Affair "("VA") plans and Medicare are completely separate. VA plans cover care received at VA facilities; Medicare coverage is received at facilities accepting Medicare assignment.
VA Coverage and a Medicare Advantage Plan ("MA") (with or without Part D) - Yes or No?
If a beneficiary is asking for your advice, here are the facts:
Medicare Advantage Plan Coverage - health care must be received through the Plan's Participating Provider ("PCP")
MA Plan with Part D
*Note: VA will fill prescriptions prescribed by a non-VA provider only if all of the following criteria are met:
The VA Plan and the Medicare Advantage Plan - with or without Part D - are separate and distinct plans. Specifically, the VA is not primary and the MA Plan is secondary or vice versa. Both programs are federally funded and the government only pays once.
As always, we thank you for your support and cooperation. For questions or comments, please email us at Compliance@NSGACommunications.com or you may call the toll-free number listed below.
FOR AGENT USE ONLY. NOT FOR USE WITH CONSUMERS.
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