What-Benefits.com

do i need health insurance if i have va benefits

by Elise Schmitt Published 2 years ago Updated 2 years ago
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We're required by law to bill your health insurance (including your spouse's insurance if you're covered under the policy). The money collected goes back to VA medical centers to support health care costs provided to all Veterans.Oct 13, 2021

Full Answer

Do Veterans need insurance to receive VA benefits?

Although insurance is not required for veterans who qualify for VA medical care, any private insurance plan in which the veteran participates will be billed by the VA for services rendered, the same way a civilian hospital would bill the veteran’s insurance.

Is private insurance required for VA medical bills?

Private insurance is not required. Although insurance is not required for veterans who qualify for VA medical care, any private insurance plan in which the veteran participates will be billed by the VA for services rendered, the same way a civilian hospital would bill the veteran’s insurance.

Can you have Medicare Part A and VA benefits?

Medicare Part A (Hospital Insurance) and VA Benefits It is encouraged to enroll or keep your Medicare Part A coverage in addition to your VA benefits. You usually don’t pay a monthly premium for Medicare Part A, sometimes called “premium-free” Part A, if you meet the eligibility requirements. Learn more about Medicare Part A.

Can I use my VA benefits at a non VA hospital?

To use VA benefits, you’ll need to get care at a VA medical center or other VA location. We’ll also cover your care if we pre-authorize you (meaning we give you permission ahead of time) to get services in a non-VA hospital or other care setting.

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Do US Veterans get free healthcare?

The VA will provide you free health care for conditions that are caused or made worse by your military service. If you have severe injuries or disabilities you may be eligible to receive all your medical care for free from the VA, not just that care related to your injuries.

Does the VA count as health insurance?

According to the U.S. Department of Veterans Affairs, VA health benefits count as medical coverage under the ACA.

What VA rating gets you free healthcare?

We're committed to providing free health care for conditions related to military service and for Veterans with catastrophic disabilities and disability ratings of at least 50%, as well as for those who can't afford to pay for care. Learn more about how we'll determine if you'll need to pay for any part of your care.

Do I need a Medicare supplement if I have VA benefits?

Although it's not absolutely necessary, it is strongly recommended that any Medicare eligible Veterans and Disabled Veterans enroll in Medicare Part B (Medical Coverage, Dr's, other outpatient services, etc). There is usually a monthly fee for Part B but it is worth it.

What type of insurance does the VA provide?

All enrolled Veterans receive the Department of Veterans Affairs (VA's) comprehensive Medical Benefits Package which includes preventive, primary and specialty care, diagnostic, inpatient and outpatient care services.

Can you have VA and Obamacare?

Yes. You can continue to use VA for all your health care needs, or complement your VA care with private health insurance or coverage by other federal health care programs, including Medicare, Medicaid, and TRICARE.

What do VA benefits cover?

Benefits include: Inpatient and outpatient care at VA medical facilities. Prescription drugs from VA providers. Long-term care depending on needs, income, and space availability.

What is the difference between military healthcare and the VA?

The VA is not the same as the Military Health System or TRICARE. The VA's system is separate from the health-care system that the military uses for active-duty personnel, retirees, dependents, and military families. The military, instead, operates the Military Health System.

Does the VA cover prescription drugs?

VA's prescription benefit program is part of its comprehensive medical benefits package; it is not a stand-alone program whereby VA fills prescriptions for Veterans who are not enrolled in and receiving care from the VA health care system.

Is VA primary over Medicare?

For veterans approaching Medicare eligibility, it is common to have questions about whether it is necessary to enroll in Medicare alongside Veterans Affairs (VA) benefits. The short answer is that Medicare does not coordinate with VA benefits.

Does VA pay for Medicare Part B?

The VA itself strongly recommends that veterans with VA health care also enroll in Medicare Parts A and B as soon as they become eligible (unless they have group insurance from a current employer). Here's why: VA health coverage isn't set in stone and isn't the same for everyone.

What happens to my VA disability when I turn 65?

Even after veterans reach full retirement age, VA's disability payments continue at the same level. By contrast, the income that people receive after they retire (from Social Security or private pensions) usually is less than their earnings from wages and salary before retirement.

Can VA be used as secondary insurance?

VA benefits aren't secondary insurance to Medicare, as they cover care at different types of facilities. Yet, if you are eligible for both, enrolling in both can round out your health care.

What is the difference between military healthcare and the VA?

The VA is not the same as the Military Health System or TRICARE. The VA's system is separate from the health-care system that the military uses for active-duty personnel, retirees, dependents, and military families. The military, instead, operates the Military Health System.

Is VA insurance the same as TRICARE?

You can compare health care benefits available through TRICARE and Veterans' Affairs (VA) below....TRICARE and VA Benefit Comparison.TRICARE BenefitsVA BenefitsYour services may vary depending on your health plan.Your eligibility and copayment depend on: Discharge, Service-connection, or IncomeYour TRICARE health plan's rules and costs will apply.

Does VA disability count as income for Obamacare?

No. VA disability pension benefits generally are not subject to federal income tax and so are not counted as income in determining eligibility for premium tax credits.

Why is Medicare important for VA?

Therefore, Medicare coverage may be particularly important if, say, you don’t live near a VA facility or your local facility has long wait times.

What is Medicare Advantage?

Medicare Part C (Medicare Advantage) and VA Benefits. If you need additional services or coverage not offered to you through your VA benefits, you may consider a Medicare Advantage plan. Most Medicare Advantage plans offer additional coverage, like vision, hearing, dental, prescription drug coverage, and/or health and wellness programs. ...

What happens if you wait to enroll in Medicare Part B?

If you wait to enroll in Part B when you are first eligible, you will likely experience gaps in coverage and incur a penalty for each 12-month period you were without Medicare Part B coverage. Learn more about Medicare Part B.

Do veterans need Medicare?

Department of Veterans Affairs (VA) who is eligible, or nearing eligibility for Medicare coverage? If you already have medical coverage through the VA health program, you may be wondering if you also need to enroll in Medicare. The answer is that you could probably benefit from having both VA ...

Does VA cover prescription drugs?

With VA health benefits, you typically get premium-free drug coverage. However, if the VA-approved pharmacy locations or the Consolidated Mail Outpatient Pharmacy Program (CMOP), doesn’ t work for you, then you may consider a Part D or a Part C plan with prescription drug coverage.

Is Medicare Part B a VA benefit?

Medicare Part B (Medical Insurance) and VA Benefits. Medicare Part B can provide you with medical coverage and services outside of the VA health system. Therefore, it is recommended that you enroll in Medicare Part B in addition to your VA benefits. If you wait to enroll in Part B when you are first eligible, you will likely experience gaps in ...

What is the VA required to do?

VA is required, by law, to bill private health insurance providers for medical care, supplies and prescriptions provided for treatment of Veterans’ nonservice-connected conditions . All Veterans applying for VA medical care are required to provide information on their health insurance coverage, including coverage provided under policies of their spouses. Any payment received by VA may be used to offset “dollar for dollar” a Veteran’s VA copay responsibility.

Is VA health care considered health insurance?

Presenting their health insurance card to the clinic clerk during check-in. VA health care is NOT considered a health insurance plan

Do veterans have to provide information on their health insurance?

All Veterans applying for VA medical care are required to provide information on their health insurance coverage, including coverage provided under policies of their spouses. Any payment received by VA may be used to offset “dollar for dollar” a Veteran’s VA copay responsibility.

Can veterans use private health insurance?

Veterans with private health insurance may choose to use these sources of coverage as a supplement to their VA health care benefits. Veterans are not responsible for paying any remaining balance of VA’s insurance claim not paid or covered by their health insurance.

Is VA coverage good for Medicare?

Enrollment in the VA health care system is considered creditable coverage for Medicare Part D purposes. This means VA prescription drug coverage is at least as good as the Medicare Part D coverage. Since only Veterans can enroll in the VA health care system, dependents and family members do not receive credible coverage under the Veteran’s enrollment.

Is VA health insurance creditable?

Under Medica re Part B, VA health care is NOT creditable coverage. Creditable coverage under Medicare Part B can only be provided through an employer. Although a Veteran may avoid the late enrollment penalty for Medicare Part D by citing VA health care enrollment, that enrollment would not help the Veteran avoid the late enrollment penalty for Part B.

Can veterans get prescription drugs from community physicians?

For example, Veterans enrolled in both programs would have access to community physicians (under Medicare Part A or Part B) and can obtain prescription drugs not on the VA formulary if prescribed by community physicians and filled at their local retail pharmacies (under Medicare Part D).

Do you have to change your health insurance if you are a veteran?

If you're enrolled in TRICARE or the Veterans health care program, you're considered covered under the health care law. You don't have to make any changes.

Do veterans need additional health insurance?

This means you don't need to get additional coverage. If you're a veteran without VA health care, visit the VA health care website.

Can dependents be covered by VA?

If your dependents aren't covered. If you're a veteran enrolled in (or are a beneficiary of) a VA health care program, you may have dependents who aren’t eligible for a VA health care program. They can get coverage through the Health Insurance Marketplace®. Depending on household size and income, they may get lower costs on monthly premiums ...

Is tricare under 26?

Important: TRICARE's young adult coverage rules are different from the Affordable Care Act’s version. TRICARE's young adult coverage option is different from the Affordable Care Act's under-26 rules.

Why do you need a Medicare Supplement Plan?

Because both of these plans provide you with more coverage than Original Medicare ( Part A and B ). A Medicare Supplement plan helps fill in the gaps (deductibles, copayments, out-of-pocket expenses, etc.) left by Medicare.

What happens if you don't want Medicare?

If you don’t want Medicare now, you may have to pay a late enrollment penalty for signing up later on.

Is Medicare Advantage the same as VA?

Medicare Advantage. Combining Medicare Advantage and VA benefits is a great way to have more options with your coverage. There are many Medicare Advantage plans to choose from. Most plans include the same benefits as Medicare Part A, Part B, and a Part D prescription drug plan.

Does Medicare Supplement cover out of pocket expenses?

A Medigap policy helps pay for certain out-of-pocket expenses that Parts A and B do not cover. For example, Medigap can provide extra help with deductibles, copayments, coinsurances, and even medical emergencies that occur while traveling abroad.

Do veterans need medicare?

So, do veterans need Medicare? No, they don’t. That said, veterans’ benefits only cover your care at VA clinics. Medicare covers you ANYWHERE that accepts Original Medicare. So, adding Medicare is a great way to save on costs and have more choices with your health insurance. For even more coverage, savings, and flexibility, you can add a Medicare Supplement or switch to Medicare Advantage.

Does Medicare cover VA hospital?

For example, when you go to a VA hospital, your VA benefits will cover it (Medicare will not). When you go to a non-VA hospital in your network, your Medicare plan will cover it (VA benefits usually won’t).

Do VA benefits work together?

This leaves many veterans wondering how (or if) Medicare and VA benefits can work together to provide them with the healthcare they need. Moreover, if you already get VA health benefits, you may want to know if you should buy a Medicare Supplement (Medigap) plan.

Why do veterans use VA benefits?

Some use VA benefits as to avoid the gaps in Medicare and the costs they would incur. On the flip side, there are also many Veterans who recognize that those gaps can be covered through Medicare Supplement insurance.

How to contact VA insurance?

This is often best done through an independent insurance agent who has access to multiple insurance companies and their rates. Please call me (1-888-411-1329) if you have any questions about your VA benefits and Medicare Supplement. I look forward to speaking with you.

Why do people buy Medicare Supplement?

Often times, Medicare Beneficiaries will opt to purchase Medicare Supplement (Medigap) insurance to help fill in the gaps that Original Medicare doesn’t pay. This helps broaden their ability to have more control over their own health care needs.

Does Medicare Supplement pay after Medicare pays?

Medicare Supplement ( Medigap) insurance pays after Medicare pays. There are many types of Medigap Plans; but, they all help to pay for medical expenses not covered by Original Medicare…such as coinsurance and deductibles.

Is Medicare and VA separate?

Medicare and the VA are separate. Quite simply, Medicare and VA are separate entities. VA facilities are not Medicare approved providers. Beneficiaries usually use their VA benefits when they need help with health care items not approved by Medicare ( hearing aids, over-the-counter medications ). Medicare Supplement ( Medigap) ...

Can the VA bill Medicare?

VA cannot bill Original Medicare, but can bill Medicare Supplement insurance for a covered service.

Does Medicare Supplement make traveling easier?

Adding Medicare Supplement insurance to your health care portfolio will make traveling easier.

Do veterans get VA home loan guarantees?

All honorably discharged veterans have access to VA home loan guarantees and burial benefits. Vets whose income doesn’t exceed the VA’s income thresholds or who meet other requirements, such as service-connected disabilities, also have access to VA health care benefits.

Does the VA provide a headstone for veterans?

Burial in the national cemetery system – or at sea, for sea service veterans – is available to military members. The VA will supply a headstone, free of charge in the form of a plaque or a conventional headstone. Again, there is no requirement for the veteran to have any insurance.

Does VA Life Insurance expire?

VA Life Insurance. When a service member becomes a civilian again, the Servicemembers’ Group Life Insurance he carries must expire or must be converted to another type of life insurance. The VA offers Veterans Group Life Insurance as a substitute form of life insurance. However, this conversion is not required if the veteran uses any VA benefit.

Do veterans need private insurance?

Veterans qualify for health care at VA centers by virtue of service-connected disabilities, income, medals awarded or the extent of their service-connected disability. Private insurance is not required. Although insurance is not required for veterans who qualify for VA medical care, any private insurance plan in which the veteran participates will ...

Do you have to have private insurance to get VA benefits?

There are circumstances under which U.S. Veterans getting VA benefits must have private insurance. But for most veterans, the answer to the question, “If I get VA benefits, do I have to have private insurance?” is a resounding “No.”.

Do veterans need life insurance to get a home loan?

Home Loan Guarantee. There is no requirement that the veteran carry health or life insurance to obtain home financing under the VA home-loan guarantee program. However, mortgage issuers -- or the VA, as the mortgage guarantor -- may require the vet to pay for property and casualty insurance.

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