Fact sheet subscribers can see our fact sheet People with Medicare and TriCare for Life. For more information, call 1-86, visit the TFL website or contact your local Health Insurance Counseling and Advocacy Program (HICAP). TFL beneficiaries must be enrolled in Medicare Parts A and B. TFL will not cover any part of these services.įor services not covered by TFL or Medicare, you are responsible for the cost, unless you have health insurance that covers these services. If there is a balance after Medicare pays, you are responsible for it unless you have other supplemental health insurance. Note: The TFL contractor covering California is Wisconsin Physicians Services, Inc.įor services covered by TFL but not Medicare (such as services received overseas), TFL is the primary payer and you are responsible for the TFL standard annual deductible and cost sharing, unless you have other health insurance.įor services covered by Medicare but not TFL, Medicare is the primary payer. If there was still a balance you wanted TFL to pay, you would need to file a claim with the TFL contractor online or by phone at 1-86 or 1-86 (TTY/TDD). For example, after a Medicare-covered doctor’s visit, Medicare would pay first and your other health insurance would pay second. If you have other supplemental health insurance in addition to Medicare and TFL, Medicare pays first, followed by your other insurance and then by TFL. For example, after a Medicare-covered doctor’s visit, Medicare would pay 80% of the Medicare-approved amount and TFL would pay the remaining 20%, up to its allowable charge. If you have Medicare and TFL, Medicare is the primary insurer and TFL is the secondary insurer for services covered by both plans.