Military retirees dedicate years of their lives serving our country. They deserve respect, support, and quality healthcare when they transition to civilian life. However, navigating healthcare options and associated costs as a military retiree can feel overwhelming.
One crucial aspect of healthcare for military retirees is prescription drug coverage. Let’s explore the Tricare program, specifically focusing on potential changes impacting prescription costs for military retirees.
Table of Contents:
- Understanding Tricare and Prescription Costs for Military Retirees
- Additional Tips for Military Retirees
- Conclusion
Understanding Tricare and Prescription Costs for Military Retirees
Tricare is the health insurance program for active-duty service members, retirees, and their families. For military retirees not yet eligible for Medicare, Tricare offers several plan options, each with different costs and coverage levels.
Understanding how prescription costs work under Tricare is essential for military retirees to budget effectively and access necessary medications. Retirees can learn more by reading the retiree newsletter and managing their MyPay account.
Tricare Pharmacy Options and Copayments
Tricare offers various pharmacy options, including military pharmacies, retail network pharmacies, Tricare Pharmacy Home Delivery, and non-network pharmacies.
Each option comes with different copayments:
- Military Pharmacies: Often the most affordable option, typically without costs for covered generic and brand-name medications.
- Tricare Retail Network Pharmacies: Contracted pharmacies like CVS offer discounted copayments for covered medications.
- Tricare Pharmacy Home Delivery: Convenient for long-term prescriptions, offering cost savings compared to retail pharmacies.
- Non-Network Pharmacies: Using non-contracted pharmacies means higher out-of-pocket costs. It is best to avoid this option, however, there may be times that using a non-network pharmacy for prescriptions makes sense for you.
Military retirees enrolled in Tricare often have copayments for their prescriptions, varying based on factors like the medication’s formulary status (generic or brand-name) and the chosen pharmacy option. Your survivor benefit plan will provide information regarding pharmacy benefits and copayments for eligible surviving spouses.
Formulary Changes and Prescription Costs
Tricare regularly updates its formulary, a list of covered medications. Sometimes a drug you take may no longer be on the formulary, leading to higher out-of-pocket costs.
Always consult with your doctor about potential alternative medications or requesting an exception if a required drug is removed from the formulary. This is a good time to check if there are programs that offer affordable care .
Annual Changes to Tricare Prescription Costs
It is important to remember that like most health insurance programs, Tricare prescription costs can change annually. Staying updated on these changes through official Tricare communication channels ensures retirees can adjust their budgets and make informed decisions about their healthcare.
If you are PCSing OCONUS you’ll want to confirm you have international direct deposit setup with your MyPay account.
Additional Tips for Military Retirees
Beyond Tricare, resources can help military retirees save on prescriptions and navigate the healthcare landscape effectively.
Consider these tips:
- Prescription Discount Cards: Investigate reputable prescription discount cards and programs like GoodRx, which can offer significant savings. Be sure to compare pricing.
- Patient Assistance Programs: If struggling financially, explore options like patient assistance programs offered by pharmaceutical companies. Military OneSource is a great place to look for more information regarding financial management for military retirees.
- Stay Informed About Healthcare Legislation: Stay abreast of changes in healthcare policies and legislation impacting military retirees to advocate for your needs and make informed choices. Contact your congressman, senator or local government agencies to inquire about any new legislation.
Conclusion
Military retirees have dedicated years to protecting our country and deserve a smooth transition to civilian healthcare benefits. Navigating Tricare and prescription coverage may initially feel like venturing into unknown territory. By understanding program fundamentals, retirees can make more informed decisions that prioritize both their health and their wallets.
Nathaniel Schuler says
Well I not surprised, when I start with Express Scripts, each prescription was free, just another way to get into the retirees pocket, it would be nice if we would receive a raise more than 2 percent.
Melissa says
You’ll be receiving a 6.1% raise this year which is triple that 2%. Get over yourself. Most non military people NEVER see a 6.1% raise.
Dan sanders says
Most non military people never see the horror of combat
Bill Roberts says
Most “non-military” people get MERIT PAY , BONUS PAY , OVERTIME PAY , PERKS , NEVER SERVE IN COMBAT ZONES , NEVER GET SHOT AT !! I could go on , but , with your “get over yourself” attitude , it would be wasted on a twit like you !!!!
Robert Philippi says
Yes, but Biden’s economy and inflation will gobble that pay raise right on up, especially at the gas pumps and home heating!!!!!!
Dorothy Elizabeth McMichael says
What about the families on Tri-care for Life. will our prices go up as well?
Linda Williams says
[email protected]
Donald Klein says
Will tri-care for life go up mail order and store costs. I also want to know will I still get Tri-care
for life as a wife if my husband (retired veteran) passes away?
Andrea Calloway says
Andrea Calloway
I would like to know that also. Thanks for asking that question.
john hesser says
It’s a shame the government doesn’t take care of retired military, that spent years fighting for this country. Yet they will give free benefits for illegal aliens that cross our borders.
Melissa says
Lol
Eric Wilder says
1. I thing your focus is wrong. What is given to the so called illegal aliens is miniscule compared to the tax breaks given to corporations and the uber-wealthy. They essentially pay no tax!!!!!
2. As a result of the Trump tax cuts, my personal Fed income tax bill went up $8K because of losing the SALT individual deductions.. So where I was essentially breaking even, I now have to come out of pocket $8K each of the last two years.
3. Don’t know your financial situation but $8k is still a lot to me….
Jean f Corkill says
The “free benefits” the government “gives” to illegal aliens here aren’t free and aren’t what we would call benefits. They amount to being separated from their children, put in camps, sleeping on the ground, being molested and beaten without recourse and, of course, deported without a hearing. Their few benefits like emergency medical care, pale in comparison to ours, like sleeping easy at night, freedom to come and go, and not worrying about being dragged off at any time. Watch something besides OAN for your information or just talk to someone in the real world occasionally and you would, maybe change you outlook and realize you have it pretty good here.
Martha says
👍🏼👍🏼👏🏼👏🏼 Thank you. People are so fast to jump on ‘benefits for illegal aliens’ and blah blah blah, STOP LOOKING AT THE ILLEGAL ALIENS, the rich are the ones that are trying to still get away with their No pay tax increase. tRump had them ‘fill’ their pockets and bank accounts for four years.
Ronald DeBlois says
I agree with us having it pretty good. That is where I stop agreeing with you. First of all, Illegal aliens are breaking the law and should not get any benefits. My ancestors came to this country for a better life and received no benefits, working 16 hours a day 6 days a week. Raised their families to believe in a GOD, Stand for the National Anthem, respect others, respect the laws of this country and work hard. I am not against people coming to this country I am against people coming here to break the law. Just so we’re clear all the bad stuff that you suggest is happening to illegals maybe might not happen if they came here legally. Also, I occasionally watch OAN but my favorite is Fox News. CNN & MSNBC don’t always tell the full story.
Ron Butler says
When You or I break the Law, we or our family do not get extra benefits, our spouse and children that we are separated from do not get money because we broke the law. Why then in hell should our government pay illegal families for breaking the law. You can’t tell me that the illegal didn’t realize there would be consequences for crossing the USA border. But they did it anyway! Tuff
Marie R Roberts says
Yes, we do have it good here. However, they have chosen-for whatever reason- to try and enter our country illegally. There is a legal process they could have chosen. Please don’t tell me they didn’t have a choice. They could have banded together against their government, the bad guys, etc. You choose the way people treat you. They chose the way they wanted to be treated, the way they want their family members to be treated. We cannot take care of the world.
Melissa says
The bigger problem with expressscripts is that they never get prescriptions here on time. My husband is on a life saving blood thinning medication that espressscripts can’t get to him in time to save their lives. It’s almost like they’re actively TRYING TO KILL veterans just to save a buck.
Martha says
😳😱🤨 you’re WAAAAY OFF . Thankful for Express script. 🙏🏻🙌🏼🙌🏼👍🏼👍🏼 just give them a call when your husband start getting low on his meds. It’s just a phone call away. It’s THAT easy.
Lou Anne Benedetto says
Amen, John Hesser!! My husband spent 50 years of his life working for the government (military service 25 years and 25 years in other areas of the government) and they are allowing illegal aliens better coverage than our own people. Something is not right. Where is justice?? Shame on the Biden administration; this is a disgrace!!
David Johnson says
Unless you’re native Indian, or Aztec you and your family are aliens as well. Read more write less.
Martha says
🤣🤣🤣….. you nail it David. 👍🏼👍🏼
Eric Wilder says
1. This did not start with the Biden Administration.
2. What is given to the so called illegal aliens is miniscule compared to the tax breaks given to corporations and the uber-wealthy. They essentially pay no tax!!!!!
3. If corporations and the uber-wealthy just paid what they paid when Eisenhower was POTUS, Republican I might add., everyone’s taxes could be lower or non-existent….
Rickey G Krueger says
And the co=pay just increased by 20% at minimum. How’s that 6.1% looking now. Not to mention inflation in the economy overall. That 6.1% i already gone. Get over yourself!
Wally says
Amen to that..400000 USD V plus to the illegals for crossing the borders..how stupid can He be??? The Old man and his associates can’t even take care the Home Less Vets and the American citizens.. AND the families that lost their love one for their sacrifice for this country.
WHAT A JOKE… PLS REMOVE THIS OLD MAN, BEFORE REC KS THIS COUNTRY . MORE!!!!
Jean f Corkill says
That money is only for families that we cannot reunite with their children that were stolen. We should hang our heads in shame about what was done in our name. It amounts to a Crime against Humanity and Trump is lucky he is not answering for it in front of the Hague! $450,00.00 per family is a drop in the bucket to what these families would get if they were to sue in American courts. And make no mistake, law suits is what the government is looking at here, and law suits is what they are trying to avoid considering there is ample evidence it was done on purpose.
Martha says
Wow… you must be blind or something. It didn’t start with president Biden. He’s cleaning up what the other DUDE, his family and their cronies did .
Arnold Ayers says
When I enlisted in the Air Force in 1966, I was promised ” FREE ” medical treatment and medication for life, if I retired with 20 years of service. I did just that….that promise was broken to me. Spend tours in Viet Nam, 74 years old and still messed up over it.
Eric Wilder says
1. Odd there is always money for a new tank but not enough for the people who actually operate the tank????
Bill Roberts says
Golly !!! I seem to remember a statement of service pertaining to continuous minimum 20 years military service as earning FREE MEDICAL CARE FOR LIFE !!!! What happened there ???? Now , we are being told we are getting a 6.1 % pay raise !!! YEEHAW !!!! Let’s see , Base Exchange , Commissary prices will increase exponentially , 1 month prior to raise , if memory serves me correctly !!!! AND , now we are facing a most-probable 20/25% cost share/copay/prescription increase across the board ????? Thank you for raising me up to another tax bracket !!!??? Don’t you idiots in D.C. do me any more favors !!!!
Jack says
Our govt has the temerity to not tax the rich and the famous, but give mediocre raises to us so we can fund the programs they push. Express scripts (make Billions) each year and now they’ll make even more. When will this madness end?
Robert Rogers, YNC, USN (Retired) says
Currently I can receive several prescriptions cheaper through Walgreens (90 days) than thru Express Scripts. In fact, if you check the paperwork you will notice that Express Scripts is charging you more than their actual cost. And now they are jacking up our copay by 20%. So much for the concerns for our retirees,
M. W. says
This madness will end when American people stand up and say “WE HAVE HAD ENOUGH!!!” We will no longer support those running our country that are taking away our freedoms that so many men and women have fought for. Allowing peoples from other countries to overrun our country and exploit our “welfare” programs.
These people have NEVER put anything into this country and should not be allowed to take anything out until they have earned that right, just as Americans have. All those able bodied Americans that are refusing to work, should be put on a short leash for help from the government. They are moochers. No body should be allowed to stay in Congress more than 2 terms. 47 years and nothing to show for those years, other than collect a fat check, is an absolute insult to ALL Americans.