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Frequently Asked

Will TRICARE pay my Medicare deductible?

Yes. For services covered by both Medicare and TRICARE at participating providers, TFL typically covers the Medicare deductible and coinsurance — leaving you with $0.

Yes, in most situations. That's the whole point of TFL being a wraparound.

Here's how it works for a typical doctor visit:

  1. You see a Medicare-participating provider.
  2. Medicare pays 80% of the approved amount after your annual Part B deductible is met.
  3. The claim crosses over electronically to WPS (the TFL contractor).
  4. TFL pays the Part B deductible (if not yet met) and the 20% coinsurance.
  5. You owe $0.

Same idea for inpatient hospital care under Part A — TFL covers the deductible and coinsurance.

The exceptions:

  • Services Medicare covers but TRICARE doesn't (rare). Medicare pays its portion; you owe the rest.
  • Services TRICARE covers but Medicare doesn't (e.g., overseas care). TFL pays first.
  • Out-of-pocket caps don't apply — Original Medicare has no MOOP, but with TFL acting as your secondary, you typically don't need one.

Related glossary terms

Last reviewed January 2026 against the 2026 Medicare & You and TRICARE For Life handbooks.