Licensed specialist for veterans: (202) 552-1418

Glossary

Creditable Coverage

Other prescription coverage that's certified as good as or better than Medicare Part D — TRICARE Pharmacy qualifies.

What is it?

Creditable coverage is non-Medicare drug coverage that CMS has deemed actuarially equivalent to a standard Part D plan. Having it means you can delay Part D enrollment without facing a late-enrollment penalty.

Why does it matter?

TRICARE Pharmacy is creditable coverage. That's why TFL beneficiaries don't need Part D and don't face a penalty for skipping it.

When you'll encounter it

Once a year, TRICARE/Express Scripts mails a Creditable Coverage Notice for your records.

Impact on Medicare

Lets you skip Part D without penalty.

Impact on TRICARE For Life

TRICARE Pharmacy continues as your primary drug coverage.

Common misconceptions

  • "I should keep the creditable coverage letter in case Medicare asks for it."Yes — save it. If you ever do enroll in Part D, you may need to prove prior creditable coverage to avoid the penalty.

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