Licensed specialist for veterans: (202) 552-1418

Lesson 14 of 15

Common mistakes to avoid

Last reviewed: January 2026· Next scheduled review: January 2027

Quick answer

The top mistakes are: declining Part B (losing TFL), enrolling in Part D (disrupting TRICARE Pharmacy), assuming MTF access continues, missing the Initial Enrollment Period, and choosing a Medicare Advantage plan without checking whether your doctors are in network.

Key takeaways

  • Declining Part B = losing TFL. Permanent penalty.
  • Enrolling in Part D is usually wrong for TFL beneficiaries.
  • Don't assume your MTF doctor will still see you.
  • Don't choose an MA plan in a hurry — check the network and formulary first.

Detailed explanation

The big five

  1. Declining Part B. You lose TFL and pay a permanent late penalty if you reverse course.
  2. Enrolling in Medicare Part D. TRICARE Pharmacy is your drug coverage. Part D layered on top causes problems.
  3. Counting on the MTF. Space-available is not a healthcare plan.
  4. Missing your IEP. The 7-month window is firm. Mark it on the calendar.
  5. Picking MA on the brochure. Confirm doctors, formulary, and travel rules before enrolling.

Smaller but expensive

  • Forgetting to update DEERS when your address changes.
  • Not bringing both cards to appointments.
  • Assuming dental and vision are covered.

Frequently asked questions

What's the single most important thing to get right?

Enroll in Medicare Part B during your Initial Enrollment Period. Everything else follows from that.

Official government resources

Official Medicare and TRICARE publications are the definitive source. This page is an independent educational summary; always confirm specifics against the resources above.