MOAA’s TRICARE Guide: Should You Switch to a Medicare Advantage Plan?

MOAA’s TRICARE Guide: Should You Switch to a Medicare Advantage Plan?
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2026-TRICARE-GUIDE-DIGITAL-TILE5_SHIELD-internal.pngEditor’s Note: This article is part of MOAA’s 2025-26 TRICARE Guide, brought to you by MOAA Insurance Plans, administered by Association Member Benefits Advisors (AMBA). A version of the guide appeared in the November 2025 issue of Military Officer magazine. 

 

What is a Medicare Advantage plan (MAP), and should you consider one?

 

Here’s some basic information for military beneficiaries:

 

What MAPs are: They are Medicare Part C (Advantage plans), an alternative to the federal government’s Original Medicare (OM), and are offered by private companies. MAPs must include OM’s Part A for hospitalization and Part B for medical insurance. Skip those with Part D for pharmacy because TRICARE For Life (TFL) is your pharmacy plan.

 

[RELATED: Learn More About MAPs With MOAA Partner Veterans Healthcare]

 

How MAPs compare to OM: Like OM, MAPs cannot deny coverage or charge higher premiums for preexisting health conditions. Unlike OM (in most cases), MAPs can require prior authorization for certain services/supplies.

 

Like OM, MAP enrollment can be changed during the eligible open season. If no changes are requested, coverage is automatically rolled over for the next year. Premiums for OM Part A are typically $0, and Part B are $185 a month (or higher depending on your income); premiums for MAPs are determined by the company offering the plan; some plans do not charge premiums.

 

How MAPs work with TFL: TFL will cover MAP deductibles and copays. But when first enrolled in a MAP, initial claims might need to be filed manually until the MAP adjusts to automatically bill TFL.

 

Should I switch to a MAP? Ask yourself: Do my current providers accept certain MAPs? Will I have to change providers? How close am I to network providers? Do the “additional incentives” come with added costs?

 

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About the Author

Capt. Paul J. Frost, AFC®, USN (Ret)
Capt. Paul J. Frost, AFC®, USN (Ret)

Frost co-leads MOAA's Financial and Benefits Education program and is also an accredited Veteran Service Officer (VSO), providing VA disability compensation claim and appeal information and advice to the military community.