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Hope this reachs those interested.
I found out last year that while you can have both VA health coverage and Medicare, there can be a problem if you decide to drop Medicare. I finally got VA coverage with copay in '09 even though I'm a combat vet of WW II ! . I decided to keep my Medicare A, B and a medigap plan as long as I could afford them, but not Med.D because I take few drugs and the VA does a good job for me. I continued to pay the D insurer through '09, but Advantra Rx increased premiums in '10 so I changed my wife's provider in the 'open" period for '10. That required no notice to the carrier and we had changed several times before with no problem or notice to the previous insurer because Medicare(CMS) took care of sending bills to the new provider. I assumed that I didn't have to do anything but stop paying Advantra because I had "equivalent" coverage from the VA. WRONG, apparently one has to fill out a withdrawal form because a couple of months in'10 I got a bill from Advantra for 3 months premiums! Then when I inquired they sent me the form to disenroll! I'm still being harrassed for that bill ! because I won't pay for something I didn't want or use! Nothing in Medicare's info or Advantra's warned me that I had to Disenroll and they refuse to cancel my bill despite the fact that nobody told me Medicare and the VA don't communicate or that I had to obtain a form to disenroll!
Anyway don't assume anything in regard to health care!