Chapter 7 — The Costliest Mistakes Veterans Make

Fix these now so you’re not paying for them the rest of your life

1. Why “Generic” Medicare Advice Fails Veterans

Over nearly 20 years of Medicare experience, I’ve seen the same costly mistakes repeated by veterans over and over again. What became clear to me was that these weren’t random errors or careless oversights. These were the predictable results of veterans getting Medicare advice from two sources. First, advisors who don’t understand military benefits. Second, well-meaning VA or TRICARE employees who are experts in their own systems but aren’t Medicare specialists.

The problem is that most Medicare advisors know Medicare but have no clue how it works with VA benefits or TRICARE for Life. They see you as just another person turning 65, not as someone who’s earned unique benefits through military service. That disconnect between what they know and what you need creates expensive mistakes.

You wouldn’t go to a knee specialist if you needed brain surgery, and you wouldn’t go to a brain surgeon if you needed knee surgery. They’re both licensed physicians, right? So why would you go to a Medicare generalist when you need someone who specializes exclusively in veteran Medicare issues?

Yet that’s exactly what happens to thousands of veterans every year. They get cookie-cutter Medicare advice that ignores their military benefits, misses veteran-specific opportunities, and sometimes even conflicts with their existing coverage.

The mistakes I’m about to share have drained retirement savings for thousands of veterans. In some cases, we’re talking about $50,000 or more over 20 years, all because they didn’t know what questions to ask or who to trust for guidance.

Even the VA itself encourages veterans to sign up for Medicare, warning that “funding for VA health care could change in the future” and emphasizing the need for backup coverage options (Source: VA.gov, https://www.va.gov/health-care/about-va-health-benefits/va-health-care-and-other-insurance/). But knowing you need Medicare and understanding how to optimize it with your military benefits are two completely different things. The difference between adequate coverage and optimized benefits often comes down to working with specialists who understand both systems.

2. Mistake #1 — Buying Unnecessary Medigap Coverage with TRICARE for Life

This is the single most expensive mistake I see military retirees make, creating an unnecessary financial burden of $1,500-$3,000 annually for coverage they absolutely don’t need.

Why This Happens

If you have TRICARE for Life, it already functions as the best Medicare Supplement insurance available. In fact, it works better than Medicare Supplement insurance because it will pay deductibles, copays and coinsurance for Medicare Part C plans. A Medicare Supplement policy will not do that. This unique feature of TFL means military retirees get comprehensive coverage with both Original Medicare and Medicare Advantage plans. Buying a separate Medigap policy when you have TFL is like buying a second car when you already have perfect transportation.

According to TRICARE’s official website: “TRICARE For Life (TFL) acts as your second payer to minimize your out-of-pocket expenses. TFL pays after Medicare pays” (Source: TRICARE.mil, https://tricare.mil/Plans/HealthPlans/TFL). This means TFL already does everything a Medigap policy would do, and more.

How This Mistake Occurs

Traditional Medicare advisors see a military retiree approaching 65 and think, “This person needs Medicare Supplement insurance to cover the gaps.” So they recommend a Medigap Plan G for $125-$300 per month without ever asking about TRICARE for Life.

Real Example – The $36,000 Mistake

A career military retiree was sold a Medigap Plan G policy for $150/month by an insurance agent who told him it was required to fill Medicare gaps. The agent never mentioned that his TRICARE for Life already covered all Medicare deductibles, coinsurance, and copays.

Cost of the mistake:

• Wasted premium: $1,800/year
• 20-year cost: $36,000
• Total loss: $36,000 not including the rate increases that would happen over 20 years

The Specialist Difference

When working with military retirees, the first question we ask is about their TRICARE for Life status. Non-specialist advisors often don’t even know what TFL is, let alone how it enhances both Original Medicare and Medicare Advantage plans.

Veterans who work with specialists who understand military benefits avoid this costly mistake entirely. The knowledge difference between specialists and generalists can mean tens of thousands in savings.

What this means for you: If you have TRICARE for Life, you DO NOT need Medigap. TFL covers all Medicare deductibles, copays, and coinsurance for both Original Medicare and Medicare Advantage plans. Buying Medigap is throwing money away.

3. Mistake #2 — Ignoring IRMAA Planning and Appeals

Income Related Monthly Adjustment Amount (IRMAA) catches many veterans completely off guard, yet most traditional Medicare advisors never even mention it exists. Visit our webpage at https://veteransadvantagefinancial.vet/irmaa/

What IRMAA Really Costs Veterans

IRMAA is an additional surcharge that significantly increases Medicare costs for higher-income veterans. For 2025, based on your 2023 income:

2025 IRMAA Brackets & Premiums

(Source: CMS.gov, https://www.cms.gov/newsroom/fact-sheets/2025-medicare-parts-b-premiums-and-deductibles)

Common IRMAA Triggers for Veterans

The two-year lookback often catches veterans off guard, especially those who had high-income years before retirement. Common triggers include:

• Pension lump-sum distributions when transitioning to retirement
• Large traditional IRA to Roth conversions
• Capital gains from property sales (including military housing)
• Inheritance or life insurance payouts in the lookback year
• Consulting income in early retirement years

(Source: Medicare.gov, https://www.medicare.gov/basics/costs/medicare-costs/working-past-65)

The Appeals Opportunity Most Advisors Miss

Many veterans can appeal IRMAA surcharges if their income has dropped due to retirement, job loss, divorce, death of a spouse, or other life-changing events using Form SSA-44. (Source: SSA.gov, https://www.ssa.gov/forms/ssa-44.pdf and https://www.ssa.gov/medicare/premiums)

Success Story – The $21,000 Appeal

A career military retiree received a notice that he owed $296 monthly in IRMAA surcharges for 2025 based on his 2023 income of $180,000. However, he had retired in 2024 and his current income was only $75,000. Our guidance on the Form SSA-44 appeal process and required documentation helped him get approved, saving him $3,552 annually. Over his expected lifetime, this represents approximately $21,000 in avoided surcharges.

This veteran’s traditional Medicare advisor had told him IRMAA was simply part of having higher income and nothing could be done. We knew better because we see these situations regularly with military retirees transitioning from high-paying civilian careers to fixed retirement incomes.

What You Need for a Successful Appeal

• Form SSA-44 (available at ssa.gov)
• Documentation of the life-changing event
• Recent pay stubs or retirement statements
• Tax returns or estimates showing reduced income
• Letter from employer confirming retirement (if applicable)

The Advisory Gap

Advisors without veteran expertise rarely discuss IRMAA appeals because they don’t specialize in veteran situations that often involve significant income changes during the transition from military service to retirement. Many don’t even know the appeals process exists. When working with veterans, IRMAA planning is a standard part of our conversation because it can save thousands of dollars during these income transition periods. Understanding IRMAA isn’t just about saving money – it’s about protecting the retirement security you’ve earned.

4. Mistake #3 — Avoiding Medicare Advantage (Part C) Due to Misconceptions

This misconception drains retirement savings by preventing veterans from accessing valuable benefits and potential Medicare Part B premium refunds.

The Misconception

Many veterans avoid Medicare Advantage (Part C) plans because they’ve heard outdated information like “they limit your doctor choices” or “they interfere with VA benefits.” This thinking prevents them from accessing valuable benefits.

The Truth About Medicare Advantage (Part C) and Military Benefits

Medicare Advantage (Part C) plans don’t cancel, reduce, or interfere with VA benefits or TRICARE for Life in any way. You can:

• Continue using VA facilities exactly as before
• Keep your TRICARE for Life benefits unchanged
• Access your VA disability compensation
• Use VA Community Care when available

What Veterans Miss by Avoiding Medicare Advantage (Part C)

Part B Premium Refunds: Many Medicare Advantage (Part C) plans offer monthly premium refunds ranging from $50-$185. Our clients average $110 monthly in premium refunds.

Extra Benefits Not Available Through Military Coverage

• Comprehensive dental coverage (cleanings, fillings, crowns) not covered by VA or TFL
• Vision benefits (annual exams, glasses, contacts) beyond basic VA vision care
• Hearing aids and audiology services
• Over-the-counter medication allowances ($50-$200 quarterly)
• Fitness programs and gym memberships
• Transportation to medical appointments

Real Example – The $15,850 Miss

A career Navy veteran avoided Medicare Advantage (Part C) plans for five years because a well-meaning friend told him they would “mess up his VA benefits.” During those five years, he missed out on:

• Part B premium refunds: $6,600 ($110/month × 60 months)
• Dental coverage value: $2,000 (crown work and cleanings)
• Vision benefits: $1,250 (glasses and exams)
• Gym membership value: $3,000
• OTC allowances: $3,000
• Total missed value: $15,850

When he finally worked with our team, we found him a Medicare Advantage (Part C) plan that provided all these benefits while maintaining his full VA coverage and worked with his TRICARE for Life.

The Independence Factor

My team and I are completely independent, which means we can evaluate all available Medicare Advantage (Part C) plans in your area to find the best premium refunds and benefits. Advisors tied to specific companies can only offer their company’s plans, which often means missing better options. As independent specialists, we’re not bound by company quotas. We can objectively compare all available plans to find the one that best enhances your specific military benefits.

The Key Insight

Medicare Advantage (Part C) plans work alongside your military benefits to provide more value, not less. The misconceptions that keep veterans away from these benefits often stem from outdated information or advisors who don’t understand how military benefits integrate with Medicare options.

5. Mistake #4 — Delaying Medicare While Relying Solely on VA Care

This dangerous strategy leaves veterans exposed to massive financial liability and gaps in coverage.

The Dangerous Assumption

Many veterans delay Medicare enrollment because they think, “The VA covers everything I need.” This misconception can impact financial security through penalties and emergency medical bills.

Why This Thinking Is Dangerous

VA benefits are not creditable coverage for Medicare Part B purposes, meaning you can’t use VA healthcare to justify delaying Medicare Part B enrollment without facing lifetime penalties.

(Source: Medicare.gov, https://www.medicare.gov/basics/get-started-with-medicare/medicare-basics/working-past-65)

The Hidden Costs of VA-Only Coverage

Emergency Care Restrictions – The VA has very strict rules about when they’ll pay for non-VA emergency care. You must meet specific criteria including that a VA facility wasn’t ‘feasibly available’ and you must notify the VA within 72 hours.

(Source: VA.gov, https://www.va.gov/resources/getting-emergency-care-at-non-va-facilities/)

Geographic Limitations – If you live far from VA facilities, routine care becomes expensive and time-consuming.

Specialty Care Gaps – Not all VA facilities offer every specialty service. Advanced treatments may require lengthy approval processes or travel to distant facilities. Yes, there has been the addition of community care (which is very beneficial), and my dad, a Vietnam-era veteran, uses it when available, but referrals aren’t always approved.

Financial Reality Check – 10-Year Cost Comparison

VA-Only Strategy (Priority Group 6 veteran)

• Annual costs breakdown: $4,810
  • Travel for VA care: $1,200
  • Emergency care liability: $1,400
  • Dental/vision out-of-pocket: $1,100
  • Late enrollment penalties: $1,110
• 10-year projection: $48,100 (conservative estimate)

Strategic VA + Medicare Integration

• Annual costs breakdown: $300
  • Net Medicare cost after refunds: $900
  • Travel savings: -$600
• 10-year projection: $3,000

Net savings with strategic integration: $45,100 over 10 years

Note: Individual costs vary based on location, health status, and VA priority group.

Remember This

Relying solely on VA care without Medicare backup is a financial gamble that could drain your retirement savings through penalties and uncovered medical expenses. The evidence shows that strategic integration of benefits provides both better coverage and significant cost savings.

6. Mistake #5 — Not Reviewing Plans Annually During Open Enrollment

This passive approach drains potential savings when better options become available.

The Complacency Trap

Many veterans set their Medicare on “autopilot” and never review their options during the Annual Election Period (October 15 – December 7). This inaction impacts their wallet when plans change or better options become available.

You served your country with discipline and attention to detail. You reviewed your equipment regularly, maintained your readiness, and adapted to changing conditions. Yet when it comes to Medicare, many veterans forget these same principles apply. The Medicare landscape changes every year, and what was the best plan last year might not be optimal today.

What Changes Each Year

Medicare Advantage plans evolve constantly, and these changes directly impact your benefits:

• Premium reduction amounts: Plans can increase or decrease Part B refunds. We’ve seen plans go from $50 to $125 refunds in a single year
• Extra benefits: Dental, vision, hearing, and other benefits can change significantly
• Provider networks: Your doctors may join or leave plan networks (though over 90% of our clients have nationwide PPO plans that minimize this risk)
• Prescription formularies: Your medications may be moved to different cost tiers
• New plan options: Insurance companies regularly introduce better plans with higher refunds

Example – The $11,500 Autopilot Cost

Consider a Marine Corps veteran who enrolled in a Medicare Advantage (Part C) plan in 2020 with a $50 Part B premium reduction. He figured “if it ain’t broke, don’t fix it” and never reviewed his options during subsequent annual enrollment periods.

Five-year missed opportunity breakdown:

• 2021: $300 (could have had $75 reduction)
• 2022: $600 (could have had $100 reduction)
• 2023: $900 (could have had $125 reduction)
• 2024: $1,500 (could have had $150 reduction)
• 2025: $1,500 (could have had $175+ reduction)
• Additional dental/vision expenses: $6,700
• Total five-year cost: $11,500

That’s money that could have stayed in his pocket, helped with grandkids’ education, or simply provided more financial security. All because he didn’t spend 30 minutes reviewing his options each October.

Why Veterans Get Stuck on Autopilot

We understand why this happens. After years of dealing with military bureaucracy, many veterans are tired of paperwork and forms. You might think, “My current plan works fine, why rock the boat?” Or perhaps you’ve been told that switching plans is complicated or risky.

Some veterans worry, “What if I have health problems now? Can a new plan reject me?” This fear keeps many veterans stuck in plans with lower benefits.

Critical Protection – No Pre-Existing Condition Denials

Many veterans don’t know that Medicare Advantage (Part C) plans can NEVER deny you coverage or charge you more because of pre-existing conditions. This protection is guaranteed by federal law (Source: Medicare.gov, https://www.medicare.gov/sign-up-change-plans/types-of-medicare-health-plans/medicare-advantage-plans).

What this means for you:

• You can switch to a better plan regardless of health conditions
• Your premiums won’t increase because of your health status
• You can’t be rejected during enrollment periods
• Your new plan must cover all your conditions from day one

This is completely different from the individual health insurance market where pre-existing conditions used to matter. With Medicare Advantage, your health status is irrelevant to enrollment. Whether you’re healthy as a horse or managing multiple conditions from your military service, you have the same right to choose any plan available in your area.

Working with veterans reveals how many stay stuck in plans with lower benefits because they worry about their health conditions. A Marine veteran with diabetes and heart disease once told me, “I can’t risk changing plans now that I’m sick.” He didn’t realize that his conditions actually gave him more reason to find a better plan, not fewer options.

The truth is that reviewing your options annually is simple and risk-free, especially when you work with specialists who understand veteran benefits. There’s no risk in comparing plans, and you can always keep your current coverage if it’s still the best option.

The Specialist Advantage in Annual Reviews

Our approach starts with veteran-specific questions, not generic Medicare inquiries. We conduct annual reviews every October to ensure you’re always getting maximum value from your benefits.

During these reviews, we:

• Compare your current plan against all new options in your area
• Identify opportunities for higher Part B premium refunds
• Evaluate changes in extra benefits that might benefit you
• Ensure your plan still integrates seamlessly with your VA or TRICARE benefits
• Handle all the comparison work so you don’t have to

This ongoing relationship separates veteran specialists from advisors who often move on to the next sale. We’re invested in your long-term success, not just a one-time enrollment. Annual optimization isn’t just about saving money – it’s about ensuring your coverage evolves with your needs.

7. Mistake #6 — Poor Record-Keeping and Claims Management

Inadequate documentation and claims oversight can create unnecessary financial burden through billing errors and missed benefits.

The Documentation Challenge

Many veterans don’t maintain proper Medicare, VA, and TRICARE records, leading to billing errors, missed appeals opportunities, and lost benefits.

Essential Documents Veterans Must Maintain

Medicare Documentation:

• Current Medicare card and plan ID cards
• Medicare Summary Notices for all services
• Annual Notice of Change from plans
• Documentation of any IRMAA appeals or penalty disputes

Military and VA Records:

• Current VA ID card and priority group information
• TRICARE for Life enrollment verification
• DD-214 (keep certified copies in multiple locations)
• Service-connected disability rating letters

Example – The $8,500 Billing Error Recovery

A Marine veteran discovered she had been incorrectly billed $8,500 for emergency room care that should have been covered by her Medicare Advantage (Part C) plan and TRICARE for Life. Because she had maintained proper records and worked with specialists who understood the integration, we were able to resolve the billing error and get her a full refund.

Advisors without specialized veteran knowledge rarely help with ongoing claims issues, but veteran specialists understand that proper record-keeping and ongoing support are essential parts of the service.

Why Record-Keeping Is Especially Critical for Veterans

What makes record-keeping uniquely challenging for veterans is that you’re not dealing with one healthcare system like civilian retirees. You’re juggling three or more completely separate systems that don’t communicate with each other. The VA uses one set of ID numbers and systems. Medicare uses different identifiers entirely. TRICARE has its own documentation requirements. If you have private insurance through an employer, that’s a fourth system to track.

Each system generates its own paperwork, uses different claim numbers, and has different appeal deadlines. A single emergency room visit could involve your Medicare Advantage plan as primary payer, TRICARE for Life as secondary, and potentially the VA if it’s service-connected. That’s three different claims processes for one medical event. When billing errors happen, and they do happen frequently with multiple payers, you need documentation from all three systems to resolve the issue.

Experience shows how a missing document can mean the difference between a full refund and eating an $8,500 bill. Veterans who keep organized records consistently resolve billing disputes faster and more successfully than those who assume the systems will work it out among themselves. They won’t. You need to be your own advocate, and that starts with proper documentation. The time invested in organization pays dividends when complex billing situations arise.

8. The Financial Impact of Making Smart Choices vs. Costly Mistakes

The real numbers over a 20-year retirement tell a powerful story:

The “Generic Advice” Veteran

• Buys unnecessary Medigap with TFL: $36,000
• Misses IRMAA appeal opportunities: $21,000
• Avoids Medicare Advantage (Part C): $15,850 in missed benefits
• Never reviews plans annually: $11,500 in missed improvements
• Relies on VA-only strategy without Medicare backup: $45,100 in extra costs
• Total unnecessary costs: $129,450

The “Veteran Specialist” Veteran

• Uses strategic Medicare integration: Saves $45,100
• Gets IRMAA appeal guidance: Saves $21,000
• Maximizes Medicare Advantage (Part C) benefits: Gains $15,850 in value
• Annual reviews ensure optimization: Saves $11,500
• Avoids unnecessary Medigap: Saves $36,000
• Total 20-year advantage: $129,450

The difference between working with veteran specialists versus traditional advisors: $258,900 over 20 years

That’s the difference between financial security and financial stress in retirement. These aren’t just numbers – they represent real opportunities to protect and enhance the retirement you’ve earned through your service.

9. Warning Signs You Need Veteran-Specialized Guidance

After nearly 20 years in Medicare, I can spot the warning signs from a mile away. Veterans struggling with Medicare decisions often share the same red flags that indicate they’re getting advice from someone who doesn’t understand military benefits.

Financial Warning Signs:

• Monthly Medicare costs exceeding $300 without good reason
• Unexpected medical bills over $500 in a year
• Paying for both Medigap and TRICARE for Life
• Missing out on available Part B premium refunds

Coverage Warning Signs:

• Confusion about which coverage to use for different services
• Billing disputes between Medicare, VA, and TRICARE
• Limited provider choices when you need care
• Being told Medicare Advantage (Part C) will “interfere” with military benefits

Advisor Warning Signs:

• Your advisor doesn’t ask about your military service
• They recommend Medigap without asking about TRICARE for Life
• They’ve never mentioned IRMAA or appeals processes
• They pressure you to enroll without comparing options
• They don’t understand how VA or TRICARE work with Medicare

If you’re experiencing any of these warning signs, it’s time to take action. You deserve guidance from specialists who understand your unique veteran benefits and can help you maximize every dollar you’ve earned through your service.

10. Key Takeaways for Veterans

✓ Generic Medicare advice consistently fails veterans—you need specialists who understand military benefits like my team and I provide

✓ Never buy Medigap if you have TRICARE for Life—you’re paying for duplicate coverage that can cost $36,000+ over retirement

✓ IRMAA planning and appeals can save thousands—but most advisors never mention these opportunities

✓ Medicare Advantage (Part C) enhances military benefits—it doesn’t interfere with VA care or TRICARE for Life

✓ Annual reviews prevent missed opportunities—plans change and better options regularly become available

✓ Independence matters—advisors tied to specific companies can’t evaluate all available options

✓ The financial stakes are enormous—smart decisions versus costly mistakes can differ by nearly $260,000 over retirement

11. What’s Coming Next

You now understand the most expensive Medicare mistakes veterans make and why they happen when you get advice from advisors who don’t specialize in veteran benefits. These aren’t minor oversights; they’re financial disasters that compound over decades.

In Chapter 8, we’ll shift from avoiding mistakes to taking action. You’ll get a step-by-step enrollment guide that walks you through every decision point, from initial Medicare enrollment to choosing the optimal Medicare Advantage (Part C) plan for your specific situation.

Most importantly, you’ll learn how to find and work with veteran Medicare specialists who can help you avoid these costly mistakes while maximizing every benefit available to you.

The difference between reading about Medicare and actually optimizing your benefits comes down to getting the right guidance. Chapter 8 shows you exactly how to make that happen.

You’ve seen the costly mistakes that drain veterans’ retirement accounts. Now it’s time to take action and protect your hard-earned benefits. My team and I specialize exclusively in veteran Medicare issues. Call us at 888-960-8387 (VETS) for guidance that understands your unique situation and maximizes your benefits. Experience what WE SPEAK VETERAN™ really means.