To Avold Paying The 2009 Medicare deductible, Medicare-eligible beneficiaries should make sure their first health care service of the calendar year is covered by both TRICARE for Life (TFL) and Medicare. Unlike the TFL deductible, which is applied at the beginning of the fiscal year, the Medicare deductible [$135 for 2009] is based on the calendar year. In order for TFL to pay the annual Medicare deductible, your first health care service of the calendar year must be covered by both Medicare and TRICARE. If, for example, you received chiropractic care - which sometimes is covered by Medicare but is not a TFL-covered benefit - as your first health care service of the calendar year, you would be responsible for the $135 Medicare deductible. Medicare-aged patients typically do not pay a TRICARE deductible.
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机译：向Avold支付2009年享有医疗保险免赔额且符合医疗保险资格的受益人应确保TRICARE for Life（TFL）和Medicare都覆盖了该日历年的首次医疗保健服务。与在财政年度开始时应用的TFL自付额不同，Medicare自付额[2009年为135美元]是基于日历年的。为了让TFL支付年度Medicare免赔额，Medicare和TRICARE都必须涵盖您在该日历年的首次医疗保健服务。例如，如果您获得了脊椎护理（有时由Medicare承保，但不是TFL覆盖的利益）作为您本日历年度的首项医疗服务，则您需要负担$ 135的Medicare自付额。医疗保险年龄患者通常不支付TRICARE免赔额。
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