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If you are over 65 and have a service-connected disability, you are required to take Medicare Part B but are not required to take Medicare Part D as the VA Healthcare System's prescription drug coverage satisfies ACA and Medicare prescription drug requirements. If your disability rating is above 50%, you definitely don't need to participate in any Medicare supplemental plans.

If you have service-connected disabilities, I recommend that you check the Office of the Secretary of Defense (OSD) and VA e-Benefits web site to verify that your disabilities are recorded correctly. I discovered that my primary disabilities were not recorded. Its a long process to get your records corrected. I didn't check my records until after I retired and was in my seventies. My disability rating was changed from 50% to 90% when my disability evaluation was completed this year.

An unexpected side benefit of correcting my VA disability records was a doubling of my monthly VA Disability Compensation. I should have done this years ago when I was struggling to put my kids through college.
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