Can Medicare Be Secondary To VA? 
Yes , Medicare can be secondary to VA. . The two do not work together ; the VA only covers services provided at VA facilities and Medicare does not cover care provided at VA facilities . But if the VA approves care outside their providers , Medicare might cover it . As far as drug coverage goes , VA drug coverage does not have a premium and covers most or more than the drugs covered for Medicare Part D so there may not be a need for both plans if the VA is your primary provider . 