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Report: Some vets paying more for health care

WASHINGTON — Some military retirees disabled in the wars in Iraq and Afghanistan pay more for health care than other retirees, and a new report recommends waiving their insurance premiums to correct the inequity.

The report Tuesday by inspectors general of the Department of Defense and the Department of Veterans Affairs suggests waiving for life the Medicare Part B premiums for service members who have been medically retired and are unlikely to get another job.

Service members judged unfit for continued service after a service-related injury or illness are called “medically retired” and are eligible to continue receiving care through the military health care system. But those who don’t live near VA facilities can enroll in Medicare and go to civilian providers, the report said.

Such retirees pay roughly $1,160 annually in monthly premiums until reaching the age of 65, while other retirees remain in the military health care system and don’t need the Medicare plan.

The proposed change is among recommendations made after a review of services available for troops injured in Afghanistan and Iraq as they transition from active duty in the military to the responsibility of the VA.

The review, started two years ago, didn’t study the quality of medical care or individual cases, but rather efforts to improve the transition process. Release of the report was delayed to take into account legislation passed or proposed since the study started — as well as recommendations by more than a half-dozen commissions and task forces that have looked at veteran and troop health care in recent years.

Those other studies made more than 400 recommendations — now in varying stages of review or implementation.

“Since 2005, DOD and VA made significant progress modifying, updating and improving the systems supporting injured service members and veterans,” the report said. “The final step will be to ensure implementation.”

Some veterans have complained about falling through the cracks of the bureaucracy as they leave the Pentagon’s care and transition to the VA. Some have complained about long waits to get appointments or about being discharged at a fraction of their pay, then waiting for months before their full disability payments arrive.

Cynthia O. Smith, a Pentagon spokeswoman, said that among other efforts, the two departments have provided coordinators to guide wounded warriors and their families through medical recoveries and have set up a pilot program to simplify what was two exhaustive medical exams into one at the start of the disability process.