Northern Utah has the state’s largest military-retiree community. TRICARE For Life, the 75th Medical Group clinic, the Wahlen VA in Salt Lake and its Ogden clinic — and a Medicare decision that looks different from a civilian one, explained by a retired Air Force officer.
Why the Medicare choice is different for a Hill AFB family
Davis and Weber counties hold thousands of Air Force retirees, and most of them reach 65 with TRICARE For Life waiting. TFL requires Medicare Parts A and B and then pays secondary to Medicare, so a Medigap policy is usually unnecessary; its pharmacy is creditable, so a Part D plan usually is too. What is left to decide is whether an MA-only Advantage plan adds dental, vision or hearing worth having — without duplicating the drug coverage you already have — and whether its network includes McKay-Dee, Layton or Ogden Regional.
Veterans without TRICARE use the George E. Wahlen VA in Salt Lake and the Ogden clinic, and here the Part B timing question is the one that matters: VA care is not creditable for Part B, so delaying Part B because you have the VA triggers a lifelong penalty. The 75th Medical Group on base sees retirees on a space-available basis; it is not a substitute for Medicare.
Care close to home
Major care in the area includes:
Hill AFB 75th Medical Group (TRICARE)
George E. Wahlen VA Medical Center (Salt Lake) & Ogden VA Clinic
Intermountain Layton Hospital
Intermountain McKay-Dee (Ogden)
Holy Cross Davis
MountainStar Ogden Regional
Plan networks differ — we check that your doctors and hospital are covered before you enroll.
Turning 65? Your Initial Enrollment Period is the 7 months around your birthday. Already on Medicare? The Annual Election Period is Oct 15–Dec 7, and Medicare Advantage Open Enrollment runs Jan 1–Mar 31. Moving counties opens a Special Enrollment Period.
Your options
Which kind of plan fits a military retiree here?
Medicare Advantage
All-in-one Part C plans, often $0 premium, that use a network — usually built around Intermountain, the U, MountainStar or Holy Cross.
Medigap pairs with Original Medicare and lets you see any provider nationwide that accepts Medicare — Huntsman, Intermountain, or a clinic in Mesquite.
I retired from the Air Force with TRICARE For Life. Do I need a Medigap policy or Part D?
Usually neither. TFL pays secondary to Medicare and its pharmacy is creditable drug coverage. An MA-only Advantage plan can add dental or vision without duplicating your drug benefit; we check whether one is worth it for you.
I use the Wahlen VA. Do I still need Part B?
In most cases, yes. VA medical care is not creditable coverage for Part B, so delaying it can trigger a permanent penalty and leaves you without coverage at a non-VA hospital. Enroll on time.
Can I keep using the clinic on base after 65?
Retirees can be seen at the 75th Medical Group on a space-available basis under TRICARE rules; Medicare does not pay there. Most Hill AFB retirees pair TFL with civilian care at Intermountain Layton, McKay-Dee or Ogden Regional.
Written and reviewed by Darin Weidauer — licensed insurance agent (NPN 18580338), Gerontologist (USC Leonard Davis School of Gerontology), MBA, Registered Social Security Analyst, and 22-year U.S. Air Force veteran.Last reviewed September 4, 2026. Plan availability, benefits and costs change every plan year — verify current details at Medicare.gov, 1-800-MEDICARE, or Utah SHIP at 800-541-7735.