We are in New Mexico for the whole summer, with the intention of being back in San Antonio by November. That is when we plan to have all of our annual appointments done.
We needed to refill our prescriptions, but they had expired. I went to Holloman AFB, who referred me to a Critical care clinic off base. Saw the doc, got new scripts and then filled them at Holloman.
Our goal is to be on Express Scripts, and go Standard when we leave SA in the new year. Good luck
accsys wrote: I have always had Tricare Standard and never understood why anyone would choose to pay for Tricare Prime??
My ER visit in arizona last year the 20% would have cost me hundreds.With my primary care provider notified I paid $0 with my prime.Unless you are saying ER visits are fully covered with standard?
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We have had Prime ever since we retired from the Navy in 04 and have traveled extensively since 08. My wife has had massive medical issues during that period and Tricare Prime has never baulked once on getting routine services or emergency services. The only issues we have ever had is with Triwest(North western US area, and they have been fired by the way), since we moved our service provider to a southern address(Humana) we have had no problems.
Patty98311 wrote: We have had Prime ever since we retired from the Navy in 04 and have traveled extensively since 08. My wife has had massive medical issues during that period and Tricare Prime has never baulked once on getting routine services or emergency services. The only issues we have ever had is with Triwest(North western US area, and they have been fired by the way), since we moved our service provider to a southern address(Humana) we have had no problems.
That's good to hear because we are Tricare South now. Triwest was who we talked with that gave us a hard time because we had no address out here. I am calling Tricare South Monday and talk with them.
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Patty98311 wrote: We have had Prime ever since we retired from the Navy in 04 and have traveled extensively since 08. My wife has had massive medical issues during that period and Tricare Prime has never baulked once on getting routine services or emergency services. The only issues we have ever had is with Triwest(North western US area, and they have been fired by the way), since we moved our service provider to a southern address(Humana) we have had no problems.
That's good to hear because we are Tricare South now. Triwest was who we talked with that gave us a hard time because we had no address out here. I am calling Tricare South Monday and talk with them.
I have Bl;ue Cross from my Civil Service time and Tricare Standard as secondary coverage. I use Express Scripts for prescriptions that are not covered by BC. I have not had ANY problems. TriCare Standard is what you need when you are on the road all the time and don't have a home to return to.
We are with TriWest, currently transferring to Humana South. My experience over the past 7 years is if your PCM's office has a good grasp on handling referrals over the phone, you can pretty much have your non-emergency needs met out of your area.
I just went on TFL, wife does in 2 years. So soon will not have to worry about referrals. Unless, of course, they change the rules.
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I have Tricare Prime North and I have not had any problems with my PCM faxing prescriptions to me when in Florida. Also, I was advised that I can change my coverage area's twice a year so I only need a PCM in Florida to do so. I will say I haven't tried this so far as I have been in relatively good shape. And as someone said above, if it's an emergency you are covered, just need to notify your PCM as soon as possible that an emergency occurred. My wife is on Medicare and TCL, and we have not had any problems anywheres in the US.
We've been full timing with Standard for seven years and would never consider reverting to Prime. We pick our own doctors, make appointments with specialists without referrals, and have the latitude to change doctors if we don't like them. It's really not much more expensive than Prime; remember you pay the 20/25% of the ALLOWABLE charges. For example, an office visit costs $125, the Tricare allowable is $60, your cost is $12, the same as a Prime co-pay. Even with a hospital stay, the catastrophic cap of $3000/yr per family limits the amount you'll have to pay. We budget the $150/mo for the yearly cat cap, but have never spent close to half for our annual medical bills. In fact, now that we're on TFL, our annual cost is more.
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MeanderMan wrote: We've been full timing with Standard for seven years and would never consider reverting to Prime. We pick our own doctors, make appointments with specialists without referrals, and have the latitude to change doctors if we don't like them. It's really not much more expensive than Prime; remember you pay the 20/25% of the ALLOWABLE charges. For example, an office visit costs $125, the Tricare allowable is $60, your cost is $12, the same as a Prime co-pay. Even with a hospital stay, the catastrophic cap of $3000/yr per family limits the amount you'll have to pay. We budget the $150/mo for the yearly cat cap, but have never spent close to half for our annual medical bills. In fact, now that we're on TFL, our annual cost is more.
I've been on prime for 20 years and have never paid these fees you have? Have never paid more than the $12 co-pay ever.This includes a heart attack,stents,ambulance,yearly stress tests,additional cath procedures etc etc.
* This post was
edited 08/23/12 02:52pm by cabanaman *
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