TriCare co-pay for PDRL 50%?

Discussion in 'Outcomes: Fit, Severance, TDRL, PDRL' started by Hambone70, Jul 15, 2017.

  1. Hambone70

    Hambone70 Registered Member

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    Hello! Apologies if this is posted in the wrong forum section. Perhaps the moderator could move it to the right area.

    I was medically retired at 50% disability way back in 1992. I have been overseas since then, and haven't needed US medical care. I have just returned to the US.

    I can't find a straight answer to what seems like a straightforward question. My wife and I are registered in DEERS, and TriCare Standard/Extra. Is it true that, as I am 50% medically retired, that my wife and I don't have to pay the TriCare co-pays? Also, I have my DD214 with TDRL on it, but don't have the documentation of PDRL. What is that documentation, where can I find it, and do I need it?

    Thanks in anticipation, and thanks also to everyone for their service.
     
  2. Goku

    Goku PEB Forum Veteran Registered Member

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    You do have copays for Tricare Standard/Extra
     
  3. Hambone70

    Hambone70 Registered Member

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    Even with 50% disability? Somebody told me that there are no TriCare copays with a disability of 50% or higher. I don't know if this is true or not, as I can't find a definitive answer.
     
  4. Goku

    Goku PEB Forum Veteran Registered Member

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    Tricare.mil
     
  5. THolleyH46

    THolleyH46 PEB Forum Veteran

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    When I got placed on the PDRL the Marine Corps sent me a retirement certificate and a letter. Check with your retirement branch.

    I believe the deductible is $300 per year and copays are about $20 per office visit.
     
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  6. Chaps_Z

    Chaps_Z PEB Forum Veteran Registered Member

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    There are no copays if you have Tricare Prime but it does cost 400-500 dollars for the year. You just have to be seen by your PCM at the local military treatment facility. If you go with Standard, it costs nothing per year but copays for every visit to the doc.
     
  7. gsfowler

    gsfowler Staff Member PEB Forum Veteran

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    50% or greater gets you (YOURSELF) no co-pays with the VA. In our family, my wife has Tricare Prime for retirees and the copay is $25 with a network provider and $0 if a MTF.
     
  8. mxridr

    mxridr PEB Forum Veteran Registered Member

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    It also depends on what region you live in if you have to see a MTF doctor or not on Prime. I'm in Florida and had the option to pick between a MTF and non-MTF civilian doctor as my PCM.
     
  9. hmv88

    hmv88 PEB Forum Veteran Registered Member

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    No copays 50% and above
     
  10. islandboy25

    islandboy25 PEB Forum Veteran Registered Member

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    You are getting Tricare confused with VA. I am on TDRL 100%, everytime I see a outside doctor I pay $12 copay. With the VA I don't pay anything for car or medications.
     
  11. hmv88

    hmv88 PEB Forum Veteran Registered Member

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    I'm 50% PDRL and don't do any copays just 300 deductible for my family
     
  12. islandboy25

    islandboy25 PEB Forum Veteran Registered Member

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    You must be on Tricare Standard and not Prime
     
  13. hmv88

    hmv88 PEB Forum Veteran Registered Member

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    That's correct
     

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