Retirees Losing TRICARE PRIME

nwlivewire said:
And when I'm needing a doctor, or a specialist, I always try to find one that's on the TriCare list from the TriCare website.

Then I email that list to my local primary Care Doctor and he picks a few that he knows by name/reputation.

Then, I call the "short list" of Docs/Specialists and make sure they are still accepting TriCare, AND if so, if they also accept MediCare, too. That way, I'm super insurance covered.

Sometimes the TriCare list is out-of-date, which is why I always call to make sure they are still a TriCare provider.

V/r,
nwlivewire
Click to expand...

THANKS!!!!
 
So if I'm reading this correctly 1 Oct 13 if you have Tricare Prime and live in the North or South region and don't live within a 40 mile radius of a base you will be automatically switched to Tricare Standard? What exactly does the $3,000/y "cap" mean with Tricare Standard?
 
7LVL said:
So if I'm reading this correctly 1 Oct 13 if you have Tricare Prime and live in the North or South region and don't live within a 40 mile radius of a base you will be automatically switched to Tricare Standard? What exactly does the $3,000/y "cap" mean with Tricare Standard?
Click to expand...

The catastrophic cap means that the most you will pay per year out of pocket for co-pays/fees, etc. is capped at $3k. After that, you pay no more co-pays for the rest of the year. When the following calendar year rolls around, the cap starts over. This protects you in the event that you require major (see: expensive) medical procedures in a year- for example: you have a car accident and require major surgery and rehab, costing $180,000 in med fees...you are only responsible for $3k (vs the whole 20% co-pay)- Tricare covers the rest from there and any other medical care you require for the remainder of the year until the cap resets.
 
usafaviator said:
The catastrophic cap means that the most you will pay per year out of pocket for co-pays/fees, etc. is capped at $3k. After that, you pay no more co-pays for the rest of the year. When the following calendar year rolls around, the cap starts over. This protects you in the event that you require major (see: expensive) medical procedures in a year- for example: you have a car accident and require major surgery and rehab, costing $180,000 in med fees...you are only responsible for $3k (vs the whole 20% co-pay)- Tricare covers the rest from there and any other medical care you require for the remainder of the year until the cap resets.
Click to expand...

I see, what about prescriptions?
 
If prescriptions count towards your cap that makes standard more appealing.
 
What is the regulation stating military retiree medical benefits? (ie. if you serve 20 years you are entitled to retired medical benefits)
 
You must log in or register to reply here.
Top