Military Families
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Tricare Standard Question
I am new to tricare and until March 1 I am under tricare standard, and then I will be switched to Prime. I am 10 weeks pregnant and have not been seen by an ob since I got a 5w5d ultrasound at a clinic for pregnancy confirmation. If I am seen this week they said i have to pay a $150 deduct. plus 15% of the costs of the appointment. If i wait to get my referral with tricare prime i wont have to pay anything and can still be seen anywhere i want because we live far from post. Any advice? should i go ahead and be seen and pay since Im already 10 weeks or should i wait. thanks ladies!!
Pregnancy Quotes
No one else will ever know the strength of my love for you... After all, you are the only one who knows what my heart sounds like from the inside.
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Re: Tricare Standard Question
We just moved from one coast to the other. In the process, we had to change Tricare areas, so we had to go through enrollment and everything all over again. My last OB appointment was at 12 weeks 3 days. I won't be seen again until 20 weeks 2 days because that's how long it took to get everything sorted out and get an appointment.
I say if you haven't had any problems and you'll be enrolled in Prime soon you should wait. But if it's worth it to you to pay for the peace of mind, there's nothing wrong with that.
Pregnancy Quotes
No one else will ever know the strength of my love for you... After all, you are the only one who knows what my heart sounds like from the inside.
So probably it will be the best for you to wait. I just dont quite get it because Tricare Standard covers all pregnancy related appointments,blood test,ultrasounds etc. I am 27 weeks now and I didnt have to pay for one single appointment I had and I am seen off post. You just definitely have to make sure that your doctor writes pregnancy care on his or her claim and Tricare Standard covers 100 %.
So probably it will be the best for you to wait. I just dont quite get it because Tricare Standard covers all pregnancy related appointments,blood test,ultrasounds etc. I am 27 weeks now and I didnt have to pay for one single appointment I had and I am seen off post. You just definitely have to make sure that your doctor writes pregnancy care on his or her claim and Tricare Standard covers 100 %.
Pregnancy Quotes
No one else will ever know the strength of my love for you... After all, you are the only one who knows what my heart sounds like from the inside.
When did you have to pay the deductible and how much was it? I am with Tricare since December and so far I havent paid anything yet but I still dont quite get the stuff with the deductibles.
Tricare Standard covers all pregnancy related appts, medically necessary ultrasounds, L&D for no cost. I had a high risk pregnancy (with at least 20 ultrasounds) and my cost for the entire things including my hospital stay was $25. And this was for my one night in the hospital (the cost was actually $15 but Standard has a $25 billing minimum for overnight hospital stays).
So whoever told you that you would have to pay your $150 deductible and 20% per appt. is wrong. That is for non-OB related care.
Not that you asked, but I would stay on Standard. I have been a military spouse for 8 years now and think Tricare Standard is the best kept secret in the military. For some reason everyone is so scared of it. But it gives you wonderful freedom and choices for what IMO is very little cost.
thank you for the information! The people at tricare are the ones who gave me that info... I am going to an OB that takes tricare tomorrow, will they already be aware of this or will they make me pay? should i contact tricare again prior or just not worry about it? The only reason I am on prime is because my husband is, I will think about keeping standard, i have to get more info on it because im new to it all.
Pregnancy Quotes
No one else will ever know the strength of my love for you... After all, you are the only one who knows what my heart sounds like from the inside.
I had DS on standard and loved it. I paid my $150 deductible and $110 I think it was. I was in the hospital for a total of 8 days I think. Some of those were from my failed induction.