tricare reserve select question?

Re: tricare reserve select question?

• LemonLover33

  September 2011

  https://www.tricare.mil/mybenefit/jsp/Medical/IsItCovered.do?kw=Infertility+Treatment

   

  TRICARE may cover the following types of infertility testing and treatment.

  Diagnostic services to identify physical illnesses or injuries to the reproductive system are covered for both men and women. Infertility treatments, corrective treatments and surgeries for women are also covered. However, correction of male infertility may be cost shared, which is determined on a case-by-case basis.

  Therapies covered by TRICARE include hormonal treatment, corrective surgery, antibiotics, administration of human chorionic gonadotropin (HCG) or radiation therapy depending on the cause. These therapies are covered for both sexes.

  TRICARE also provides medically necessary appropriate medical care for erectile dysfunction due to organic, vice psychological or psychiatric, causes.

  Exclusions:

  • In-vitro fertilization (IVF) for women (see note below)
  • Reversal of surgical sterilization is not covered for either sex.

  A note about IVF: While TRICARE does not cover IVF, there are four military treatment facilities (MTFs) where IVF medical training programs are conducted. Beneficiaries who participate in these programs will be responsible for all MTF costs.

  • Wilford Hall Medical Center in San Antonio
  • Tripler Army Medical Center in Honolulu
  • Walter Reed Army Medical Center in Washington, D.C.
  • Naval Medical Center in San Diego
    

  

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• summerof69

  October 2011

  Thank you for the information. I just wanted to gather some info before contacting tricare.

  Last question Out-of-Pocket Costs.

  I understand  deductibles. What do they mean by cost share? Please give examples.

  Let us say I go to a doctor and the bill is $300 i have to pay $45?
  

  After you've met an annual deductible, you're responsible to pay a cost share (or percentage).

  Type of Provider	Outpatient Cost Share	Inpatient Cost Share
  Network	15% of the negotiated rate	$16.85 per day ($25 minimum charge)

   

   

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• cattynine member

  October 2011

  summerof69:

  Thank you for the information. I just wanted to gather some info before contacting tricare.

  Last question Out-of-Pocket Costs.

  I understand  deductibles. What do they mean by cost share? Please give examples.

  Let us say I go to a doctor and the bill is $300 i have to pay $45?
  

  After you've met an annual deductible, you're responsible to pay a cost share (or percentage).

  Type of Provider	Outpatient Cost Share	Inpatient Cost Share
  Network	15% of the negotiated rate	$16.85 per day ($25 minimum charge)

   

   

  I found it confusing too. We have been on TRICARE select for a year and never used it until I got pregnant. So far we have paid NOTHING! Not even co-pays for appointments. I called and asked about the annual deductible and I still can't figure out when that applies because several phone reps told me we don't pay them for normal appointments. So maybe that's only for catastrauphic events? 
  

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• summerof69

  October 2011

  Thank you very much this helped me a lot. I called tricare and the rep said tricare res select is like standard. One question i forgot to ask if any Rx medicine was covered.
  

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