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Tricare Woes

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Updating information on expanded Tricare benefits [Apr. 20th, 2010|02:51 pm]
Tricare Woes

tryst_inn
[Tags|, ]
[Current Mood |accomplished]

An FYI:

Military.com has set up additional information on our expanded Tricare benefits. The page seems quite simple and has valuable links to specifics on each.

Highlights include:
Tricare dental
Long term care
Counseling

There's also vital contact information at the bottom of the page.
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Conversation Stoppers [Sep. 16th, 2009|06:27 pm]
Tricare Woes

tryst_inn
[Tags|, ]
[Current Mood |aggravatedaggravated]

So what's the dumbest, most misogynistic, annoying or otherwise offensive thing a Tricare medical professional ever said to you and yours?

(my comment will be posted below)
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Unfortunate nonsense [Sep. 10th, 2009|05:29 pm]
Tricare Woes

tryst_inn
[Tags|]
[Current Location |United States, Washington, Coupeville]
[Current Mood |annoyedannoyed]

My doctor is out on maternity leave and I'm incredibly happy for her, especially as an older mom (she's in her 40s). Unfortunately, that means I have to see someone else for my Diabetes and other medical issues. Now, one would think that Tricare would have sent us a letter letting us know we've been temporarily re-assigned to another doctor for 6 months or so but I only found out when I called for my 3 month Diabetic check up.

Worse yet, they've re-assigned all of us to the most misogynistic doctor on their staff, Dr. L. One they have consistently tried to assign me to over the years and I've always refused to see him. The man is a menace! He thinks women's reproductive problems are all "in our dear little heads" and that women have forced the AMA to recognize "non-existent feminine hysterical diseases like Fibromyalgia". My husband almost punched him after one of these insipid little speeches. That they even keep him on staff is ludicrous.

So Dr. L is NOT an option for me. Now Tricare has re-assigned me to a FNP whom I actually like but it's only a matter of time before they realize as a Diabetic their rules do not allow me to see a Nurse.

I really hate this crap.
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Once again, Tricare is forced to cover a patient's care over bad PR [May. 13th, 2009|04:12 pm]
Tricare Woes

tryst_inn
[Tags|, ]
[Current Mood |annoyedannoyed]

By Joel Moreno
LAKEWOOD, Wash. -- A young boy fighting a rare and deadly disease will get a chance to fight for his life after his insurance provider decided to approve a potentially life-saving procedure. One-year-old Aiden Lopez was born with Sanfilippo syndrome and lacks an enzyme that breaks down proteins and sugars, which causes toxins in the body to build up to fatal levels.

His sister Hannah also suffers from the same problem, but doctors say they can't save her because the disease has already dominated her body. She isn't likely to live past her teens.

"Usually these children die in their second decade of life. So their teenage years, by that time, they're usually wheelchair bound, they're having seizures," said Dr. Paul Szabolcs of Duke University.

But Aiden is young enough that Szabolcs believes a stem cell transplant may be able to save him. His family was eager to move forward with the treatment, and their insurance provider, TriWest HeathCare Alliance, approved Aiden's visit to Duke for preliminary tests which gave them hope their son might be saved. But TriWest twice refused to pay for the $700,000 procedure, saying the clinical trial was considered unproven. Aiden's mom, Penny Lopez, said in an interview with the KOMO Problem Solvers that they found two other insurance companies that deemed the procedure medically necessary and do approve it for treatment of Sanfilippo syndrome.

"We're at our wit's end," she said last week. "We're trying to save our son, and it's like we're beating our heads against a wall."

But on Wednesday, the family got good news when TriWest informed them that they would approve the transplant. Aiden could get the procedure by the end of the month.

http://www.komonews.com/news/local/44927947.html
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UHM SERIOUSLY? [Mar. 16th, 2009|08:35 am]
Tricare Woes

riseabove
[Current Mood |annoyedannoyed]

TriCare FAIL:

I was all happy that I was going to get to post a GOOD POST here, because I found a TriCare approved Optometrist. Located "in Ann Arbor" (I live across the street from Ann Arbor, basically) with an Ann Arbor address and everything.

I call to make an appointment. The TriCare doctor is only in on Tuesdays, in a city 40 minutes away. I am in school from 10am until 9pm on Tuesdays, basically. That's not going to work. I am not driving even further, to Jackson, for a fucking eye exam.

THEY ALSO DON'T DO CONTACT RX's
THEY ALSO DON'T CARRY GLASSES
THEY ALSO DON'T DO THE LENSES


uhm WTF *do* they do, besides piss off people like me?

Oh, one Thursday a month he's in - next one is 16th April - I WILL BE IN SAN DIEGO.

WTF PEOPLE!?


The part that really pisses me off is the fucking reception asks me "what day of the week is best for you?" and when I say "Friday mornings" she says "WELL THE DOCTOR IS ONLY IN ON TUESDAYS"

WTF WHY ASK ME WHAT DAY WORKS YOU DUMB CUNT?!?!?!?!?!??!




*storms off*
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need help [Feb. 11th, 2009|10:32 am]
Tricare Woes

riseabove
[Current Mood |sorein pain.]

My job canceled my health care. nice eh?


So I need to find out if my husband has canceled my tricare. I've not been able to use it here in Michigan even though I was assigned a PCM here about 40 miles away. Please don't ask me why, having to get into it enrages me.


Anyone have the # for TriCare Prime? I live in Michigan. I have GOT to see a doctor, I may need surgery on my shoulder, I have a small tear in my shoulder and it's reaching unbearable levels of pain now. I'll end up going the ER if I have to, but I'd rather not have to do that.



I miss my home country when shit like this happens. Socialized healthcare for the win.........
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Too Good to Be True [Jan. 28th, 2009|04:03 pm]
Tricare Woes

tryst_inn
[Tags|]
[Current Location |watchtower]
[Current Mood |annoyedannoyed]

Insomnia has once again become a huge issue in my life, so I made an appointment with my PCM for a prescription of Lunesta. I was *most* clear - Lunesta. And what do you know - she walked in and handed me a prescription for it without a single question.

So I walked out of there thinking, "wow, Tricare has really got it's act together! I'm impressed! Perhaps I need to post about a positive experience on the LJ Tricare community apologizing for years of complaints!"

I was naive: I'll explain why.

I went to a local pharmacy (Walgreens) to have it filled and sure enough, I wasn't approved for Lunesta. And it's a Friday so no way to get my PCM on the phone, so I leave it with the pharmacy with instructions to call me when it's ready. And I stupidly thought this would be cleared up by Monday. No call on Monday. No call no Tuesday. And it doesn't ring on Wednesday, either but that's when I lose my tempter and call them.

Yep, I have a prescription for Ambien waiting for me. *gulp* What? Ambien doesn't work. Never has in the five years I've been with Tricare, since every year they insist I try it again and it doesn't work. Tricare even sent me to a sleep clinic for insomnia and the clinic gave me two Ambien. And it didn't work. And yet, Tricare makes me try it every year, apparently in the hope it will work this time. And you know what? I did that stupid month worth of Ambien this Spring. Didn't work. Surprise!

I've requested a follow up with my PCM to once again have this discussion.
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Tricare Prime + ER [Dec. 23rd, 2008|09:43 pm]
Tricare Woes

riseabove
[Current Mood |soreowch.]

I may have asked this before... if you have TriCare Prime, can you just go to the ER?

I assume you can, my husband's done it before but I don't know if it makes a difference because he is AD Army and I'm the dependant... I went to the ER back in the summer and never got a receipt or bill or anything... I'm assuming I can then. But I just wanted to make sure... as I may be needing to go in another couple days if this issue I'm having gets any worse. I have an appt to see an orthopedic surgeon next Tuesday, through my secondary insurance with the job I have, but the problem is getting worse by the day and I am thinking I might need to go in sooner.


Anybody know the answer? Sorry if this post sounds weird or is repetitive or anything, I'm on a lot of pain meds at the moment.
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To no one's surprise [Oct. 17th, 2008|11:23 am]
Tricare Woes

tryst_inn
[Tags|]
[Current Location |watchtower]
[Current Mood |bitchybitchy]

Some of you may remember this?
http://community.livejournal.com/tricare/424.html

I called today to make an appointment and lo and behold, I've got another new PCP.

That's the fifth one since May.
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How this got started [Aug. 19th, 2008|07:23 pm]
Tricare Woes

tryst_inn
I'm dedicating the Summer of 2008 as the Summer of Tricare Hell.

I appreciate that Tricare is understaffed and underfunded, but honestly, its getting dangerous now. I tried to understand when they stopped providing sharps for Diabetics, but now I'm just getting annoyed. And scared.

Our hospital has become so overwhelmed and understaffed, they barely have doctors. And since I'm a Diabetic, they insist I see one, even if its not for something Diabetes-related. Now, Tricare has a one week guarantee for diabetics to see a doctor, but in reality it can take months because 1/2 hour appointments (which they also require for Diabetics) are so hard to get because they have so few and they fill up quickly. And though the policy and all written statements says we're to see an Endocrinologist annually, my PCMs won't let me. Which brings me to another issue -

Literally, I've been re-assigned to new doctors about every 3 weeks this summer. And during the interim they won't let me make appointments. Which is excruciating as I've been recovering from a knee injury and have had to go in for x-rays, follow ups, etc. My last annual exam the PA forgot to order thyroid tests and a bunch of things a woman my age should have done, including a mammogram (which we haven't a machine here, anyway) and worst yet, forgot to order an A1C. The lab took three vials of blood, what the hell did they do with it?

I'm on my eighth PCM in 3 years, fourth this summer alone. So much for continuity of care, eh? And guess what, Tricare is sending me to yet another PCM according to the note I got last week.
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