I know how you feel. I posted o GP the other day about the ridiculous exchange I had with a civilian radiology clinic in town trying to schedule an ultrasound. They were dumb as a box of rocks and so inefficient.
By contrast, I went to the lab on base with a similar order for bloodwork from my out of network midwife. They were confused at first, just like the radiology clinic. But five minutes later someone from another office had come over, told me that he was going to fix it, that the system was saying I had to pay OOP because the ordering provider was out of network, but that he was going to make it right because he didn't think I should have to pay for it. 20 minutes after that I walked out of the clinic with my bloodwork drawn and still feeling completely in-irritated. The difference was amazing.
Boo, sorry you don't feel well! I don't know about Prime Remote specifically, but I had to go to Urgent Care last weekend and just had to call the Tricare Nurse line about getting a referral for the visit. I would assume it'd be the same?
I wish I knew more about remote. They really only teach us standard and prime.
I can't believe your PCM doesn't keep appointments open daily for people who are truly sick but not sick enough for emergency treatment. I thought most were on that page. I mean where I'm from they are. This is the stuff that drives up ER wait times. It's stupid for someone to call and say "I'm sick and need to be seen" then see them almost a month later. They'll either get so sick they need emergency care or their illness will have run its course. This is why when people complain about Tricare or Naval I'm all "grass is always greener." I really take ownership of the healthcare system I work in though because I was that way when people complained about the civilian hospital I worked at too.
BeiIng the nerdy respiratory therapist I am, I'd say it will be probably 6 weeks at least for your lungs to recover depending how badly they were affected. I got a crazy bad respiratory infection when I was in my first year of RT school, saw my PCM twice as it didn't improve with one round of treatment then got worse with the second, was in the ER for it, missed class(prior to starting clinicals). It was probably a good 6 months before I felt completely normal again...just for example.
Is there where I confess I miss tricare as the medical bills start to roll in for this one?? Each visit to the cardiologist is costing me about $250 after insurance. I wanna cry.
ETA: also feel better!! That sounds like the suck.
Is there where I confess I miss tricare as the medical bills start to roll in for this one?? Each visit to the cardiologist is costing me about $250 after insurance. I wanna cry.
ETA: also feel better!! That sounds like the suck.
This is why I feel like one of us has to suck it up and stay in regardless of how unmotivated we both get. He's got psoriasis and the cost of those meds for people with regular insurance boggles my mind...it makes me want to throw up.
This is why I feel like one of us has to suck it up and stay in regardless of how unmotivated we both get. He's got psoriasis and the cost of those meds for people with regular insurance boggles my mind...it makes me want to throw up.
H only has 6 years left so when he brought up getting out after recruiting duty, I was like, no fool.
As to your point in your reply to me, when I called they were like, it's flu season, appointments are full.
A big part of me wanted H to stay in because of tricare. Civilian insurance is so expensive! I was such a strange military wife lol. All of his friends wives wanted their H's to get out and I was giving all the cons to him getting out and arguing for him to stay in.
Post by Queen Mamadala on Mar 31, 2015 12:24:50 GMT -5
Oh god yes. I LOVED Tricare (Standard). I read a lot of horror stories, we had truly great care, that I didn't pay much for. Even the MTFs weren't bad.
Civilian insurance plans and doctors... yeah. Weeks or months before getting seen and dealing with all the insurance issues. Hate it.
I wish I knew more about remote. They really only teach us standard and prime.
I can't believe your PCM doesn't keep appointments open daily for people who are truly sick but not sick enough for emergency treatment. I thought most were on that page. I mean where I'm from they are. This is the stuff that drives up ER wait times. It's stupid for someone to call and say "I'm sick and need to be seen" then see them almost a month later. They'll either get so sick they need emergency care or their illness will have run its course. This is why when people complain about Tricare or Naval I'm all "grass is always greener." I really take ownership of the healthcare system I work in though because I was that way when people complained about the civilian hospital I worked at too.
BeiIng the nerdy respiratory therapist I am, I'd say it will be probably 6 weeks at least for your lungs to recover depending how badly they were affected. I got a crazy bad respiratory infection when I was in my first year of RT school, saw my PCM twice as it didn't improve with one round of treatment then got worse with the second, was in the ER for it, missed class(prior to starting clinicals). It was probably a good 6 months before I felt completely normal again...just for example.
I think a lot of PCM's that do not typically work with Tricare expect their patients to have insurance that includes urgent care type visits without pre-authorization for those types of visits. That's almost exactly what urgent care is for - the "I'm sick/hurt/whatever enough I need to see someone, but not so bad that I'll be triaged and seen at an ER within hours of waiting".
It's the one missing element from Tricare that does baffle me. Yeah, you can call and get authorization, but that can be a pain in the ass, especially if you are going to an urgent care facility where there are multiple docs on duty at the time (last time I tried getting pre-authorized for an urgent care visit was a huge failure because I couldn't specify an individual doctor... it was very frustrating, and I ended up just paying out of pocket for the whole dang appointment).
H only has 6 years left so when he brought up getting out after recruiting duty, I was like, no fool.
As to your point in your reply to me, when I called they were like, it's flu season, appointments are full.
A big part of me wanted H to stay in because of tricare. Civilian insurance is so expensive! I was such a strange military wife lol. All of his friends wives wanted their H's to get out and I was giving all the cons to him getting out and arguing for him to stay in.
Health coverage is the biggest reason I want DH to make it to mil retirement. We're not sure he'll make it (damn up or out rules), but not having to worry about health insurance after he leaves the military would open up so freaking many opportunities.
I'm still baffled that the US doesn't realize how amazing socialized healthcare would be for small business. When small business owners no longer have to pay as individuals for health coverage for themselves it means it's a whole lot easier to get into business on your own. And it's a whole lot less risky. And those with particular health issues (ie: diabetes, chronic illness, etc), the cost of individual insurance can be so damn prohibitive...
I wish I knew more about remote. They really only teach us standard and prime.
I can't believe your PCM doesn't keep appointments open daily for people who are truly sick but not sick enough for emergency treatment. I thought most were on that page. I mean where I'm from they are. This is the stuff that drives up ER wait times. It's stupid for someone to call and say "I'm sick and need to be seen" then see them almost a month later. They'll either get so sick they need emergency care or their illness will have run its course. This is why when people complain about Tricare or Naval I'm all "grass is always greener." I really take ownership of the healthcare system I work in though because I was that way when people complained about the civilian hospital I worked at too.
BeiIng the nerdy respiratory therapist I am, I'd say it will be probably 6 weeks at least for your lungs to recover depending how badly they were affected. I got a crazy bad respiratory infection when I was in my first year of RT school, saw my PCM twice as it didn't improve with one round of treatment then got worse with the second, was in the ER for it, missed class(prior to starting clinicals). It was probably a good 6 months before I felt completely normal again...just for example.
I think a lot of PCM's that do not typically work with Tricare expect their patients to have insurance that includes urgent care type visits without pre-authorization for those types of visits. That's almost exactly what urgent care is for - the "I'm sick/hurt/whatever enough I need to see someone, but not so bad that I'll be triaged and seen at an ER within hours of waiting".
It's the one missing element from Tricare that does baffle me. Yeah, you can call and get authorization, but that can be a pain in the ass, especially if you are going to an urgent care facility where there are multiple docs on duty at the time (last time I tried getting pre-authorized for an urgent care visit was a huge failure because I couldn't specify an individual doctor... it was very frustrating, and I ended up just paying out of pocket for the whole dang appointment).
I was actually talking about my hometown. There's not a big military presence there, not a whole lot of people with Tricare, and a lot of urgent care facilities. Despite that, the doctor I went to still had open appointments for "sick call" type stuff. In that scenario the logic still doesn't make sense.
This is why I feel like one of us has to suck it up and stay in regardless of how unmotivated we both get. He's got psoriasis and the cost of those meds for people with regular insurance boggles my mind...it makes me want to throw up.
H only has 6 years left so when he brought up getting out after recruiting duty, I was like, no fool.
As to your point in your reply to me, when I called they were like, it's flu season, appointments are full.
And here I thought we had transitioned to allergy season with all the pollen on my car...lol
H only has 6 years left so when he brought up getting out after recruiting duty, I was like, no fool.
As to your point in your reply to me, when I called they were like, it's flu season, appointments are full.
A big part of me wanted H to stay in because of tricare. Civilian insurance is so expensive! I was such a strange military wife lol. All of his friends wives wanted their H's to get out and I was giving all the cons to him getting out and arguing for him to stay in.
This is the number 1 reason I wanted H to stay in. Our insurance sucks. The only reason I have it is in case something catastrophic happens.
Insurance is the only reason why I'm still technically undecided about H staying in past his contracted time. Considering that we're going on 12 years married, 18 of him in the military (on educational deferment for most of them, dammit), 5 until the contract is up, and 11 until he can retire with benefits, I think we won't make it. I'm not prepared to keep moving around and disrupting my career and our kids' schooling until I'm 45.
A big part of me wanted H to stay in because of tricare. Civilian insurance is so expensive! I was such a strange military wife lol. All of his friends wives wanted their H's to get out and I was giving all the cons to him getting out and arguing for him to stay in.
This is the number 1 reason I wanted H to stay in. Our insurance sucks. The only reason I have it is in case something catastrophic happens.
We got lucky that H got a decent job with decent benefits. The insurance through my company is crazy expensive. His is much more reasonable. But we are still gonna spend a small fortune on Baby Nora's medical bills. Sooo basically we will never be buying a house.
This is the number 1 reason I wanted H to stay in. Our insurance sucks. The only reason I have it is in case something catastrophic happens.
We got lucky that H got a decent job with decent benefits. The insurance through my company is crazy expensive. His is much more reasonable. But we are still gonna spend a small fortune on Baby Nora's medical bills. Sooo basically we will never be buying a house.
Yeah. H's job quoted us at nearly 800 a month for insurance worse than what we have through the school now.
You should've seen my face when we got that quote.
We got lucky that H got a decent job with decent benefits. The insurance through my company is crazy expensive. His is much more reasonable. But we are still gonna spend a small fortune on Baby Nora's medical bills. Sooo basically we will never be buying a house.
Yeah. H's job quoted us at nearly 800 a month for insurance worse than what we have through the school now.
You should've seen my face when we got that quote.
Part of orientation at the civilian hospital I worked at back in 2012 was hearing about their insurance. It was terrible. A single person was paying like $600 a month...wtf is that noise?
Yeah. H's job quoted us at nearly 800 a month for insurance worse than what we have through the school now.
You should've seen my face when we got that quote.
Part of orientation at the civilian hospital I worked at back in 2012 was hearing about their insurance. It was terrible. A single person was paying like $600 a month...wtf is that noise?
It's so fucked up. Health is for the wealthy in this country.
I think it's really easy for people to complain about their free healthcare when they haven't met head to head with the reality of the price tag on civilian insurance.
I think it's really easy for people to complain about their free healthcare when they haven't met head to head with the reality of the price tag on civilian insurance.
Yep. I got into a FB argument with a girl I grew up with. She married a Marine and was blabbing about ACA. A bunch of bullshit about how she shouldn't be paying for other people's healthcare, or some other garbage along those lines. I vaguely remember her saying "People should get better jobs, then!" Dumbass, I HAVE A COLLEGE DEGREE and could only find a job making 10 dollars an hour.
Her whole speech was basically "I have healthcare, fuck everyone else's baby."
I think it's really easy for people to complain about their free healthcare when they haven't met head to head with the reality of the price tag on civilian insurance.
Yep. I legit was sending info to one of my friends because her and her h thought it would be so easy for healthcare. Although she never complained about tricare. But. People don't get it if they never had to pay for their own healthcare.
After my doctor's office telling me I didn't need a referral for Tricare "Active Duty" and me referring to the TPR handbook, I now successfully have a referral. Lol. They were actually really nice about it.
I think it's really easy for people to complain about their free healthcare when they haven't met head to head with the reality of the price tag on civilian insurance.
Yep. I legit was sending info to one of my friends because her and her h thought it would be so easy for healthcare. Although she never complained about tricare. But. People don't get it if they never had to pay for their own healthcare.
I still remember the rude awakening when I moved from Canada (single-payer health system, managed province by province) to the US and got employer-based healthcare.
Not only was it quite a lot more expensive, but it also was horrendously more confusing... And preventative care seemed to just flat out disappear.
Tricare is the closest to a single-payer system we see in the US, so it reminds me a bit of healthcare before I moved to the US. The biggest complexity for it seems to be that it has to interface with regular insurance/non-Tricare-based providers for remote areas and specialties...
Yep. I legit was sending info to one of my friends because her and her h thought it would be so easy for healthcare. Although she never complained about tricare. But. People don't get it if they never had to pay for their own healthcare.
I still remember the rude awakening when I moved from Canada (single-payer health system, managed province by province) to the US and got employer-based healthcare.
Not only was it quite a lot more expensive, but it also was horrendously more confusing... And preventative care seemed to just flat out disappear.
Tricare is the closest to a single-payer system we see in the US, so it reminds me a bit of healthcare before I moved to the US. The biggest complexity for it seems to be that it has to interface with regular insurance/non-Tricare-based providers for remote areas and specialties...
SO much more confusing. Our plan has deductibles, co-pays, and co-insurance. What the hell?
I still remember the rude awakening when I moved from Canada (single-payer health system, managed province by province) to the US and got employer-based healthcare.
Not only was it quite a lot more expensive, but it also was horrendously more confusing... And preventative care seemed to just flat out disappear.
Tricare is the closest to a single-payer system we see in the US, so it reminds me a bit of healthcare before I moved to the US. The biggest complexity for it seems to be that it has to interface with regular insurance/non-Tricare-based providers for remote areas and specialties...
SO much more confusing. Our plan has deductibles, co-pays, and co-insurance. What the hell?
I still don't know what the difference is.
Truth. And as the bills roll in im confused about what I owe since not all of them have been billed to insurance yet.
So. They are in a pile on the desk until I have a clear head to deal with them.