Tricare Referrals? - Military Benefits

instant_oatmeal · 06-15-2006, 01:34 PM

Has anyone ever used a referral? My primary care manager couldn't help me so she referred me to the ob at the naval hospital. They just called and said that they weren't able to help either

(strange since I never even met with them, I just got the referral on Tues.) They were going to send my referral in to tricare. Do you know what happens next? Do I go to a civilian? How long does this process take?

06-15-2006, 01:36 PM

You will more than likely be champused out to a civilian doctor. That is what I'm going through right now trying to have my jaw surgery.

~~Donna~~ · 06-15-2006, 01:37 PM

you will get a letter in the mail with your authorization #. you use this # to make an appt to see a civilian!! good luck!

Cat · 06-15-2006, 01:37 PM

your PCM is supposed to put thru the referral to Tricare and that Tricare is supposed to find you a Dr based on whatever speciality it is and they are supposed to send you a letter letting you know who you are supposed to see and give you an authorization number. i dont know why tricare said they couldnt help you , unless your PCM didnt put the referral in yet.

mossey2000 · 06-15-2006, 01:47 PM

Sometimes they can go ahead and make your appt depending if the doc is with a group that takes tricare.

Kaymara · 06-15-2006, 02:02 PM

Here how they do it now is you are referred toa civilian. You wait until you get your letter from tricare with the referal. And then you call the Dr and make an appt. You will recieve statement in the mail for your visits but pay nothing. It just shows you what tricare paid and what the civlian Dr accepted

CoffeeGirl · 06-15-2006, 02:35 PM

I have been referred out many times & it always worked out fine-Don't worry hun!

instant_oatmeal · 06-15-2006, 04:48 PM

I just hope they do it fast....I really wanna be preggo soon!!

~Stephie~ · 06-15-2006, 08:48 PM

I process referrals at the office I work at and we have HUNDREDS of Tricare patients. All we do is send the information in to Tricare and they send us an authorization number with exp date and number of visits allowed and then you should get the number or a copy of the referral and then be able to make your appointment. Also if the specialists office can access humanamilitary.com they will be able to pull up the information on your referral as well. We refer patients out to civi docs all the time... not too many problems unless there is a coding error or something like that and just like with any other insurance company you can backdate things and have them corrected. HTH! Good luck!!!

instant_oatmeal · 06-15-2006, 11:38 PM

Thanks girls!

06-15-2006, 01:34 PM	#1 (permalink)
instant_oatmeal Senior Member Join Date: Apr 2006 Posts: 12,605 Classifieds: (0) Activity: 58% Longevity: 61%	Tricare Referrals? Has anyone ever used a referral? My primary care manager couldn't help me so she referred me to the ob at the naval hospital. They just called and said that they weren't able to help either (strange since I never even met with them, I just got the referral on Tues.) They were going to send my referral in to tricare. Do you know what happens next? Do I go to a civilian? How long does this process take? __________________

06-15-2006, 01:37 PM	#4 (permalink)
Cat wife2Rob mom2Robbie Join Date: Jan 2004 Location: Williamsburg, VA Posts: 21,167 Classifieds: (0) Activity: 0% Longevity: 98%	your PCM is supposed to put thru the referral to Tricare and that Tricare is supposed to find you a Dr based on whatever speciality it is and they are supposed to send you a letter letting you know who you are supposed to see and give you an authorization number. i dont know why tricare said they couldnt help you , unless your PCM didnt put the referral in yet. __________________ www.beautipage.com/cdiesta My wifeys are Kris, Jessica and Fireflys Girl.

06-15-2006, 01:47 PM	#5 (permalink)
mossey2000 I'm from the south and sometimes I have a big mouth Join Date: Nov 2005 Location: Gulfport Posts: 9,688 Classifieds: (1) Activity: 40% Longevity: 67%	Sometimes they can go ahead and make your appt depending if the doc is with a group that takes tricare. __________________ Heather Mom to Ethan and Elijah Proud Seabee Wife! I can describe life in three words: It goes on. Robert Frost.

06-15-2006, 02:02 PM	#6 (permalink)
Kaymara Behind every keystroke is a real person Join Date: Jan 2004 Location: Somewhere over the rainbow Posts: 27,350 Classifieds: (7) Activity: 40% Longevity: 99%	Here how they do it now is you are referred toa civilian. You wait until you get your letter from tricare with the referal. And then you call the Dr and make an appt. You will recieve statement in the mail for your visits but pay nothing. It just shows you what tricare paid and what the civlian Dr accepted __________________ Surviving deployment #5

06-15-2006, 02:35 PM	#7 (permalink)
CoffeeGirl Java Queen Extraordinaire Join Date: Jan 2005 Location: Arizona Posts: 56,461 Classifieds: (0) Activity: 20% Longevity: 82%	I have been referred out many times & it always worked out fine-Don't worry hun! __________________ When my time comes, forget the wrong that I've done, help me leave behind some reasons to be missed. Don't resent me when your feeling empty,Keep me in your memory, leave out all the rest leave out all the rest

About Us

MilitarySOS Shortcuts

MilitarySOS Help

About MilitarySOS

06-15-2006, 01:36 PM	#2 (permalink)
Megan03 Guest Posts: n/a Activity: 0% Longevity: 0%	You will more than likely be champused out to a civilian doctor. That is what I'm going through right now trying to have my jaw surgery.

06-15-2006, 01:37 PM	#3 (permalink)
~~Donna~~ Banned Join Date: Jan 2004 Location: New Orleans Posts: 16,885 Blog Entries: 1 Classifieds: (0) Activity: 0% Longevity: 99%	you will get a letter in the mail with your authorization #. you use this # to make an appt to see a civilian!! good luck!

06-15-2006, 04:48 PM	#8 (permalink)
instant_oatmeal Senior Member Join Date: Apr 2006 Posts: 12,605 Classifieds: (0) Activity: 58% Longevity: 61%	I just hope they do it fast....I really wanna be preggo soon!! __________________

06-15-2006, 08:48 PM	#9 (permalink)
~Stephie~ Finding my own path! Join Date: Oct 2005 Location: DFW, Texas Posts: 22,181 Blog Entries: 1 Classifieds: (1) Activity: 9% Longevity: 68%	I process referrals at the office I work at and we have HUNDREDS of Tricare patients. All we do is send the information in to Tricare and they send us an authorization number with exp date and number of visits allowed and then you should get the number or a copy of the referral and then be able to make your appointment. Also if the specialists office can access humanamilitary.com they will be able to pull up the information on your referral as well. We refer patients out to civi docs all the time... not too many problems unless there is a coding error or something like that and just like with any other insurance company you can backdate things and have them corrected. HTH! Good luck!!! __________________ Every Ending is Another Beginning!!!! "For I know the plans I have for you", Says the Lord. Jeremiah 29:11 The cup of e runneth over...

06-15-2006, 11:38 PM	#10 (permalink)
instant_oatmeal Senior Member Join Date: Apr 2006 Posts: 12,605 Classifieds: (0) Activity: 58% Longevity: 61%	Thanks girls! __________________