Tricare

[Shaky]

Do you have prime, standard or what? and why?

[Brandi]

Prime for right now but if we go back to Jacksonville, we'll all be standard. No way in hell am I EVER going back to the hospital at NAS Jax again.

[Kaymara]

We have prime...

I am very happy with Prime for several reasons. Yes I have to see a Dr on base. But if I get a referreal for things out in town I pay nothing..My delivery for Ethan was over 18,000 dollars out in town and I paid zero of it. That doesnt include my monthly, and weekly visits while pregnant. I have never had to pay for anything including a surgery I had, Ethans delivery, prescriptions (unless I go out in town and then it was only 3-9 bucks) Ethan's care is covered etc...

With Standard you do have more Dr choices but you do have to pay 20% of your bill plus a co-pay in some cases. FOr us that just wasn't going to work because even tho it is only 20% it still adds up. And you have a deductible as well.

[Caimbrie]

I have prime because it's completely free... but I do wish I had standard sometimes because I REALLY hate going to the OB in Portsmouth Naval Hospital. Less than 2 years ago they changed it to where you HAD to go to the hospital OB.

[Shaky]

Brandi, why do you hate the NAS hospital so much?
What if I have Prime but I want to see an out side doctor? can I do that?

[Caimbrie]

not unless it's a specialist that you are referred to for something. But as far as OB and PCM you HAVE to go to a Navy facility. If you want civilian you have to have standard.

My sons have a civilian pedi.. but that's because there were no navy pedi's with room to take them..

[Kaymara]

Originally Posted by Caimbrie_Submariners_Wife not unless it's a specialist that you are referred to for something. But as far as OB and PCM you HAVE to go to a Navy facility. If you want civilian you have to have standard. My sons have a civilian pedi.. but that's because there were no navy pedi's with room to take them..

Depends actually. NS Great Lakes does not do pregnancy (even tho they have a MTF and military hospital) so I saw a civlian my entire pregnancy and delivered EThan at a civilian hospital...I was referred out because of that so I got to choose my hospital etc

if you want to see a civilian with prime you do need a referral first

[IgglesmumX2]

We're prime because of the co-pay with standard. I desperately wish we could see a civilian doc but with all of my and Bradley's medical problems we would go broke.

[Frankie Lee]

Prime- it works best for our family!

[Kym]

We have always had Prime and have seen civilian doctors. In Florida we all saw civilians and that was allowed without a referral. Up here in IL we see a navy doctor because we have to. Each region has different rules.