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Thread: Prime and ER visit

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    #1

    Prime and ER visit

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    Do I need to call Tricare and notify them I went to the ER yesterday morning? My PCM is aware, but I've been so sick that I didn't think about notifying Tricare.
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    #2
    Emergency Situations

    You are not required to get a referral from your PCM in an emergency situation. You must, however, notify your PCM within 24 hours of the emergency room visit (or by the next business day), for advice on follow-up care. This is especially important because follow-up care at the ER (or advised by the ER) is not covered by TRICARE. You will be responsible for any costs associated with that care.

    TRICARE Redefines “Emergency”
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  3. Ummmmm...........
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    #3
    ..wrong stuff IGNORE I lost my mind temporarily
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    #4
    Did it again.
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    #5
    Poop hang on, Ill get it right in a minute.

    Wow this was way to much work for me....can ya tell I am tired.



    This is what I was trying to get posted

    Quote Originally Posted by docsRN View Post
    This is only sometimes true. It really depends on Tricare. If you have a military hospital close and you go to a civilian hospital and it isn't an emergency by Tricare standards they can refuse to pay the bill and it will end up being your responsibility.
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    #6
    Was it civilian? I went to the Naval Hospital here, and didn't even think to tell my primary.Never got billed. Then when DD went to the ER when in Texas her grandmother took her to a civilian doctor(used DD's insurance card), and never contacted DD's primary. Again never go billed that was an emergency though DD got a hold of her grandmothers medication so she was rushed to the ER.... Being sick I'm not sure if they'd cover it Tri-care is pretty dam picky about what they cover.
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    #7
    I'd call just in case. I had to do the same thing last night, and while it is most likely covered, I'd rather be safe than sorry. Hope you're feeling better!


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    #8
    I have never contacted my pcm or tricare whenever I've gone to the er and never had a problem with them paying for it. Sometimes I'd get a paper in the mail from them to fill out, basically just asking if the visit was a result of actions of a third party. I'd just check the no box, sign it, and mail it back.

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    #9
    Yes it was civilian. I am no where near a military instillation. I've notified my PCM, but I will call Tricare Tuesday just to be sure. And when I say I am no where near a military instillation, I mean, the closest one to me is about 125 miles away.

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