Emergency room question - Military Benefits

Ste9 · 01-23-2007, 09:21 PM

I have a friend whose 12 year this morning woke up with a fever and chest pain. Second time in less than 2 months. Her children see a civilian provider. She took him to the ER at Balboa this am and was told it was reflux and given a GI cocktail. His labs were drawn but really screwy and nothing was said to her. Also had an EKG done which showed a T wave abnormality (same thing it showed last time). She took him home and he's spiked another fever, is having chest pain still and she says that he doesn't look good. Can she take him to Children's ER and have Tricare pay for it? She really doesn't want to take him back to Balboa.

~~HEIDI~~ · 01-23-2007, 09:22 PM

She can go to a civi er esp with chest pain...

Kaymara · 01-23-2007, 09:23 PM

Whats closest to her?

More then likely tricare will try to deny the charges. But if the childrens is closer she "might" be able to fight it. But its gonna be a risk because ER charges are NOT cheap and she MAY end up footing the bill

Casey · 01-23-2007, 09:23 PM

tricare covers emergency visits (in the ER) no matter what. tell her to take him ASAP!!!

JudyB · 01-23-2007, 09:23 PM

I would say yes if they see a civi provider...she can take him to the hospital that their Dr. is affiliated with.

Victoria · 01-23-2007, 09:24 PM

I always thought there's a mileage distance involved...
Unless of course it was a severe car accident or a situation like that...

~~HEIDI~~ · 01-23-2007, 09:24 PM

Chest pains in most cases are Emergencies....Either way the child needs to go back..

~~Donna~~ · 01-23-2007, 09:25 PM

she just needs to call tricare within 72 hours to let them know and it will be covered.

ETA~ my neighbor just did this with her foot. balboa er told her it was sprained. she went to sharp the next day and found out that not only did she break her foot, she tore several tendons. she called tricare before she went and they said it would be covered as long as a phone call is made with 72 hours of the visit.

Krisha · 01-23-2007, 09:26 PM

I would take my child where the best care is regardless of cost. You can fight w/insurance later but the health of the child should always be put first IMO.

USMC ISSUED · 01-23-2007, 09:28 PM

i AGREE... I'D BE PACKING UP THE BAG AND ON MY WAY TO THE HOSPITAL !!

01-23-2007, 09:21 PM	#1 (permalink)
Ste9 MilitarySOS Jewel Join Date: May 2006 Location: San Diego, CA Posts: 5,636 Classifieds: (7) Activity: 12% Longevity: 59%	Emergency room question I have a friend whose 12 year this morning woke up with a fever and chest pain. Second time in less than 2 months. Her children see a civilian provider. She took him to the ER at Balboa this am and was told it was reflux and given a GI cocktail. His labs were drawn but really screwy and nothing was said to her. Also had an EKG done which showed a T wave abnormality (same thing it showed last time). She took him home and he's spiked another fever, is having chest pain still and she says that he doesn't look good. Can she take him to Children's ER and have Tricare pay for it? She really doesn't want to take him back to Balboa. __________________ Visit my Etsy shop - All Ribboned Out Guy meets girl

01-23-2007, 09:23 PM	#3 (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%	Whats closest to her? More then likely tricare will try to deny the charges. But if the childrens is closer she "might" be able to fight it. But its gonna be a risk because ER charges are NOT cheap and she MAY end up footing the bill __________________ Surviving deployment #5

01-23-2007, 09:23 PM	#4 (permalink)
Casey trying to keep my head above water.... Join Date: Oct 2006 Posts: 4,714 Classifieds: (0) Activity: 0% Longevity: 52%	tricare covers emergency visits (in the ER) no matter what. tell her to take him ASAP!!! __________________ Wife to my Navy Vet Toby (11/4/04) Mommy to my Buggah Butt Elizabeth (11/20/06) Thanks Brentscrystal! I it!

01-23-2007, 09:23 PM	#5 (permalink)
JudyB All uphill from here.... Join Date: Dec 2005 Location: Feet on the ground Posts: 24,630 Classifieds: (0) Activity: 56% Longevity: 66%	I would say yes if they see a civi provider...she can take him to the hospital that their Dr. is affiliated with. __________________ Obstacles are what you see when you take your eyes off the goal

01-23-2007, 09:28 PM	#10 (permalink)
USMC ISSUED Senior Member Join Date: Oct 2006 Location: Camp Pendleton, Ca Posts: 7,935 Classifieds: (1) Activity: 8% Longevity: 51%	i AGREE... I'D BE PACKING UP THE BAG AND ON MY WAY TO THE HOSPITAL !! __________________ http://www.yourfriskybusiness.com/

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01-23-2007, 09:22 PM	#2 (permalink)
~~HEIDI~~ Banned Join Date: Jan 2004 Posts: 16,260 Classifieds: (0) Activity: 0% Longevity: 98%	She can go to a civi er esp with chest pain...

01-23-2007, 09:24 PM	#6 (permalink)
Victoria Senior Member Join Date: Aug 2006 Posts: 34,220 Classifieds: (1) Activity: 98% Longevity: 55%	I always thought there's a mileage distance involved... Unless of course it was a severe car accident or a situation like that...

01-23-2007, 09:24 PM	#7 (permalink)
~~HEIDI~~ Banned Join Date: Jan 2004 Posts: 16,260 Classifieds: (0) Activity: 0% Longevity: 98%	Chest pains in most cases are Emergencies....Either way the child needs to go back..

01-23-2007, 09:25 PM	#8 (permalink)
~~Donna~~ Banned Join Date: Jan 2004 Location: New Orleans Posts: 16,885 Blog Entries: 1 Classifieds: (0) Activity: 0% Longevity: 99%	she just needs to call tricare within 72 hours to let them know and it will be covered. ETA~ my neighbor just did this with her foot. balboa er told her it was sprained. she went to sharp the next day and found out that not only did she break her foot, she tore several tendons. she called tricare before she went and they said it would be covered as long as a phone call is made with 72 hours of the visit.

01-23-2007, 09:26 PM	#9 (permalink)
Krisha Senior Member Join Date: Nov 2005 Location: Va Beach Posts: 4,388 Classifieds: (0) Activity: 0% Longevity: 67%	I would take my child where the best care is regardless of cost. You can fight w/insurance later but the health of the child should always be put first IMO.