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Thread: Confused!

  1. Fresh Newbie
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    #1

    Confused!

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    I am on tricare prime and I was wondering if it covers glasses and contacts and if so where do I go to?
    Also my doctor told me I should find counselor but the place he told me to go to has a waiting list to almost september so he told me I could find another doctor. But I am confused about that. Where would I find another doctor?
    I am very new to this.
    I live in Chesapeake Virginia.
  2. "If you don't like my attitude, quit talking to me"
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    #2
    Tricare covers exams for glasses, and the lenses for glasses. It doesn't cover frames nor contacts. That is prime and standard. You can go just about anywhere (walmart, sams, hour eyes, lens crafters...)

    As far as counselor/mental health, you can go to any provider that takes Tricare, since you have the referral just call any that take tricare and you should be fine. You can go to Tricare online to find a doctor.

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  3. Fresh Newbie
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    #3
    Quote Originally Posted by TrishAFSpouse View Post
    Tricare covers exams for glasses, and the lenses for glasses. It doesn't cover frames nor contacts. That is prime and standard. You can go just about anywhere (walmart, sams, hour eyes, lens crafters...)

    As far as counselor/mental health, you can go to any provider that takes Tricare, since you have the referral just call any that take tricare and you should be fine. You can go to Tricare online to find a doctor.
    That sucks! about the frames and contacts!

    But thanks.
  4. Senior Member
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    #4
    Tricare covers exams for glasses, and the lenses for glasses.>>

    Tricare has never covered lenses for DDs glasses, just the exam. They do cover them for a very few conditions, but not for basic near and farsightedness.

    Glasses and Contacts
  5. "If you don't like my attitude, quit talking to me"
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    #5
    Quote Originally Posted by jane3 View Post
    Tricare covers exams for glasses, and the lenses for glasses.>>

    Tricare has never covered lenses for DDs glasses, just the exam. They do cover them for a very few conditions, but not for basic near and farsightedness.

    Glasses and Contacts
    Hmmm.. that's new. Only thing I've ever paid for my son is the frames.. lenses came free, and this was last summer.....

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  6. MilitarySOS Jewel
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    I don't think they cover adult glasses at all.

    TRICARE covers contact lenses and/or eyeglasses only for treatment of:

    Infantile glaucoma
    Corneal or scleral lenses for treatment of keratoconus
    Scleral lenses to retain moisture when normal tearing is not present or is inadequate
    Corneal or scleral lenses to reduce corneal irregularities other than astigmatism
    Intraocular lenses, contact lenses, or eyeglasses for loss of human lens function resulting from intraocular surgery, ocular injury, or congenital absence
    "Pinhole" glasses prescribed for use after surgery for detached retina

    Note: Adjustments, cleaning, and repairs for eyeglasses are not covered
    Glasses and Contacts
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    #7
    They have only covered exams. Never my lens or frames.
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  8. "If you don't like my attitude, quit talking to me"
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    #8
    They cover adults.. its all dependents...

    This is really bazaar.. I swear i have only ever paid for frames... guess i'll find out in the next month or two if something is 'new'... for us

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    #9
    They cover adults.. its all dependents...>>

    DH has been in for 27 years and frames and lenses have never been covered for normal conditions. At one time, you could go on post for the exam and get their frames and lenses, but that isn't an option at most places anymore.
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    #10
    I've been told by Tricare when I called them(like 2? months ago) they do not cover glasses/frames for adults. They said they covered just the appointment, and then if something is wrong that needs medication/surgery they cover that though.

    As for the counselor you need a referral to see whomever you wish to see. With Tricare Prime to see ANY civilian specialist you need a referral. Go to your doctor and have them submit a referral for you, because it has to be approved by Tri-care. If you go out and just try and find a doctor that takes Tri-care you risk paying the full amount of the visit out of your own pocket.

    Happened to me twice once fora GYN that I had been seeing for over a YEAR. I went to her to talk about birth control, because that is what I've ALWAYS done my whole life. Growing up and even once I had my own health insurance before Tri-care. If I had issues down there like pain, or if I wanted to talk about birth control. I just went to my normal GYN, because you only needed ONE referral. Not 2, 3, and even 4 referrals for the SAME darn doctor. Which is what got me I went, had my annual check up done thinking "this is normal I need this done", and then when I started talking to the doctor about Birth control. She cut me off and said she couldn't talk to me about birth control "on record" without a new referral since Tricare wouldn't of covered the appointment if she had noted that is what we had talked about. She said to call and make sure it was okay before she'd proscribe anything..


    Then when I called Tri-care they had said my referral was "expired". I was also told that to see ANY specialist you need a referral from your primary to the person you wish to see. Which your primary first will sumit it and see if Tricare approves it. They may not because they may instead want you to see someone on base. Again that is what happened to me with the above. Instead of sending me back to the GYN I had been seeing for a year, the GYN I requested, and wanted to do my IUD. They sent me to some doctor I had never met on base to have the IUD put in. I understand why they did it, it's cheaper for them, but it still pissed me off. That is the one doctor I am not at all comfortable with going to just any old doctor.


    So before you go anywhere call Tri-care and ask them. Do not just go on their site and pick out a doctor. If you had standard you'd have more choices when it came to doctors you saw/were to see. With Prime though your choices are more limited so cover your butt and call them..
    Last edited by LoveMikeyBear; 07-12-2012 at 04:26 PM.
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