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Thread: Tricare eye related

  1. Regular Member
    UAValli's Avatar
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    #1

    Tricare eye related

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    I know I should probably just call tricare, but just wanted to see if anyone knew what are the best eye coverage care with tricare?

    When I was a year old, I was diagnosed with strabismus in my left eye in Germany when my dad was in the army. I feel I was misdiagnosed as I have looked up different eye problems and strabismus seems like it was a throw a name out there to make the parents happy kind of thing.

    Anyway, I can see out of my left eye to the point I can see colors and objects, but it seems like a periphial vision kind of sight where I can't focus in on things. It's not blurry, just not focused. Hard to explain. It is straight for the most part until I look to the left it goes over a little further when I'm tired or unfocused, but it wasn't always like that. I had two surgeries before I was a year old, and the doctor's said I needed to wait until I was at least 10 because the surgeries were not working. I had one when I was 11, and it corrected the straightness for the most part, but like I said it still drifts every once in a while.

    Anyway, I have an eye appointment Nov 4 for a full eye exam on post, and I just wanted to know if anyone has ever heard of tricare covering an eye surgery for vision, alignment or whatever if they felt that would be the way to go?
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    #2
    Yes, tricare will cover eye surgery if it is deemed needed. Get your exam on base ask for a referral to see an ophthalmologist and see what they say. If surgery is needed tricare will cover it (I believe as long as it is not cosmetic at least it sounds as if this is not so I am just stating). My son had surgery when he was in kindergarten and tricare covered it completely. They even covered two different ophthalmologists because we hated the first one that tricare suggested.

    Good luck!
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    gunsgirl's Avatar
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    #3
    they do not pay for lasik or corrective procedures for cosmetic reasons. they will pay for eye repair due to damage or medical reason.
    there is only one type of eye coverage with Tricare. regardless of the type of Tricare you use.
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    Lynn's Avatar
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    #4
    Yes, the coverage for eye care is provided through Tricare. The regular optometry appointment that you are having on base may not get you the answers you need though.

    I'm going through this myself right now. Your PCM can refer you for some ophthalmologist appointments, or they can refer you to the specialist that can refer you for a specific specialization of ophthalmology. For instance, my PCM right now wants me to get my annual optometry exam but also wants me to see a neuro ophthalmologist. After several phone calls back and forth with Tricare and the neurologist she's referring me too, they found SHE as my PCM can't refer me to a neuro ophthalmologist but the neurologist can. So I'll have to wait to make that appointment until after I see the neurologist.

    I hope that helps. Let me know if you have any other questions, I've been dealing with several phone calls about just this topic this week.

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