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Thread: Not to beat a dead horse but, (chiropractic care and tricare).

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    #1

    Not to beat a dead horse but, (chiropractic care and tricare).

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    I've noticed chiropractic care has been covered here, (in fact a Google search on why tricare won't cover chiropractors brought me here). Was wondering if anyone has had success appealing to tricare to get chiropractic care covered?

    Some background, I'm 26 years old, have had documented back pain since I was 19 (first noticed pain when I started working at 16, didn't get too bad until I started working at a daycare center at 18), and found out I have a bulging disc in my lower back and deterioration, sometimes getting sciatic pain as well. No big deal, still on my parents insurance, covered it, I felt like a new person. Got married, found out tricare is one of few insurance providers that covers preexisting conditions, and was very happy. Until I had my first doctor visit with a military doctor and was basically told I'm out of luck. With a little pushing got to see some guy on base who told me that he expected to see me 3 times and I would be fine (lies!).

    Never saw him again, in no way did he help. Asked at next base we went to and was told I was out of luck. Asked again when we were stationed at our current base, nothing. I'm going to see my next doctor on Wed and will once again plead my case.

    It's just driving me crazy because I have an MRI image showing this, could probably get it to show them, but they will do nothing but throw pain pills at me, instead of actually fixing the problem. I've been to the ER two or three times because the pain has gotten so bad and still nothing! Except muscle relaxers, which do me no good since I can't take them while I'm working.

    Has anyone had any luck getting anything to do with back pain covered? Also not currently pregnant, nor have I ever been, but was informed by my chiropractor that my pain would get worse as I get older (it has, I'm of no use during moves, too much pain) and definitely when I get pregnant (kinda why I'm afraid to get pregnant). And I did initially see a physical therapist, didn't do anything for me. Also got shots that did nothing.

    Tl;dr: documented back problems, trying to get covered, any advice?
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    #2
    Nothing against chiropractors but what kind of work was done to fix your pain. Depending on what was done, seeing one could screw you up worse as opposed to make you better.

    Last I knew chiropractors are not covered. There are other forms of alternative therapy that is covered though so if you need something perhaps check into what is available where you are. Otherwise you will have to pay for the chiropractor yourself.
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    When I first found out about it, was prescribed 800mg ibuprofen, then sent to physical therapy, which didn't help. So they sent me to a back specialist who did x-rays and then MRI, found it was a bulging disc, got the shots, which did nothing, and that's when they sent me to chiropractor, which did wonders.

    Since being on tricare I saw that one guy on base once like close to 4 years ago and he did nothing to fix the pain. Since then it's just been Mobic for the pain, but it's getting so bad now that it's not working anymore. Recently I've been prescribed Flexeril (muscle relaxer) but I can only take it at night because it makes me kinda sleepy, and it's not recommended to drive a car after you've taken it, so it does me no good when I'm at work and have pain.
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    I've never heard of anyone getting it covered on Tricare. Just because one PT didn't work doesn't mean another won't, so you might try that again, too.

    If you are set on chiro, it will likely have to be out of pocket. I'm not a tax professional, but some healthcare costs may be deductible, so you might get at least some of your costs back that way.

    Does your work have an HSA?
    Science always wins over bullshit. ~Dick Rutkowski
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    I'll have to look into that tax deductible thing, might be worth it. I can't get insurance through work, I'm part time, no benefits

    I've only heard of some people getting it covered, some have said they appealed it after they got doc to make the referral.
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    #6
    I went to a chiro during pregnancy and paid out of pocket. Have you looked into the out of pocket costs? Mine was $45 a visit which wasn't too bad. Much less than I thought it'd be.
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    #7
    Also had herniated disc in my back. Always went to PT. My last PT did manipulations similar to what I imagine a chiropractor would do, so I also suggest you try to see a PT.
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    I can tell you depending on what is wrong with your back, seeing a chiro could be very bad news. My husband was told never to use one as he could become paralyzed if they did one thing wrong.

    I would try a different PT clinic or even see if the damage to your back has increased where surgery is needed.

    But push come to shove, pay for the chiro out of pocket. Like everyone else, I have never known tricare to cover it. Everyone I know has to pay out of pocket.
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    #9
    Additional question: Even if there is a chiropractic clinic in the on-post hospital, Tricare doesn't cover it? I could swear I saw one at my last post...
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    #10
    I swear I posted this before, but it's not there, so I'm posting again.

    The Tricare website seems very definitive in that chripractic care is *not* covered for dependents. Ever.

    The Chiropractic Health Care Program covers chiropractic careChiropractic care emphasizes the recuperative power of the body to heal itself without the use of drugs or surgery. at designated military hospitals and clinics for:

    Active duty service members
    Activated Guard/Reserve members
    All other beneficiaries can be referred to non-chiropractic health care services (e.g., physical therapy or orthopedics) or can get chiropractic care in the local community at their own expense.(bolding mine)


    Quote Originally Posted by she_lurks View Post
    Additional question: Even if there is a chiropractic clinic in the on-post hospital, Tricare doesn't cover it? I could swear I saw one at my last post...
    Per the above, that's for serivce members only.
    Science always wins over bullshit. ~Dick Rutkowski
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