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Thread: Tricare Standard Deductable Question

  1. MilitarySOS Jewel
    Procella's Avatar
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    #1

    Tricare Standard Deductable Question

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    When I gave birth I paid my provider $150 for myself and DD. For some reason tricare has decided neither of us met the deductible and I have now paid an additional $300. I have tried calling tricare twice but get the does not compute answer of but you haven't met the deductible yet. I am not sure what to do. Other than pull checks and receipts but who do I send that too? Is it the providers or tricare who are responsible for the refund? Tricare's answer to that question is "you haven't met the deductible".
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    #2
    If you paid the $100 (E-4 and below) or $300 (E-5 and above), you hand in your receipts to the Tricare office at your MPF.
    That is what I would assume...

    To file a claim, you must complete and sign a TRICARE DoD/CHAMPUS Medical Claim—Patient’s Request for Medical Payment form (DD Form 2642), available at www.tricare.mil/claims or your regional contractor’s Web site.
    Beneficiaries (age 18 and older), spouses, parents, or guardians may sign the initial claim form, but later forms (needed to process a claim) must be signed by the beneficiary (or parent or guardian if the patient is under age 18).
    Attach a readable copy of the provider’s itemized bill and include:
    • Patient’s name
    • Sponsor’s Social Security number (SSN) or Department of Defense Benefits Number (eligible former spouses should use their own SSNs, not the sponsor’s)
    • Provider’s name and address (if more than one provider’s name is on the bill, circle the name of the provider who performed the service)
    • Date, place, description, and charge of each service
    • Diagnosis (if the diagnosis is not on the bill, complete block 8a on the form)
    "Obstinacy is a fault of temperament. Stubbornness and Intolerance of contradiction result from a special kind of Egotism, which elevates above everything else the pleasure of its own autonomous intellect, to which others must bow.: Carl von Clausewitz

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