Anyone? - Pregnancy

Dez · 11-06-2009, 03:57 PM

Has anyone switched over from tricare prime to standard in the middle of their pregnancy? Just curious...because we are having some issues with the care we are receiving at the hospital on post and are probably going to switch over to a civilian Dr. Just wanted to see if anyone else has gone through this and if you have any pointers.

barre_baby · 11-06-2009, 05:24 PM

i have been trying to find out this info myself ill be watching this post

antjen · 11-06-2009, 06:53 PM

I did right after I found out I was preg again. They would not refer me off post to a specialist after 4 losses and I had enough. My only advice is to make sure you have them fill out the global authorization form before the first visit. If not you have to pay the 150 co-pay. It's a one time fee though, so it's not that bad. Also my drs office sends bloodwork off to the lab, unless the lab is covered you will have to pay a small percentage of the cost. I have paid like 30 dollars for 2 sets of draws. Emergency rates can be high I have heard, but the hospitals that I had to go to twice did not charge a certain fee that they usually charge for standard. I have no idea if that is done at most places or not. Also you still can go on post for ER and pay nothing so it's all up to you. HTH

ColCoolPants · 11-06-2009, 08:06 PM

I'm not all that savvy on this stuff, but can't you just ask for a referral to an off-post provider?

antjen · 11-06-2009, 08:13 PM

Yeah well in an ideal world lol....my primary dr would not give me a permanent referral. He did give me a one time thing and I went to my dr now off post for a consult. The off post dr sent over a treatment plan for me to the on post. He did not agree and refused to do what he said. Just wanted to do the same thing we had been doing...which wasn't working. Apparently the high risk dr has no idea what he is talking about. Although I am now 33 weeks pg with a healthy baby girl.

antjen · 11-06-2009, 08:15 PM

Originally Posted by ColCoolPants

I'm not all that savvy on this stuff, but can't you just ask for a referral to an off-post provider?

Just realized you probably weren't talking to me!

ColCoolPants · 11-06-2009, 08:39 PM

Originally Posted by antjen

Just realized you probably weren't talking to me!

heh, it's all good. I did post directly after you; and in your post you talked about how they wouldn't refer you out. I thought with prime, you could request out. They can either deny you (like in your case) or approve you. Honestly, if I could do it all over again, and I wasn't already 33 weeks pregger, I would go with standard and see an outside provider. I totally understand what the OP is talking about. My level of care has been terrible.

He*Is*My*Life · 11-06-2009, 08:51 PM

Are you all living on post.....bc i live off post and i can switch pcms and i have one off post and im in prime.....but i think if you are living on post they provide you with a pcm in the hospital if im right

Jenn026 · 11-06-2009, 08:54 PM

I am/have never been pregnant BUT i fully intend on switching back to standard if not now, than when I get preggo. i HATE the base hospital here and do not trust them for any medical care at all. So I completely understand why you want to do thi.

11-06-2009, 03:57 PM	#1 (permalink)
Dez Destiny <3 Join Date: Feb 2008 Location: Georgia Posts: 1,449 Classifieds: (0) Activity: 90% Longevity: 29%	Anyone? Has anyone switched over from tricare prime to standard in the middle of their pregnancy? Just curious...because we are having some issues with the care we are receiving at the hospital on post and are probably going to switch over to a civilian Dr. Just wanted to see if anyone else has gone through this and if you have any pointers. __________________ Aiden Joshua

11-06-2009, 05:24 PM	#2 (permalink)
barre_baby Senior Member Join Date: Jul 2008 Posts: 2,884 Classifieds: (0) Activity: 68% Longevity: 23%	i have been trying to find out this info myself ill be watching this post __________________

11-06-2009, 06:53 PM	#3 (permalink)
antjen Junior Member Join Date: Jun 2008 Location: Ft. Carson, CO Posts: 168 Classifieds: (0) Activity: 14% Longevity: 23%	I did right after I found out I was preg again. They would not refer me off post to a specialist after 4 losses and I had enough. My only advice is to make sure you have them fill out the global authorization form before the first visit. If not you have to pay the 150 co-pay. It's a one time fee though, so it's not that bad. Also my drs office sends bloodwork off to the lab, unless the lab is covered you will have to pay a small percentage of the cost. I have paid like 30 dollars for 2 sets of draws. Emergency rates can be high I have heard, but the hospitals that I had to go to twice did not charge a certain fee that they usually charge for standard. I have no idea if that is done at most places or not. Also you still can go on post for ER and pay nothing so it's all up to you. HTH __________________

11-06-2009, 08:06 PM	#4 (permalink)
ColCoolPants Army Wife Join Date: Aug 2009 Location: Fort Stewart, GA Posts: 873 Classifieds: (0) Activity: 90% Longevity: 5%	I'm not all that savvy on this stuff, but can't you just ask for a referral to an off-post provider? __________________ I LOVE my Army man!

11-06-2009, 08:13 PM	#5 (permalink)
antjen Junior Member Join Date: Jun 2008 Location: Ft. Carson, CO Posts: 168 Classifieds: (0) Activity: 14% Longevity: 23%	Yeah well in an ideal world lol....my primary dr would not give me a permanent referral. He did give me a one time thing and I went to my dr now off post for a consult. The off post dr sent over a treatment plan for me to the on post. He did not agree and refused to do what he said. Just wanted to do the same thing we had been doing...which wasn't working. Apparently the high risk dr has no idea what he is talking about. Although I am now 33 weeks pg with a healthy baby girl. __________________

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11-06-2009, 08:51 PM	#8 (permalink)
HeIsMy*Life aNd I wOuLd GiVe Up FoReVeR tO tOuCh YoU! Join Date: Jan 2008 Location: Killeen/Fort Hood Posts: 437 Classifieds: (0) Activity: 30% Longevity: 31%	Are you all living on post.....bc i live off post and i can switch pcms and i have one off post and im in prime.....but i think if you are living on post they provide you with a pcm in the hospital if im right __________________ DH:"You mean more to me than the sun means to the earth, more to me than the ocean means to the whale, more to me than the Heart to the Body,and that is how you would effect me if I did not have you. Because you are my heart and if I did not have you my body would die" No more ticker....he is HOME

11-06-2009, 08:54 PM	#9 (permalink)
Jenn026 Senior Member Join Date: Mar 2008 Location: Seymour Johnson AFB Posts: 2,509 Classifieds: (0) Activity: 100% Longevity: 29%	I am/have never been pregnant BUT i fully intend on switching back to standard if not now, than when I get preggo. i HATE the base hospital here and do not trust them for any medical care at all. So I completely understand why you want to do thi. __________________ Plan for the worst, hope for the best, and let your fears hibernate. ~Jacey Eckhart I my wifeys, Twilliams and CubLub63!