Tricare Prime

Closed Thread
Thread Tools
  #1  
Old 04-07-2013, 05:42 PM
Dzurinko Dzurinko is offline
Member
Join Date: Apr 2013
Posts: 40
Thanks: 1
Thanked 66 Times in 13 Posts
Default Tricare Prime

We are seriously considering moving to TV. We are retired military and currently have US Family Health Plan up here in NJ which is a form of Tricare Prime. We're looking for a comparable tricare plan in Florida. Any retired military in TV have tricare prime? I'm not 65 yet so Medicare is not an option. What do most retired military use?? Any info would be appreciated.
  #2  
Old 04-07-2013, 08:15 PM
keithgerri's Avatar
keithgerri keithgerri is offline
Member
Join Date: Apr 2010
Location: Village of Sanibel
Posts: 50
Thanks: 1
Thanked 3 Times in 2 Posts
Default

I am retired USAF and just received a letter notifying us that as of Oct 1 Tricare prime will no longer be offered in this area and we will have to switch to Tricare standard which is ok because there was not much to choose from for a primary care doctor under prime.Once your 65 will not matter since you will be on medicare and TFL as a supplement. good luck. We love the Villages
__________________
Life is wonderful as long as your looking at the right side of the grass.25 Year Fargo,Retired USAF,
  #3  
Old 04-10-2013, 08:14 AM
pleverich pleverich is offline
Junior Member
Join Date: Nov 2009
Location: New Orleans, Louisiana
Posts: 27
Thanks: 12
Thanked 0 Times in 0 Posts
Default

Anybody know of a primary care doctor who will take Tricare Prime?
  #4  
Old 04-10-2013, 08:38 AM
stuckinparadise's Avatar
stuckinparadise stuckinparadise is offline
Senior Member
Join Date: Jun 2012
Location: Wisconsin, San Antonio, Germany, Korea, Alabama and soon The Villages
Posts: 349
Thanks: 0
Thanked 0 Times in 0 Posts
Default

We are in the same situation. We will be moving to the Villages in June. I called Humana and was told we can keep Tri-Care Prime as long as we sign a waiver which states you are willing to drive up to 100 miles to receive services.
__________________
“You know you're in love when you can't fall asleep because reality is finally better than your dreams.”
― Dr. Seuss
  #5  
Old 04-10-2013, 08:41 AM
ste62ye ste62ye is offline
Junior Member
Join Date: Mar 2012
Posts: 6
Thanks: 0
Thanked 0 Times in 0 Posts
Default Retired Army

Quote:
Originally Posted by pleverich View Post
Anybody know of a primary care doctor who will take Tricare Prime?
Dr. Katherine Francis, Lake Sumter landing
We like her.
  #6  
Old 04-10-2013, 06:26 PM
KatieDidNot
Guest
Posts: n/a
Default

I have been on Tricare Standard since I retired and do not regret it for a moment. I do however have a supplement though through ASI. I get to chose my docs, no referrals necessary, and no hassles...it has been wonderful for me and my specific medical issues. I no longer wait weeks for medical care, in fact since I have been here I have not had a problem getting a same day appointment if necessary.

There are docs who take prime, standard and TFL in and around the Villages. I found out the hard way that when you call a new doc you must have them specify which Tricare plans they accept. I went to an Internist only to find out he accepts TFL and not standard or prime.

I don't give recommendations on specific doctors, but there is an Ask a Nurse Program at The Villages Hospital who will go over your personal medical needs and assist you with finding the right provider (s). It saved me a lot of time and effort. Additionally, they were able to provide the doctor's credentials and certifications on-the-spot. Both doctors that were recommended to me are indeed very good.

Regards--Katie
  #7  
Old 04-10-2013, 08:38 PM
keithgerri's Avatar
keithgerri keithgerri is offline
Member
Join Date: Apr 2010
Location: Village of Sanibel
Posts: 50
Thanks: 1
Thanked 3 Times in 2 Posts
Default

agree we use Dr. Katherine Francis and Dr. Nick Purohit at Family Phy of Lake Sumter for Tricare prime until Oct 1 when no more Tricare prime and the change over to Tricare Standard
__________________
Life is wonderful as long as your looking at the right side of the grass.25 Year Fargo,Retired USAF,
  #8  
Old 04-10-2013, 09:40 PM
Sparty6971's Avatar
Sparty6971 Sparty6971 is offline
Senior Member
Join Date: May 2009
Posts: 220
Thanks: 35
Thanked 78 Times in 29 Posts
Default

Finding a Tricare Prime doctor will be a challenge here in The Villages. Tricare Standard is accepted by several physicians. Your best bet is to work the Tricare Internet site and maybe give them a call. Here is the site:
Welcome to TRICARE I don't like the site much but you can get info from it. Set up your profile as Retiree, Prime in Zip Code 32162; then search for doctors.

I'm retired Air Force and have had Tricare Standard (with no secondary) here since arriving in The Villages July 2009. Now have Medicare as primary health insurance with Tricare For Life (TFL) as secondary payer. No problems getting medical checks and treatment.

Good Luck.
  #9  
Old 04-10-2013, 09:59 PM
dndlion's Avatar
dndlion dndlion is offline
Junior Member
Join Date: Feb 2013
Posts: 18
Thanks: 0
Thanked 0 Times in 0 Posts
Default

I live near Portland, OR. I just got a letter the other day, and have done some research on the future of tri-care prime. If you do not live near a military base prime will not be offered to retired military effective Oct 1st. If you have your payments taken from your retirement check they will automatically stop and you will be enrolled in Tri-care standard & extra. Standard & extra does not cost to enroll, but you will pay a $300 deductible per family per year and then cost shares after that..with a max out of pocket of 3 grand a year. Some services do not cost anything(I think yearly check-ups, and alot of screenings). Check the Tri-care site for that. I think you can sign a waiver to enroll in prime, but will need to go travel to a base for services... Hope this helps..
  #10  
Old 04-16-2013, 07:58 AM
sgiamp1 sgiamp1 is offline
Member
Join Date: Jul 2011
Posts: 63
Thanks: 0
Thanked 0 Times in 0 Posts
Default New Kind of ER may not be covered by Tricare

Quote:
Originally Posted by Dzurinko View Post
We are seriously considering moving to TV. We are retired military and currently have US Family Health Plan up here in NJ which is a form of Tricare Prime. We're looking for a comparable tricare plan in Florida. Any retired military in TV have tricare prime? I'm not 65 yet so Medicare is not an option. What do most retired military use?? Any info would be appreciated.
For all of you who may be using Tricare but not on Tricare for Life, this below information is very important.

TRICARE beneficiaries may have noticed new “Emergency Centers” popping up in their area. Free-standing emergency rooms (ER) that are not affiliated with a hospital may not be TRICARE-authorized. If a provider is not TRICARE authorized, then TRICARE is prohibited from paying it “facility fees.” That can leave a beneficiary stuck with a big bill.

Read more at: TRICARE - File Not Found.

I read the notice and decided to call Tricare to get a better understanding of what care we are entitled to. I asked where I could take my wife if she needs emergency treatment. Bottom line: The closest "in network" facility is either West Marion Hospital or Monroe Medical, both in Ocala. The Villages Hospital and Leesburg are both "out of network". The representative said if it's an emergency we can go anywhere but would pay $300 deductible and possibly 50% of charges beyond that.

I am shocked that we need to drive an hour to get authorized treatment when we have facilities closer. However I could have interpreted the information incorrectly so someone else might want to give it a try to either verify or correct what I think is fact.
  #11  
Old 04-16-2013, 04:06 PM
logdog's Avatar
logdog logdog is offline
Veteran member
Join Date: Aug 2007
Location: The Village of Hacienda East
Posts: 942
Thanks: 0
Thanked 50 Times in 17 Posts
Default

We're currently on Tricare Prime. Now that Prime is going away, we decided to move our routine care to the VA Clinic in TV until Tricare for Life kicks in. We signed up last week and have our first appointments in June. We've heard good things about this clinic except that it takes awhile to get appointments. But then it also take a long time to get referrals from our Prime providers. If we need to get seen sooner, we always have Tricare Standard as a backup.

Not sure what we'll do for emergency care... I guess we would have to pay the Standard deductible and copays.
__________________
Netherlands, California, Quebec, California, Texas, Turkey, Minnesota, Panama Canal, California, Illinois, Turkey, Maryland, Germany, Florida, New Mexico, The Village of Amelia and now The Village of Hacienda East.
  #12  
Old 04-16-2013, 07:51 PM
jimmy D jimmy D is offline
Senior Member
Join Date: May 2012
Posts: 168
Thanks: 0
Thanked 1 Time in 1 Post
Default

Quote:
Originally Posted by Dzurinko View Post
We are seriously considering moving to TV. We are retired military and currently have US Family Health Plan up here in NJ which is a form of Tricare Prime. We're looking for a comparable tricare plan in Florida. Any retired military in TV have tricare prime? I'm not 65 yet so Medicare is not an option. What do most retired military use?? Any info would be appreciated.
DO NOT CHANGE YOUR TRICARE WITHOUT CAREFUL CONSIDERATION, check all options. Some like it and some dont, Just do your homework and you will be ok

Last edited by Moderator; 06-12-2013 at 08:20 AM. Reason: edited out self-promotion
  #13  
Old 04-16-2013, 07:55 PM
jimmy D jimmy D is offline
Senior Member
Join Date: May 2012
Posts: 168
Thanks: 0
Thanked 1 Time in 1 Post
Default

Re tricare , do your homework and remember , not everything is as close as a golf cart away
  #14  
Old 04-16-2013, 08:23 PM
logdog's Avatar
logdog logdog is offline
Veteran member
Join Date: Aug 2007
Location: The Village of Hacienda East
Posts: 942
Thanks: 0
Thanked 50 Times in 17 Posts
Default

Quote:
Originally Posted by jimmy D View Post
DO NOT CHANGE YOUR TRICARE WITHOUT CAREFUL CONSIDERATION, check all options. Some like it and some dont, Just do your homework and you will be ok

Unfortunately, beginning 1 October, we are not willingly changing our Tricare, Tricare Prime will no longer be available for us.
__________________
Netherlands, California, Quebec, California, Texas, Turkey, Minnesota, Panama Canal, California, Illinois, Turkey, Maryland, Germany, Florida, New Mexico, The Village of Amelia and now The Village of Hacienda East.

Last edited by Moderator; 06-12-2013 at 08:21 AM. Reason: updated edited quoted post
Closed Thread

Thread Tools

You are viewing a new design of the TOTV site. Click here to revert to the old version.

All times are GMT -5. The time now is 09:29 PM.