Talk of The Villages Florida

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-   -   New to the Villages - Tricare Select - Primary Care Physician recommendations? (https://www.talkofthevillages.com/forums/medical-health-discussion-94/new-villages-tricare-select-primary-care-physician-recommendations-310162/)

Troy8432 08-17-2020 09:01 AM

New to the Villages - Tricare Select - Primary Care Physician recommendations?
 
We are new to the Villages and must change from Tricare Prime to Tricare Select. We are late fifties so we don't qualify for Medicare/Tricare for Life yet. Admittedly, I am uninformed about Tricare Select because I've only used Tricare Prime since I retired. It was simple. Just went to the primary care physician around the corner in Virginia, paid our $20 deductible, pickup prescription at Walgreens and we were done. Any specialty work and we were referred to the local Military Treatment Facility. Again simple.

I have heard stories that, if you are not careful when choosing in-network providers with Tricare Select, things can get expensive - quickly. I've looked for local in-network providers within the Tricare website and I see numerous labs, mental health, physical therapists, etc. I have not seen "Primary Care" physicians. Of course, I might be using the wrong terminology. Again, I am somewhat uninformed.

My desire is to find a doctor, or doctor's office that we can go to when needed that will provide general care and referrals when needed. I would prefer to stay away from the Urgent Care type facilities.

I am certain there are other retirees in The Villages that are under 65 and using Tricare Select that can share experiences and/or make recommendations for a good doctor.

JoMar 08-17-2020 12:35 PM

If you are interested in The Villages Health System you can call any of the care centers. Since I'm sure the care is most important, I assume you will get various personal recommendations. If you have Tricare then I also assume you have access to their portal and contact information, why not send them an email or call them?

TravelswithD&K 08-17-2020 04:03 PM

Tricare Prime
 
We have Tricare Prime and our PCPs are in Orlando. We don't mind the drive (50 minutes) and we like being part of a large hospital system. If you want more info, feel free to contact me.

logdog 08-19-2020 04:46 PM

You might be eligible for care in the VA system. I started going to the local VA Clinic well before I turned 65 and stayed with them after 65.

pelican1 12-12-2020 02:10 PM

Troy8432, I am in a similar position, under 65 and coming from Colorado where I had TRICARE Prime and was seen at the USAFA clinic for most everything. I understand that TRICARE Prime remains an option, but seems that funding a PCM is difficult. I'd appreciate you sharing the way you went. Curious form others as well who could guide a decision on TRICARE Prime vs Select and PCM recommendations. Thanks.

Troy8432 12-12-2020 04:14 PM

We switched to Tricare Select.
 
Quote:

Originally Posted by pelican1 (Post 1872695)
Troy8432, I am in a similar position, under 65 and coming from Colorado where I had TRICARE Prime and was seen at the USAFA clinic for most everything. I understand that TRICARE Prime remains an option, but seems that funding a PCM is difficult. I'd appreciate you sharing the way you went. Curious form others as well who could guide a decision on TRICARE Prime vs Select and PCM recommendations. Thanks.

Due to the lack of Tricare Prime providers in the area, we went ahead and switched to Select. Due to COVID, we haven’t been to a clinic yet, but have researched the availability of medical offices that take Select and there appear to be plenty. The co-pays are about $10 higher, but I figure it is a wash because I seemed to always be paying my PCM in Virginia $20 for a simple referral.

Our greatest concern is if something big or bad happens, we would try to get into Macdill, because there is a cap on major or long term items with Select.

You should know that effective January 1, Tricare Select is no longer free. I think the monthly premium is $25 for a single, $50 for a family. You should verify those numbers, I could be wrong.

I do know that someone, somewhere, broke the promise of free medical for life that I was told by a recruiter back in 1984.

Good luck.

pelican1 12-12-2020 05:36 PM

Thanks for the response. I'm still mulling over the best COA. TRICARE Select certainly provides more options. I have learned that the monthly TRICARE Select enrollment fee is $12.50 for an individual and $25 for a family.

epoch 12-12-2020 07:50 PM

Quote:

Originally Posted by pelican1 (Post 1872695)
I understand that TRICARE Prime remains an option, but seems that funding a PCM is difficult. I'd appreciate you sharing the way you went.


will tricare prime help you find a new pcm? look into "prime-remote"



Quote:

Originally Posted by Troy8432 (Post 1872732)

Our greatest concern is if something big or bad happens, we would try to get into Macdill, because there is a cap on major or long term items with Select.


I would not count on getting treatment at a military hospital.

some military hospitals will not take retirees at all.


Here's the List of Military Clinics That Will No Longer Serve Retirees, Families | Military.com


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