User Panel
Posted: 2/17/2006 4:30:11 PM EDT
For 9 months last year I was on ADSW orders.
9 months broken by 2 weeks of AT. But because my orders ended and were renewed I NEVER became eligible for Tri-Care (.mil healthcare). Or so I believed. Today I received in the mail a letter of certification from Tri-Care stating that I was eligible for services from Dec. 22, 05, through Jan 27, 06. And they are just now getting around to telling me!!!! Bloody hell, I have needed to go to the doctor since the beginning of Dec. and put it off because I was unemployed. I went off orders after Hurricane Katrina on Nov. 3rd. I work my ASS OFF for the .mil for a FREAKIN' year and they give me ONE bloody MONTH of coverage and don't bother to TELL me until three WEEKS after it ENDS. /rant off |
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Sorry to hear that. But we are talking about the federal gov't. They could fuck up a wet dream.
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After the time I have spent with them they have done that more than once. |
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My 4 year old daughter just broke her arm.
The military hospital is closed for the 4 day weekend and none of the local clinics take tri-care. Poor little critter has to wait till Tuesday to get her cast, I am TDY 3 time zones away and my wife is stuck with the 3 kids. Frustrating. More to the point, tricare isn't bad, but it certainly isn't the best. |
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Can't she just walk into an ER? She cannot be denied service. BTW, the military hospital never shuts down. The ER on base is ALWAYS open. |
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You CANNOT wait that long for a cast. IT IS NOT POSSIBLE. Go ANYWHERE to get the job done, trust me. This will screw up your daughter's arm for the long-term if it is not taken care of. (yes, it can be fixed but is more pain and suffering than she deserves) |
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+1 FUCK THE INSURANCE that is a legitamate emergency. wating until monday will allow time for the bnes to begin healing in the wrong position. Get the child to the ER NOW! I say this as a former paramedic. |
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ER but not the casting shop. |
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i don't know of ANY hospitals that will not file tri-care. get kid to the er NOW!
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Tri-care will pay for emergency service at any ER. Take her in NOW. Yes you will have to jump through hoops, but it will get done. We have to do it all the time around here.
And here:
Even if they wouldn't pay, I can't imagine a parent letting a child go for four days with no cast. |
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bullshit, whatever med team told you that is full of shit. they can roll plaster in the ER. Hell we did it in the field. |
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Just got done talking to the wife.
The wrist was compacted (buckled) and she now has a formed splint. The military nurse said that they can't cast till Monday due to swelling, anyway. No problem paying the money, but the wife says she is comfortable with the immobilization and there is no resetting required. ETA, she is going to a civilian doc on Monday. |
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Sure...tell the guys up here at Eielson that...they'll laugh at you. Take her to the ER. I had to go once when I was home on leave and everything was taken care of. They rolled the cast in the ER by the way. |
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Now that makes some sense. Whew. The though of a little girl with a broken arm and no cast had me really worked up. |
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Any orders greater than 30 days you and your family (spouse and kids) are eligible.
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Tell that to Tri-care. I had orders longer than 30 days 4 times last year and got only 30 days of eligibility that they did not bother mentioning. |
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I use to be the equivalent of your services AC/RC, we had to deal with this all the time, Tricare begins with orders for 30 days or more, just like BAH I starts if you have orders for 6 months or more, vice BAH type II. But the bottom line is at a certain point it is your responsibility to look into things or ask questions. |
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Uh, WTF? You are making her wait three days with a broken fucking arm?!?!? Wow. There are these things called Emergency Rooms. You might try one. ETA: Saw your post about the splint. Good. I was beginning to think you were the biggest fucking idiot I had ever seen on Arfcom. |
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You can always use any hosipital in an emergency. The local Tri-Care reps say try to use anybody other than Keiser but if you have to use them.
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You're a fucking idiot for not reading more of the thread. Why rip on the guy without knowing the hwole story? |
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Go fuck yourself. I didn't ask your opinion, sport. And presumably, when someone posts, it IS "the whole story". He only had to add to his story because it was initially incomplete, yes? |
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I have looked into it a number of times. Applied for coverage as they state that you need to do. Got Zero response my application and was rejected for any request for payment. Do you happen to know WHERE to look for the information? Because no one here could point me to where that information was. |
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hey, I found out about 10 minutes before posting. I am in Missouri. My daughter is in Alaska. But I am a pretty big fucking idiot. Just for different reasons. |
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No problem, I was confused by your first post. What's scary is that I DO know of people who are so mistrusting of "those dern high-priced docters and thur high-fallutin medikul toys" that they would rather do nothing, or worse, try to fix it themselves. I also know of one idiot who stitched his own son's arm undoubtedly because he thought it would be cool to use some of that emergency gear he had stockpiled. He has NO training - he's a machinist. He could have fucked his kid up bigtime with improper technique, not to mention that he did this to the kid with nothing to lessen the pain. I don't talk to him anymore, for various reasons. |
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Sounds like typical tricare screwup. BTW, they owe you a DD214 for every ADSW period, and they owe you terminal leave at the end of each ADSW period (2.5 days a month). So, if your ADSW was for 3-4 months, not only were you covered by Tricare (if you had gotten an Active Duty ID card that might have made the process easier), but you also should have been on terminal leave before your AT. Or you could have chosen to cash you leave out when you outprocessed at the end of you ADSW. Let me guess...you never got any leave, you never actually outprocessed, and you never got a 214. |
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I'm only speaking for the Air Force...the majority of Air Force bases have military clinics, not full-up hospitals. In most cases, the clinics do not maintain a 24/7, 365 day a year ER. During duty hours you can go to the clinic. After duty hours you have to go down town. In military towns there is usually a relationship with the local civilian hospital.
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30 seconds of Google Tricare Reserve programs.
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Tricare will cover any legitimate emergency care at 100% as long as the emergency room visit is reported to your PCM within 48-72 hours or some shit.
ETA: forgot about the co-pay |
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Not all bases have ER's any more as they are closing more and more military hospitals & turning them into clinics as cost cutting measures thanks to hilliary care. Heck, the base here is covered by AMR and rolls from off bas when anybody on base needs a ambulance. The one my wife and kids goes to is no longer a hospital, but a "clinic" as they have done away with the OR & ER. I go to the local VA & while they have a "ER" It's more of a clinic and for any real emergency they call 911 & have you transported to the local ER in a ambulance. We do have a local "Doc in a box" who takes tricare & the ER does as well. |
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No, that's some goober named PeteCO |
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I rest my case. |
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