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more questions about tricare prime vs standard.
My son is active duty and isn't sure which tricare he has. He does not pay a monthly premium, he is single. He needs an annual eye exam because he wears contacts. I was wondering if it would be worth it to pay a monthly premium to get better coverage. Does anyone know where he (I) can find out more about the premiums? Angie, do you know?
Views: 229
Replies to This Discussion
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Permalink Reply by Anti M on
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He wouldn't pay a premium as active duty, that's for dependents and retirees. Active duty can get an eye exam on base, for free. If he is not near a base, he calls Tricare and they give him a referral to a doctor who does the appropriate exam. He does have to buy his own contacts, Tricare doesn't cover them, standard or prime.
http://www.tricare.mil/mybenefit/home/Vision/GlassesAndContacts
There are specific instances where the Navy covers contacts which are job related, Craig knows all those details.
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Permalink Reply by Angie on
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What is his job in the USN? As Anti M said there are only a few cases where there USN will pay for that exam...most times they have to go out in town if they want contacts.
paying a premium to get better coverage??? Sorry to say there is no better coverage than what Active duty get...they flew in a doctor from the Mayo clinic for one of my surgeries...
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Permalink Reply by BunnyT on
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Thank you both for the info. I didn't know that he was automatically eligible for prime. But now I see that as active duty, he is. The prime looks like a good plan and that is a relief to me. He just finished with the Nuke/ELT program and will be reporting to Norfolk in about a week. I wasn't sure if he should just pay for an exam out of pocket this week so he can go ahead and order his contacts or if he should try to go through Tricare and save $160 (cost of exam at our local eye doctor.) One more question- even though he is active duty does he still need to officially enroll with Tricare? If he does need to enroll, I don't think he has done that yet.
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He is already enrolled. It is automatic for active duty.
As for paying for the exam, he needs to check and see if the doctor takes Tricare, many eye docs do not. When I was active duty, all my exams were through the base so they got into my official record. He might have to do one through the base clinic too, I know they used to be strict about having a record of vision annually. He should be certain to ask. The Navy is not pleased when sailors go outside the medical system without permission.
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yep...it is best to keep them all on base so they end up in the offical record....that really helped with my VA Claim as my eye is messed up from the Navy and if I had gone out in town it would have been a pain to gather all those records from years ago.
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He did it already, also if he goes and sees your doctor they can NOT Copy his ID card! The ID card is their medical insurance card. It is againts the law to allow the ID card to be copied...if they give him a hard time than he needs to walk away.
Also it is just best to wait until he is on base to get his eye exam if he needs one. Better NOT to waste his money getting a new exam and contacts when he might not be able to wear them while underway. I know as an Engineer we where never allowed to wear contacts on the ship..it was glasses only. Now when we where out in town we could wear contacts.
He KNOWS he is in Tricare...they where taught that in bootcamp, and if he went to the doctor for anything while on base...it was paid for, so he knows.
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Again, thanks a lot. I think all of my questions have been answered. I looked around the websites that you provided, Anti M, and he logged on- and yes, guess what?! lol he obviously is already enrolled bc his info popped up. It looks like he just needs to choose a different primary provider since he is leaving SC and going to Virginia.
Angie, I will mention the "glasses vs contacts while underway" info to him. I sure he didnt know that.
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One strategy is to have his own glasses as a back up to his contacts, and to wear the Navy issue glasses in situations where his own could be broken or messed up.
If nothing else, his future grandkids can play with his issued glasses and laugh.
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The Navy issued glasses are really nice (well after the ones they give you in bootcamp that is).
Once he gets to his command they will assist with taking care of his Primary doctor as it will be the ships doctor that will take care of him. Nope...really don't get choice who you see while under way or in port...it is the doc on the ship. Recomend he NOT mess with the Primary doctor info until he gets to his ship or it will mess up stuff and be a pain to fix!!
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