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Tricare 1010100010101010 1 child; Detroit, Michigan 12273 posts
10th Apr '12

What's the difference between tricare prime and tricare standard?



Is there any way I could tell what kind of tricare we have without calling them and asking?lol

Mel Dee Due September 11 (boy); 16 kids; California 508 posts
10th Apr '12
Quoting
*Mrs Cherry* 21 kids; Colorado Springs, Colorado 10450 posts
10th Apr '12
Quoting
1010100010101010 1 child; Detroit, Michigan 12273 posts
10th Apr '12

Thank you ladies!

*Mrs Cherry* 21 kids; Colorado Springs, Colorado 10450 posts
10th Apr '12
Quoting Mel Dee:" Your husband should know! Otherwise, you probably will have to call and double check! I believe Prime ... [snip!] ... Standard is being able to go off base but sometimes you need to pay a tiny % of the amount, depending on what you're getting."


With prime you can also be seen off base if the services you need can not be met on base or if you live more then 40 miles from base.

ℕightingale 1 child; Mississippi 7061 posts
10th Apr '12

Tricare prime covers everything 100% but if you were to go off base to get medical treatment you need a referral as for standard you don't need referrals to see an outside doctor but you have to pay every time you go get medical treatment. If you have insurance card it should say it on there if not just call.

Mel Dee Due September 11 (boy); 16 kids; California 508 posts
10th Apr '12
Quoting *Mrs Cherry*:" With prime you can also be seen off base if the services you need can not be met on base or if you live more then 40 miles from base."

That's true! Haha.

Piecey. TTC since Jul 2014; 3 kids; K-Town, KL, Germany 63829 posts
status 10th Apr '12
Quoting *Mrs Cherry*:" You can look at the pay stub, it should be listed there. http://www.tricare.mil/mybenefit/PlanComparison/Results.do?plan_1=TRICARE+Prime&plan_2=TRICARE+Standard+and+Extra "


It's not on DH's LES.

IDGAF ❤ 1 child; San Diego, CA, United States 30556 posts
10th Apr '12

Prime you have to get approvals to go to doctors but have less co-pay, standard you can go to any doctor without approvals and the co-pay is more. I learned this the hard way...my medical bills are piled up because they put me on standard instead of prime :evil:

Piecey. TTC since Jul 2014; 3 kids; K-Town, KL, Germany 63829 posts
status 10th Apr '12

I just dropped to Standard from Prime because I didn't want to be seen on base for maternity care. Maternity is at least covered 100% on standard here, but copays apply to everything else.

IDGAF ❤ 1 child; San Diego, CA, United States 30556 posts
10th Apr '12
Quoting Me Gusta:" I just dropped to Standard from Prime because I didn't want to be seen on base for maternity care. Maternity is at least covered 100% on standard here, but copays apply to everything else."


Forreal? I have a SHITLOAD of f**king bills from being pregnant and getting ultrasounds every 2 weeks.

*Mrs Cherry* 21 kids; Colorado Springs, Colorado 10450 posts
10th Apr '12
Quoting Me Gusta:" It's not on DH's LES. "


Opps, just realized that I was thinking of Tricare dental. Sorry.

Piecey. TTC since Jul 2014; 3 kids; K-Town, KL, Germany 63829 posts
status 10th Apr '12
Quoting Melissa ღ:" Forreal? I have a SHITLOAD of f**king bills from being pregnant and getting ultrasounds every 2 weeks."


Might be an overseas thing? Idk but that's what it says in all my paperwork from the bases and the Tricare office.

*Mrs Cherry* 21 kids; Colorado Springs, Colorado 10450 posts
10th Apr '12
Quoting Me Gusta:" Might be an overseas thing? Idk but that's what it says in all my paperwork from the bases and the Tricare office."


Are you going to the military treatment facility? Because if you are, that would explain not being charged.



ETA
If I remember right, with standard, cost share is only if you see a civilian provider.

IDGAF ❤ 1 child; San Diego, CA, United States 30556 posts
10th Apr '12
Quoting Me Gusta:" Might be an overseas thing? Idk but that's what it says in all my paperwork from the bases and the Tricare office."

Hmm maybe.