Anyone have Tricare and Medicare

ladybug · May 28, 2008

I think Julie's explanation was perfect. I have tricare Prime and private insurance that rolled over when I got off my parents' insurance.

I would highly suggest getting OFF medicare and just using tricare Prime. Did you have to be on medicare for some reason? Are you on disability? I've never looked into medicare and have no idea what it entails, but the fact they make a CFer go into a bacteria-infested hospital for nothing more than a routine "clean out" is asinine IMO.

BTW, my personal health insurance policy will hit its million dollar lifetime cap in the next couple of years, so at that time I will have only tricare. I'm terrified to only have one insurance and all the hoops tricare in general makes us jump through (referrals, PCM visits (who usually don't know what CF is... LOL).... anyway, just a little rant from me.

I agree, the system IS broken.

ladybug · May 28, 2008

I think Julie's explanation was perfect. I have tricare Prime and private insurance that rolled over when I got off my parents' insurance.

I would highly suggest getting OFF medicare and just using tricare Prime. Did you have to be on medicare for some reason? Are you on disability? I've never looked into medicare and have no idea what it entails, but the fact they make a CFer go into a bacteria-infested hospital for nothing more than a routine "clean out" is asinine IMO.

BTW, my personal health insurance policy will hit its million dollar lifetime cap in the next couple of years, so at that time I will have only tricare. I'm terrified to only have one insurance and all the hoops tricare in general makes us jump through (referrals, PCM visits (who usually don't know what CF is... LOL).... anyway, just a little rant from me.

I agree, the system IS broken.

ladybug · May 28, 2008

I think Julie's explanation was perfect. I have tricare Prime and private insurance that rolled over when I got off my parents' insurance.

I would highly suggest getting OFF medicare and just using tricare Prime. Did you have to be on medicare for some reason? Are you on disability? I've never looked into medicare and have no idea what it entails, but the fact they make a CFer go into a bacteria-infested hospital for nothing more than a routine "clean out" is asinine IMO.

BTW, my personal health insurance policy will hit its million dollar lifetime cap in the next couple of years, so at that time I will have only tricare. I'm terrified to only have one insurance and all the hoops tricare in general makes us jump through (referrals, PCM visits (who usually don't know what CF is... LOL).... anyway, just a little rant from me.

I agree, the system IS broken.

ladybug · May 28, 2008

I think Julie's explanation was perfect. I have tricare Prime and private insurance that rolled over when I got off my parents' insurance.

I would highly suggest getting OFF medicare and just using tricare Prime. Did you have to be on medicare for some reason? Are you on disability? I've never looked into medicare and have no idea what it entails, but the fact they make a CFer go into a bacteria-infested hospital for nothing more than a routine "clean out" is asinine IMO.

BTW, my personal health insurance policy will hit its million dollar lifetime cap in the next couple of years, so at that time I will have only tricare. I'm terrified to only have one insurance and all the hoops tricare in general makes us jump through (referrals, PCM visits (who usually don't know what CF is... LOL).... anyway, just a little rant from me.

I agree, the system IS broken.

ladybug · May 28, 2008

I think Julie's explanation was perfect. I have tricare Prime and private insurance that rolled over when I got off my parents' insurance.
 
 I would highly suggest getting OFF medicare and just using tricare Prime. Did you have to be on medicare for some reason? Are you on disability? I've never looked into medicare and have no idea what it entails, but the fact they make a CFer go into a bacteria-infested hospital for nothing more than a routine "clean out" is asinine IMO.
 
 BTW, my personal health insurance policy will hit its million dollar lifetime cap in the next couple of years, so at that time I will have only tricare. I'm terrified to only have one insurance and all the hoops tricare in general makes us jump through (referrals, PCM visits (who usually don't know what CF is... LOL).... anyway, just a little rant from me.
 
 I agree, the system IS broken.

Asexyblond23 · May 28, 2008

Ok here is the final findings by julie and I. If you have medicare you can only deny part B not part A. Part A is the hospital part. To deny part A you will lose your SSD. I was previously on tricare prime before the medicare came into play. So when it did it switched me to dual eligiblity so since my husband is active duty I am not required to have medicare part B. Since I dont have part B then tricare is rewuired to pick up whatever medicare doesnt cover. Since I had tricare prime then prime will be the secondary and pick up the rest. The lady who talked to my infisuion comapny was telling her 80/20 which was tricare standadrd not prime. If you deny part b and dont have it then your tricare will pick up the rest. Long and hectic weekend and morning solved after hours on the phone and everyone telling me a differnt story. So moral of the story if you have an active duty spouse get tricare prime before you get medicare. Then once you get medicare deny part B ( thepart that you pay for) and then tricare prime with be your secondary and pick up the rest.

Asexyblond23 · May 28, 2008

Ok here is the final findings by julie and I. If you have medicare you can only deny part B not part A. Part A is the hospital part. To deny part A you will lose your SSD. I was previously on tricare prime before the medicare came into play. So when it did it switched me to dual eligiblity so since my husband is active duty I am not required to have medicare part B. Since I dont have part B then tricare is rewuired to pick up whatever medicare doesnt cover. Since I had tricare prime then prime will be the secondary and pick up the rest. The lady who talked to my infisuion comapny was telling her 80/20 which was tricare standadrd not prime. If you deny part b and dont have it then your tricare will pick up the rest. Long and hectic weekend and morning solved after hours on the phone and everyone telling me a differnt story. So moral of the story if you have an active duty spouse get tricare prime before you get medicare. Then once you get medicare deny part B ( thepart that you pay for) and then tricare prime with be your secondary and pick up the rest.

Asexyblond23 · May 28, 2008

Ok here is the final findings by julie and I. If you have medicare you can only deny part B not part A. Part A is the hospital part. To deny part A you will lose your SSD. I was previously on tricare prime before the medicare came into play. So when it did it switched me to dual eligiblity so since my husband is active duty I am not required to have medicare part B. Since I dont have part B then tricare is rewuired to pick up whatever medicare doesnt cover. Since I had tricare prime then prime will be the secondary and pick up the rest. The lady who talked to my infisuion comapny was telling her 80/20 which was tricare standadrd not prime. If you deny part b and dont have it then your tricare will pick up the rest. Long and hectic weekend and morning solved after hours on the phone and everyone telling me a differnt story. So moral of the story if you have an active duty spouse get tricare prime before you get medicare. Then once you get medicare deny part B ( thepart that you pay for) and then tricare prime with be your secondary and pick up the rest.

Asexyblond23 · May 28, 2008

Ok here is the final findings by julie and I. If you have medicare you can only deny part B not part A. Part A is the hospital part. To deny part A you will lose your SSD. I was previously on tricare prime before the medicare came into play. So when it did it switched me to dual eligiblity so since my husband is active duty I am not required to have medicare part B. Since I dont have part B then tricare is rewuired to pick up whatever medicare doesnt cover. Since I had tricare prime then prime will be the secondary and pick up the rest. The lady who talked to my infisuion comapny was telling her 80/20 which was tricare standadrd not prime. If you deny part b and dont have it then your tricare will pick up the rest. Long and hectic weekend and morning solved after hours on the phone and everyone telling me a differnt story. So moral of the story if you have an active duty spouse get tricare prime before you get medicare. Then once you get medicare deny part B ( thepart that you pay for) and then tricare prime with be your secondary and pick up the rest.

Asexyblond23 · May 28, 2008

Ok here is the final findings by julie and I. If you have medicare you can only deny part B not part A. Part A is the hospital part. To deny part A you will lose your SSD. I was previously on tricare prime before the medicare came into play. So when it did it switched me to dual eligiblity so since my husband is active duty I am not required to have medicare part B. Since I dont have part B then tricare is rewuired to pick up whatever medicare doesnt cover. Since I had tricare prime then prime will be the secondary and pick up the rest. The lady who talked to my infisuion comapny was telling her 80/20 which was tricare standadrd not prime. If you deny part b and dont have it then your tricare will pick up the rest. Long and hectic weekend and morning solved after hours on the phone and everyone telling me a differnt story. So moral of the story if you have an active duty spouse get tricare prime before you get medicare. Then once you get medicare deny part B ( thepart that you pay for) and then tricare prime with be your secondary and pick up the rest.

Faust · May 28, 2008