r/tricare

Hello!

I’m considering enrolling in my employer health insurance. It’s $27-$29 per pay period or $10-$12 based on plan chosen and if I receive wellness credits.

I’m currently enrolled in Tricare prime.

The reason I am considering enrolling in my employer benefit is because I do not have a PCM and Tricare east has continually denied my request for a civilian provider stating I need to be seen at an MTF. I’m located in Hampton roads and we have several MTF locations, but none are accepting new patients. I have been trying to get a PCM for months to no avail.

I do have current referrals for specialty care that I receive through civilian providers and NMCP that will be expiring soon. I also have referrals I need, but cannot obtain without a PCM.

Would my employer benefit be worth while with my current issues? Would it be beneficial to enroll and also switch to Tricare select during tricare’s open enrollment? Can I keep my specialty care at NMCP with any of these changes?

I have never had OHI and am lost in how this all works.

Recently retired August 1 and put my family and myself on Tricare prime select.

Edit: Tricare select

Took my kid to the doctor today for a cough and the prescribed some meds.

Went to CVS and they couldn’t find my insurance. I gave them my retiree card but they said it wouldn’t process the insurance of some reason.

I ended up paying for the medication because my kid needed it.

I’ll call Tricare west tomorrow to see what’s up, but anyone have an idea?

Before I retired I never had this problem.

I’m sure this has been asked before but is there anyway to get GLP-1 coverage for weight loss if you are in Tricare for Life/Medicare A and B?

Is anyone out there still experiencing an utter nightmare from incompetence due to TriWest claiming you have other health insurance? In 41 years, all I have had is Tricare Prime and never had an issue with Tricare East. Since being forced to TriWest, it’s nothing but problems! They are asking doctors, hospitals, surgeons for money back they already paid them - clear back to January 2025! Saying I had other health insurance. We’ve filed Congressionals but can’t get real help!

Is anyone else having problems with the TRICARE West website right now?
I’m trying to log into my account, but every time I enter my information, it either doesn’t load or just sends me right back to the login page. I’ve tried multiple times and can’t get past the login screen.
Is the website down, or has anyone else had this issue and figured out how to fix it? I’m just trying to access my account and it’s driving me crazy