My ship date is August 10th & I am really confused with how Tricare works. Could I get feedback on costs, type of plan(Prime/Standard), etc? I have a wife and son. My wife prefers not to see a health care provider on post. I've been searching for info but no sites out there seem to have the exact costs(deductibles, co-pay, premiums) I would really appreciate all the help.
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When your wife and kids are enrolled in DEERS they will be automatically enrolled in Tricare Standard. Standard has co-pays and deductibles, and is great for people who want the freedom to choose their own civilian doctor, but it does cost a bit more. Usually standard is the most useful is you have health insurance from another source. Unless you visit a tricare network provider, you're usually responsible for filing claims. You get little priority at an on-base military treatment facility (MTF). The deductible is $100 for a family or $50 for an individual. Copay is usually 20% for a non-network doctor, or 15% if you use a network provider. Tricare Prime is the one that most AD family members enroll in. You get first priority to on-base treatment, or you can choose a civilian tricare network primary care manager to handle your healthcare. They can refer you to another civilian doctor if you need specialty care. There is no annual deductible. There is usually no co-pay. Get onto the tricare website and compare plans. http://www.tricare.mil/mybenefit/Profile
Or, if you live near a base you can drive there and visit the Tricare Service Center (usually located at the hospital or clinic) and talk to someone directly. That's what I did, and it was a LOT more helpful. Or there's also a telephone number you can call. (what part of the country are you?) I prefer prime. I'd recommend prime for your son as well. Look at standard for your wife and decide if the flexibility combats the out-of-pocket costs Edit: You're responsible for enrolling them in DEERS first though (form 1172...I think you'll do that at basic). Once you enroll them in DEERS, your wife will need to go and get her dependent ID card. Once they're in DEERS, whoever wants tricare prime will need to be enrolled in tricare prime. If she enrolls by the 20th of the month, coverage starts up the first of the coming month. After the 20th it takes another month. for example, enrolling by June 20 means coverage starts July 1, but enrolling on June 21 means coverage starts August 1. There's no enrollment for Tricare standard, it's automatic through DEERS.
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