Question:
Someone HEEELLPP me find a doc in new jersey who accepts tricare without xtra expense

need to find a surgeon who accepts tricare without telling me they suck at reimbursement and that I will have to arrange financing thru them (the doc) anyone had a surgeon who just took tricare (in New Jersey) with minimal out of pocket expenses?? Pls Help    — magikwoman (posted on August 28, 2006)

August 28, 2006
Tri care sucks because medicare sucks is the answer to why they don't pay well. I have Medicare and Tricare and because Medicare only allowed 1,300 dollars of a 10,000 dollar bill for my surgery that is all that Tricare would allow and they ended up not paying a penny of it as they put it towards an adjustment. The doctor accepted assignment and now he is out of alot of money because neither insurance even pretended to pay half of the bill. I wrote to medicare several months ago. They never wrote back and then I tryed Tricare and got the same response. That is why you can't find anyone to do the surgery. There are some military medical facilities that will put you on a waiting list and do you in a year or two but that is about as much as you can hope for. I am in Ohio but have been working with Tricare-Champus most of my life and I know what you are going through. Tricare is governed by what Medicare will allow for surgeries and they do not keep up with the times. They are using a pay scale from the civil war era. It is embarrassing to me that our federal government lets this travisty go on. Good luck but you would be better off going to a military facility that is doing the surgery.
   — vickicarson

August 29, 2006
Kelly, Look on here up top click on Insurance, then New Jersey, Then T for Tricare. There is one review for Tricare Prime & 19 reviews for Tricare. You'll need to look at each one to see who they've used, to see if anyone of them is close to you, and if need be while in their profiles you can email directly to them to ask questions. Good Luck
   — Michael Eak

August 29, 2006
Kelly, Your PCP should be able to help you, and if not go to TriCare's web site and check what Dr's are in your area that are in the NET! I have TriCare Prime, and live in NC I could not have ask for better service with anyone else. I have only had to pay out of my pocket about $300.00 and thats all been for my copays, not much when my Dr and hospital bill combines where like $45,000.00 Best of luck, keep searching you will find one. Perry W.
   — tigersmom

August 30, 2006
First you HAVE to go to your PCP and they will give you a referral to a surgeon. I have Tricare Prime and I only had one out of poclet expense and that was $350. But Tricare has a whole mess of stuff that you have to go through before you can even get a referral to a surgeon. If you have any questions that I might b able to help with more, please let me know. Take care~ Jen
   — jenzstory