Originally Posted by
olly
Right - worst case your out $3k for the year. There are forthcoming changes to Tricare pharmacy benefits. The retail pharmacy co-pays may go up some after your first 30 day prescription, but the mail order pharmacy refill option is going down in price, and no changes from mil facility. They're trying to save $ by attempting to curtail the middle man (retail pharmacy network). Pro's & con's to this, but it will save them quite a bit. So far most are happy getting their refills in the mail. However, some drugs are temperature sensitive, and some folks want the face to face with the pharmacist. They is waiver criterion for retail pharmaceuticals.
That is the only proposed change that has been enacted into policy. DoD wants more cuts, as they have to pay active & retiree health care out of the defense budget, but the house & the senate have a pretty good history of pushing back on those proposals over the past 10 years.
Again, thanks for the information. I will try again with the Tricare folks on Monday to see if I can get an answer about what happens when the Tricare allowable is less than the Blue Cross allowable. That could be significant because the Tricare allowable is usually less than Blue Cross and two of her doctors do not accept Tricare. I guess I will be filing that paperwork and waiting to get reimbursed from Tricare.