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Old 06-26-2015, 06:57 AM
 
Location: East of the Sun
450 posts, read 602,995 times
Reputation: 597

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Seems tricare for life kicks in when you hit 65. You get put into a whole new category for care.
Also, I just found out, before you hit 65 tricare is your primary insurer but Medicare takes over at 65. They won't pay for some things without a big argument like tricare did. Believe me it really is a hassle to get the same level of care after you hit the big 65.
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Old 06-26-2015, 07:17 AM
 
Location: Forests of Maine
37,671 posts, read 61,767,294 times
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So the only trigger is turning 65, and it is not linked to applying for SS? Thanks
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Old 06-26-2015, 07:39 AM
 
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No, you are not required to apply for Social Security. The trigger for being converted to TriCare For Life (TFL) is your age. Once you are 65 and eligible for Medicare, you must sign up for Medicare Part A (free) and Medicare Part B (monthly fee). Once you have both Part A and Part B you automatically receive TFL. You must sign up for Medicare in order to keep your TriCare benefits.
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Old 06-30-2015, 09:51 AM
 
Location: Central Massachusetts
6,734 posts, read 7,174,141 times
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Does tri-care cover spouses too? Are the rules different for reservists/guardsmen to actcive duty retirees?
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Old 06-30-2015, 11:39 AM
 
Location: Forests of Maine
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Quote:
Originally Posted by golfingduo View Post
Does tri-care cover spouses too?
Yes and children.
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Old 07-01-2015, 09:33 AM
 
9,346 posts, read 16,736,743 times
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Quote:
Originally Posted by orhs66 View Post
We have tri-care here in Maryland and very happy with it. I am concerned about moving to southwest Fl. and having the resources available that we have now.
We spend winters in FL and have never had a problem or had to pay anything.
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Old 07-01-2015, 09:34 AM
 
9,346 posts, read 16,736,743 times
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Quote:
Originally Posted by LookingatFL View Post
No, you are not required to apply for Social Security. The trigger for being converted to TriCare For Life (TFL) is your age. Once you are 65 and eligible for Medicare, you must sign up for Medicare Part A (free) and Medicare Part B (monthly fee). Once you have both Part A and Part B you automatically receive TFL. You must sign up for Medicare in order to keep your TriCare benefits.
Agree with this and would like to add that you don't need Medicare Prescription Plan as you should use the Express Scripts for TFL.
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Old 07-01-2015, 12:12 PM
 
Location: Forests of Maine
37,671 posts, read 61,767,294 times
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It all seems to be fairly seemless to me.

I deal with the doctor's office directly, and we get a bill later for the co-pays.

Various doctors each send my scripts directly to the mail-order pharmacy, and they arrive in the mail. I get 90-day scripts with 3 refills, so I only need to deal with my PCP once/year. Every 90-days I call the mail-order pharmacy for them to send my the next set of meds.

One of my scripts is non-formulary, there is only one pharmacy in the state that is certified to make it. The first time I was prescribed this med there was a 3 day delay [while they communicated with Tricare] then the third-party pharmacy called me to verify my street address. That med is delivered by UPS packed in ice with a bag of syringes. Now that pharmacy calls me each time to verify that I am nearly ready for my next refill. It is still a $3 co-pay right along with my other scripts.

The only time I deal with the insurance is when they send me the bill for the co-pays. $12 per office visit or surgery, and $3 for each script.
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Old 07-01-2015, 12:41 PM
 
1,322 posts, read 1,693,855 times
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We also get the 90-day supply but we never have to call the mail order pharmacy. It is all automatic. When the prescription needs to be renewed the pharmacy contacts the doctor directly. The pharmacy has our credit card on file, so they charge the credit card with each refill. Some prescriptions are fee.
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