LarryJM wrote:
I'm not going to try and get into all the nitty gritty since I could make a mistake, but in a nut shell when you reach 65 TCFL requires you to apply for Medicare Part B which is the outpatient portion and then basically at no cost Tricare becomes your Medicare supplemental similar to MediGap insurance that many retirees pay for. In general you go to a doctor that takes Medicare and once the cost exceeds the Medicare coverage then Tricare picks up the TAB just like they would with Tricare Prime. For a long, long time Tricare will charge whatever insurance you have to keep the goverment costs down. Now something I'm not sure about is if one can get TCFL once they reach 65 if they haven't been a Tricare Prime enrollee. Furthermore those with insurance provided by their employer they are failing IMO to realize that that option will go away once their employement ends and they will be faced with a MAJOR CHANGE from what I know is how they have to now satisfy their health needs. Also, I have often heard this "continuity" or choice of care being thought of as an issue with Tricare, but I have in my almost 66 years have never known anything, but Military Medicine and the same goes for my DW for almost the last 45years and both our sons who are now in their 30's and 40's and in all our opinions the level of care has be bar none the best available. One issue with many is they don't understand or are not willing to work within the confines of Military or government supported Medicine and IMO that is just a lack of understanding and willingness to truly take charge of their health needs.
In the end it's all about choices and most will agree as you reach Medicare age health costs is a MAJOR CONSIDERATION. When I retired we made a decision to remain in the area of what now are two of the FINEST Military Hospitals (MTFs) ... Walter Reed National Military Medical Center (where the Pres goes along with a lot of members of Congress) and the new state of the art Fort Belvoir Community Family Hospital and get all our medical needs met at those two facilities. If one is eligible to use a MTF being close to one should IMO be just as important as where you want to retire because of weather/taxes/COL, etc. Both myself and DW have had the same Primary Care Doctor for almost the last 15 years and getting things done/approved is as simple as asking ... try that with any other health insurance when you want something like a routine EKG just because it makes you feel better or say a MRI/CAT scan where an X-ray might suffice. No problem since those are basically sunk costs at both MTFs we utilize. In fact our PCM has an EKG for just their use in Internal Medicine Clinic that she is attached to.
Now with all that being said I will say I'm no expert in all the ins and outs of Military Medicine, Medicare and obviously know less than a "ROCK" about the civilian world so my view is obviously slanted in one direction.
Larry
Good info! With my DW being a nurse, and even working at the MTF in Naples, Italy, she definitely knows the ins/outs of the system. I am sure I will get a lot more info when I take TAPS class, but as we all know, there will be many more iterations to the current set-up before I depart the pattern.
Copy the comment about the the employer insurance going away once she quits, but we have moved so many times in the last 10 years (since we have been married), it is second nature. What we have found, and is a great deal, some employers offer a Tri-Care rider, which covers everything that Standard doesn't pay. That is an over simplification, but the combination of those plans are just as good as having Prime, and you get to have the doctor of your choice.
As far as continuity of care, at normal base MTF's we were having problems with going in for an appointment, then going back for a follow-up, the last doctor was deployed, so we basically had to start over.
For my care, it is easy. I am a flier, so I have a flight doc, we are assigned to them they deploy with us and what not. We get specialized care, b/c we are an asset, so I believe the care is better and faster.
Cale