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tricare prime vs standard

Posted by on Jun. 4, 2011 at 12:19 AM
  • 9 Replies

 I currently have prime. what do i have to look forward to if i decide to switch to standard? i would be switching because i want to deliver near my house. Dont want to be driving all over a new city. what are some pro's and con's about standard?

 

TIA

by on Jun. 4, 2011 at 12:19 AM
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Replies (1-9):
TippyD
by on Jun. 4, 2011 at 11:25 AM

you have a copay, but can be pickier with providers..  that is the mane difference

Danielle-Lo-La
by on Jun. 4, 2011 at 11:26 AM

but at least you get to choose your doctor. I refused to see an ob on post so I switched to standard. not a single regret.

lilnena98
by on Jun. 4, 2011 at 11:34 AM

 All I know about standard is you can pick your provider and you have a copay.

Sara.Worthey
by Gold Member on Jun. 4, 2011 at 11:42 AM

If you switch to standard, you have to remain on standard for at least a year before you can switch back to Prime. You will have a co-pay, but I am not sure if that applies to OB cause Pregnancy seems to be ones of things that are completely covered. I am not 100% sure about that cause I have always been on Prime or Prime Remote.

lauren_k
by on Jun. 4, 2011 at 11:33 PM


Quoting Sara.Worthey:

If you switch to standard, you have to remain on standard for at least a year before you can switch back to Prime. You will have a co-pay, but I am not sure if that applies to OB cause Pregnancy seems to be ones of things that are completely covered. I am not 100% sure about that cause I have always been on Prime or Prime Remote.

You still have a copay, but it doesn't amount to much. I pay around a dollar a visit and most friends on standard haven't paid more than 25 dollars for their hospital stay. If you stick to prefered providers the copays aren't bad. They are a little higher if you go to a non preferred provider. There is a max out of pocket every fiscal year of about 1000 dollars. I like the flexiblility to choose my doctors and not have to wait all day on post if I need to see a doctor or for urgent care.

Soniam301
by Sonia on Jun. 4, 2011 at 11:37 PM
Also, you dont need referrals for specialists.

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USAFamily
by Melissa on Jun. 5, 2011 at 1:15 AM

 I have prime, so I'm not sure!

Good luck though hun!

aubrey_lyn
by on Jun. 5, 2011 at 1:26 AM
I have standard but my ob is on post...idk y i choice an ob on post but i did..sometimes my appts r really early and sometimes ive had one as late as 8 pm
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Dani_Lynn
by on Jun. 5, 2011 at 8:48 AM
I am a fan of standard. I see who I want to see when I need to see them. A same day appointment doesn't feel like a lottery and my max out of pocket is 1000 per fiscal year. That's less than 100 month if I get that far. I have yet to pay that much in a single year though.
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