Health & Safety

December 6, 2013

Ask the Doc

doctor

Q. What’s my copay for a prescription I get at a non-network pharmacy?

A.TRICARE Pharmacy Copays or Cost-shares in the United States, Including American Samoa, Guam, Puerto Rico, the Northern Mariana Islands and the U.S. Virgin Islands.
Options include utilizing a Non-Network Pharmacy or a Host Nation Pharmacy.
A Non-network Pharmacy can provide up to a 30-day supply but be aware that you may have to pay the full amount up-front and file a claim to get partial reimbursement. If you’re an active duty service member, you’ll get a full reimbursement.
For Non-network Pharmacies TRICARE Prime option enrollees, including the U.S. Family Health Plan and TRICARE Young Adult-Prime option is 50 percent cost-share after you meet the Point-of-Service deductible of $300 per person and $600 per family. For all others the cost is $17 or 20 percent of the total cost, whichever is greater. The deductible for grades E1 to E4: is $50 per person and $100 per family. All others, including retirees are $150 per person and $300 per family.
A Host Nation Pharmacy can provide up to a 30-day supply and you may have to pay the full amount up-front and file a claim.
Active duty service members and active duty family members enrolled in a TRICARE Overseas Program Prime option will get full reimbursement after a claim is filed.
Active duty family members not enrolled in a TRICARE Overseas Program Prime option will receive a 20 percent cost-share after they meet their annual deductible. For the grades E-1 through E-4 the deductible is $50 per person and $100 per family. For the grades of E-5 and above the deductible is $150 per person and $300 per family. All others get a 25 percent cost-share after they meet their annual deductible of $150 per person and $300 per family.
If you live in the Philippines, you must get your medications from a TRICARE-certified pharmacy.

Send your questions to askthedoc@nellis.af.mil.




All of this week's top headlines to your email every Friday.


 
 

 

Ask the Doc

Q. Does TRICARE pay to replace durable medical equipment? A.  Yes, as long as you own it. The damage must be accidental and the equipment is broken and unrepairable.  Also, it may be replaced if there’s a change in your physical condition or the Food and Drug Administration states the equipment is unsafe. Regional contact...
 
 

Health Benefits Program open season dates set

JOINT BASE SAN ANTONIO-RANDOLPH, Texas — Open season for the Federal Employees Health Benefits Program and the Federal Flexible Spending Accounts Program runs through Dec. 8, officials announced recently. During open season employees and retirees will have the chance to review their current plans and make any changes they desire for the following year. Eligible employees...
 
 
doctor

Ask the Doc

Q: What benefits are available to me if I were injured on active duty?  A: We have many programs and benefits available if you were injured on active duty. How you get your care depends on your military status. Active duty ser...
 

 
U.S. Air Force photo by Staff Sgt. Siuta B. Ika

Nellis holds MARE to prepare

U.S. Air Force photo by Staff Sgt. Siuta B. Ika Firefighters from the 99th Civil Engineer Squadron spray an F-16 Fighting Falcon that is playing the role of a downed F-35A Lightning II during a major accident response exercise ...
 
 
smoke-detector

Remember to change your smoke detector battery

MOODY AIR FORCE BASE, Ga. — The staff of the Moody Fire Prevention office is urging everyone to make a potentially life-saving move when they set your clocks back one hour Nov. 2: Take a moment to change their smoke alarm b...
 
 
doctor

Ask the Doc

Q. How do I login to Beneficiary Web Enrollment? A. You can login to Beneficiary Web Enrollment with a Common Access Card, or CAC; a Defense Financial and Accounting Service, or DFAS, login; myPay Login ID and Password; or Depa...
 




0 Comments


Be the first to comment!


Leave a Reply

Your email address will not be published. Required fields are marked *

You may use these HTML tags and attributes: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <strike> <strong>


Directory powered by Business Directory Plugin