Tricare Updates

Tricare is changing…. yes again! If you have been with Tricare for over the past ten years hearing there is some new change is nothing… well, new. It seems something happens every couple of years.

So what is new now? We now will have new regions. No more North, South, and West. That is right! If you are part of the West region, nothing has changed. If you were in North or South area, you are now part of the new East region. That is right; now there will only be two coverage regions within the United States, East, and West. This is good for one big reason unless you transfer from east to west coast or vice-versa then your region stays the same, and it is one less thing you have to worry about.

What else is new? New plans. Now Tricare Standard and Tricare Extra will become the new Tricare Select plan. There are some minimal changes to the plans, including prime which you can find out more about here.

Are there more changes? Probably, but these are the BIG changes going on.

Much Love,
Michelle

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5 Tricare Myths

We have all heard one thing or another in regards to Tricare. Things that they do or don’t do. I know I have heard my fair share of myths in my eight years of being a Military Spouse. So to help a little with all the stories and ‘gossip’ you may hear, here are the five top myths I hear in regards to Tricare.

1. You get one PCM for your entire Duty Station.
If you are Standard, then probably. However, if you are Prime you more than likely won’t. Keep in mind these doctors are also service members, therefore, they to rotate duty stations. Meaning you may go through a few PCMs during your stay per station. In our three years in this location, I am on Doctor number four.

2.Getting a free breast pump is impossible.
This is very easy. There are a few companies which all they do is deal with Tricare. When I had my son, i used Target. All I had to do was email the picture of the prescription to them. However, I have heard they no longer offer this service. I know The Breastfeeding Shop is another source. All you have to do with them is fill out their order form.

3. Urgent Care Visits require Pre-Aprroval.
For Standard, there is no pre-approval needed. However, you will still be responsible for your co-pay.
For Prime, you are allowed two visits without approval per person per year. For more than two you will need an authorization, which you may get by calling the Tricare Nurse Line should your regular PCM not be available to see you.

4. You can get your prescription filled anywhere.
Simply put No. Some locations do not cover Tricare. CVS for example no longer takes Tricare. Places like Walgreens, Walmart, and Rite-Aid, are still providers. The best place to get prescriptions filled is still on base since there is no co-payment in the base pharmacy as there is with the other vendors.

5. Prime is the best option.
This is not true, and it comes down to each families specific needs. If you don’t mind waiting on referrals and having little to no say on which doctors you get, then this is a good option. There is also little to no expense associated with Prime.
However, if you want the freedom of choosing your doctor, and don’t want to deal with waiting for referrals, then Standard may be for you. Just keep in mind that Standard is a 80-20. Meaning they cover 80% of the costs and you cover 20%. So if a bill is 1000, you would be responsible for 200. I do know there is also a deductible section for Standard, but I am not aware of the logistics behind it.
So be sure to do your research and choose which plan is better for your family. For example, for my family, Prime was the best option.

Are there more myths floating around out there? Sure there is. There always will be due to misinformation and the telephone effect. The key is research. If you can’t, find the answer then ask the appropriate people. Should you have a Tricare question, ask the Tricare specialist on your base. Question on medical, ask a service member there. Do not just rely on what you hear from other spouses. Though us spouses are a source of knowledge, sometimes we hear things incorrectly or our own personal experiences may lead to wrong information.

Mommy hospital bag, what to really take.

You have finally come around to making that pesky hospital bag. Whether you are 20 weeks pregnant or 35 weeks, it’s never an easy task.

I am sure you have heard it all by now, I know I did. From the must haves in the hospital bag to the just leave behind you’ll never use. And truth be told some were right, not to mention everyone’s experience is different. The reality is, it also has to do with your hospital and what they give. So here is some of my musts and leave behind, with a few extra tips along the way.

1. Non-slip socks. Forget the slippers or the shoes, just plain old socks. If you have your baby in the little bassinet beside you, you’ll still need to take a step to reach over for your bundle safely. If you already have socks on it makes it much easier than having to search for and put on shoes.
2. Hair ties. I don’t know how your labor will go, but my contractions came on my hair wash day. Now, I am a first-time mom and didn’t realize I had quite some time to shower and do my hair, but my panic and rush to the hospital had me in labor without my hair being done. Hair ties were my savior.
3. Boppy. That is if you are planning on breastfeeding. It will get you used to it for when you get home, not to mention much more comfortable than having your arm floating around while you and your little learn to bond.
4. Electronic chargers. Phone, laptop, e-reader, whatever electronics you take remember the chargers.
5. 2 comfortable sets of clothing. I had a natural labor, meaning comfy for me was a dress. If you have a c-section comfortable for you may be leggings. Plan for both occasions, you never know what turn things may take.

Now comes the maybe section. I brought toiletries, but my hospital gave me everything from toothpaste and brush to a hair brush, shampoo, conditioner. I also took makeup that I did not use. So if you are a big makeup user take it, otherwise leave it behind. You will be too enamored of your new bundle to worry too much about what you look like.

They gave me tucks (which are wonderful!) as well as pads, and the pain relief spray. I had heavy bleeding where I needed two blood transfusions, so I ended up sending my husband to buy me Depends because I leaked through the pads. Future pregnancies I will take depends, however, because they were much more comfortable than the mesh panties they give you.

I took magazines and some “entertainment” things to keep my mind off the pain (no epidural) but never used them. I just closed my eyes and tried to rest in between contractions. That is something I will leave behind next time, but it may be helpful for some. Especially if you do an epidural, you’ll want something to do to pass the time.

The don’t include section. Do not take too many clothes. For me, it was better to use the hospital gown because it had breastfeeding flaps. Much easier and if it got milk or blood on it I could just request another.

Nipple cream. I got about for “sample” tubes that lasted me up until four months postpartum.

Breast pads, I got two boxes of them from the hospital.

Never be afraid to ask for things. Alcohol swabs to clean the babies belly button. They may not give you the breast pads and cream unless you ask for it. Anything that may be for your well being and your babies, they will have so ask away. My hospital also gave me a bag of diapers and wipes, though I have heard some hospitals do not give wipes anymore. Like I said, ask for everything, worse case scenario you can send someone to the gift shop for you to get anything you may need.

Happy Packing!