My wife is now under Medicare and has Tricare for Life. In any bill that medicare did not pay the entire amount, I have yet to see stinking TLife pay a dime of it. And now they are saying that they will start charging us for Life. WHY? They are not paying a dime of any bills. Thankfully thus far no one has asked us to pay what Medicare did not pay for and TLife failed, refused, didn’t pay. I am nearing Medicare and Tlife, so Don’t know what that is going to mean when stinking Life starts charging us for nothing. I also use Exp Scrips for the two meds that we get on a yearly schedule. They send 90 days at a time and refill three times over the year. And the price for the 90 days seems higher than what I was paying at CVS for the same 90 days before starting using Scrips. But got a letter telling us that we had to start using scrips because they would charge me more for using CVS. Tells me this is all a stinking Dimocrat and company scam.
That DOD MANDATE declared you would pay 100% of the cost of your meds that Medicare does not usually cover unless you have part D. If you are near a base, a lot of your meds will be FREE. Even stuff like Miralax.
We are both Medicare/Tricare Life, hubby is the Ret SCPO. 74, I’m 66. The amount Tricare and Medicare pay varies from visit, meds, procedures, test. I have had 1 doctor’s visit come back with both agencies paying TWENTY EIGHT CENTS for the visit to my Gastro. We have been paying co-pays at private pharmacy we used for 30 yrs treated like family. Now it’s base dispensary, and you know the crap service you get there. ES is worse. Our scripts filled on the base, are refilled out of Pensacola takes 5 working days. I’ve been jumping all over my US Rep Fincher about the stuffing of these VERY COSTLY drugs in to my mail box UNSIGNED FOR! We do not do auto order.
My synthroid has to be name brand. I am allergic to the generic. Heck, I react to 90% of meds. I like samples before I fill a script, it tells me enough to know if I want to fill it. And yes the high end of $51 co-pay is up $10. Low end always varied by market from $5 or less and medium at $17. ES fought a year to keep from paying for my name brand Synthroid. Took sicking the US Sen on them to force their hand.
Letter:
1 Transfer your medication from a retail pharmacy to safe, convenient Tricare Home Delivery and pay less out of pocket! A typical cost for a 90 day retail supply is $51 but only $13 for Home Delivery.
2 Ask your doctor about using a low cost generic that is not among the medications included in the Pilot Generics can still be filled at retail for $5
3 Transfer maintenance medications under the Pilot from retail pharmacy to a military pharmacy. Call your local military pharmacy to see if they have you medication
4 Continue to get you selected maintenance medications at a retail and pay 100% of the cost of the medication starting with your third refill.
If you refill your selected maintenance medication’s at a retail pharmacy after March 14, 2014 you’ll get letters from the Tricare Pharmacy contractor Express Scripts, Inc about switching to Home Delivery. Remember, starting with your third fill you will be responsible for 100% of the cost of the medications if you chose to continue to obtain them at a retail pharmacy.
If you have other health insurance with a prescription benefit, you do not fall under the Pilot. There will also be a process to obtain waivers on a case by case basis, due to personal need or hardship, emergency or other special circumstaces-0 such as living in a nursing home. After participating in the Pilot for 1 year you may opt out.