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My Cardiologist drops TRICARE Prime
So...after seeing the same cardiologist/surgeon since late March I receive a letter on 3 Jan from Pinehurst Cardiology that they are no longer accepting TRICARE Prime after 1 January 2014. However, They will continue to see me if I pay out of network deductibles and fees. (This is the cardiology clinic Womack sent me to). I have been very pleased with my care but I am not willing to pay the out of network fees etc.
I contacted TRICARE to ask why I was not notified of this from them since I have appointments this and next week with still valid referrals. My answer: They don't do this. It's left to the doctor. Regardless, I had to go back to my primary care physician who had to contact TRICARE in order to obtain a referral for an in-network provider. When I asked Pinehurst why they were dropping TRICARE Prime they basically told me they had been under contract with TRICARE for a long time however a provision under "Obamacare" allowed them to get out of the contract. The decision was made solely on profit/loss considerations. I'm sure there will be a lot of retired TRICARE Prime enrollees in the area unhappy about changing their cardiologists. |
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Your dental providers will be limited as well. I received a notice in the mail in december that informed me that I was going to take an additional 27-33% cut in reimbursements from all Delta military retirees plan members. That amount is on top of the already discounted fee reimbursment that was part of the contract.
I am continuing to treat my patients that are of record. I will write down their portion just like I was an in network provider. I am not placing myself as a provider, however. This will be the FIRST year since I've been a dentist that I will not be listed as a provider for the miltary retiree insurance program. Think I'm jjust being greedy? I, personally, take home right at 30% of gross collections. With the new delta plan reimbursements, I will be working for free at a minimum and most likely losing money for some procedures. Get ready.... more "hope and change" is coming. |
You get the government you deserve.
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