You will be redirected to the page you want to view in  seconds.

Tricare Help: Will Tricare cover diabetes care?

Feb. 16, 2012 - 12:21PM   |   Last Updated: Feb. 16, 2012 - 12:21PM  |  
  • Filed Under

Q. My fiancÚ is active-duty military. I am diabetic and am on the insulin pump. I have been told that once I get married and go on Tricare, my care will not be what I'm used to. I have seen the same doctor for 17 years, and I heard Tricare won't let me pick my doctor. I have also been told I may have to give up my insulin pump and go back to shots. Is that true? Also, when we get married, do I have to wait for an open enrollment date for Tricare, or is there a way that coverage can start right away?

A. First of all, if medically necessary and appropriate for the diagnosis, symptoms and history of the particular beneficiary, an insulin pump can be covered by Tricare.

A problem could arise in your choice of providers. Tricare is not an insurance policy; it's a federal health benefits program. Tricare requires that you receive all civilian medical care from Tricare-authorized providers. Tricare may not pay for any medical services you receive from an unauthorized provider.

To retain your same providers, they would have to be willing to become Tricare-authorized. They can learn how to do that">by visiting this webpage.

There is no open enrollment period for Tricare. You will become legally entitled to Tricare the moment you are married.

For you to use Tricare, your military sponsor (your husband) must contact his personnel office to register you in the Defense Enrollment Eligibility Reporting System and secure for you a uniformed service identification card. Your coverage will be retroactive to the moment of your marriage.

Q. My wife and I just qualified for Medicare and Tricare for Life. We were both enrolled in Tricare Prime. We are also enrolled in Tricare Prime Plus at a military treatment facility. Do we need to continue paying the annual enrollment fee to use Tricare Prime Plus?

A. Beneficiaries who are enrolled in Tricare Prime when they become eligible for Medicare and Tricare for Life have their Prime enrollment terminated.

On the effective date of Medicare coverage, their Prime coverage is automatically changed to Tricare Standard, which becomes a free supplement to Medicare, and they are no longer eligible for Tricare Prime.

They also no longer have priority access to free care at a military hospital, and any Tricare Prime enrollment fees paid in advance are lost; they cannot be refunded.

Write to Tricare Help, Times News Service, 6883 Commercial Drive, Springfield, VA 22159; or">click here to send an email. In an email, include the word "Tricare" in the subject line and do not attach files. Get Tricare advice anytime">on our blog.

Answers by RallyPoint

Join trending discussions in the military's #1 professional community. See what members like yourself have to say from across the DoD.

More In Pay & Benefits

Start your day with a roundup of top defense news.

VA Home Loan

Search By:

Product Options:
Zip Code:

News for your in-box

Sign up now for free Military Times E-Reports. Choose from Money and Education. Subscribers: log in for premium e-newsletters.

This Week's Army Times

This Week's Army Times

CrossFit vs. unit PT
Troops will do the training plans in a $2.5 million study

Subscribe for Print or Digital delivery today!

MilitaryTimes Green Trusted Classifieds Looking to buy, sell and connect on Military Times?
Browse expanded listings across hundreds of military installations.
Faces of valorHonoring those who fought and died in Operations Iraqi Freedom and Enduring Freedom.
hall of valorThe Hall of Valor is a searchable database of valor award citations collected by Doug Sterner, a Vietnam veteran and Military Times contributing editor, and by Military Times staff.

All you need to know about your military benefits.

Benefits handbook

Guard & Reserve All you need to know about the Guard & Reserve.

guard and reserve handbook