Can someone tell me what fertility treatments Tricare covers? - Page 2

[SugarGirl]

I know this thread is old but I'm hoping someone can help me out.I am a patient at MAMC on Fort Lewis and have been having a horrible time dealing with them. They never seem to have any availablility when I need appointments at specific times during my cycle. We are thinking of switching to Tricare Standard just so I dont' have to deal with this anymore. In the almost five months since my first appointment, I have only seen Dr. C once. If we go speak to patient advocacy is there any chance we will be approved to be seen off post? 

[laurieedens]

Hi there my husband is is the army. I had my tubes untied about 7 months. I found out it didn't work. Now my doctor told me that i have to go the fertility road. I have no clue were to start. I have an appt at ft carson with him. So i have no idea how to go about this. I'm not active duty. Can anyone help me? thank you

[DDavis]

We live in Maryland and I just switched over from Tricare Prime to USFHP (US family health plan), a contracted insurance through Johns Hopkins.  I see a doctor in Lutherville, MD (where the infertility clinic is).  I am torn over my decision to switch from tricare prime to USFHP before embarking on this fertility adventure because of the associated costs.  I am looking for some info on what USFHP covers and does not cover when considering a round of IVF.  I have heard drugs are not covered and ultrasounds and labs are....  I was also told that soon the policy is going to start charging the same prices as Walter Reed and MTFs for IVF treatment but of course the insurance representatives know absolutely NOTHING and are incompetent when it comes to asking them about this.  I have gotten a price list from the Johns Hopkins finance office but the numbers are daunting and I don't even know which procedures will be used on me.  My HSG came back normal and everything else seems to be ok, I just don't get my periods very often, so thus I am probably not ovulating every month.  Have been trying for 16 months now, 4 months of clomid did nothing. Very frustrating.....and dealing with insurance companies makes it even less so.  It is not reassuring to wait for the bill to come in the mail and not know the exact $$$ amounts before starting treatment.  Anyone have any luck in freezing their embryos...that seemed to be a cheaper option...Thanks for any advice.  

[BellaW]

I am in desperate need of answers and it seems no one can help.. Well, let me rephrase that... Everyone wants to help, they just all have different stories to go with my questions. Hopefully someone here can help. My husband and I are based out of Benning and we have Tricare Prime Remote. I was forced into getting my tubes tied in 2004(yes I said forced, Controlling ex husband that threatened to take my 2 boys if I didn't get it done) Now I am re married to My Perfect husband and we want child together, he has no children. I am open to getting my tubes un-tied and or IVF done. I have heard that Tricare will pay for partial then I heard it pays for all and of course i heard they wont pay anything.. Also that it depends on the type of tricare you have.. I am so confused as to where I should look or who I should talk to. I watched videos and asked people about IVF and they were very vague about it what it's about, one person told me it usually takes 2-3 times before getting pregnant.. My husband is only a SPC, we cant afford to do this 2-3 times. Granted we will but it would be nice to know what's covered for us and where to go to get the procedure done. Help please, any information on this would be outstanding. Thank you so much in advance 

[Imakcerka]

CALL TRICARE!  Or go to their office, they have one in every Military Hospital.

[BellaW]

Thank you for response, it is greatly appreciated.

[marydiggs]

hello,

I found your post very informative, you gave great information..one question right off the bat even though they do ivf at low cost would they allow a payment plan? or did you have to pay all up front? im medically retired from the army..so im not sure how this works..how long does the entire process take from begining labs to doing the ivf? i have pcos (polycystic ovarian syndrome) and a hole in one of my tubes..dont know how that happened ive never been pregnant..and have my period maybe once a year (due to the pcos) well anyhow id love any and all information on who to contact at the hospitals..i was stationed at bragg for 5 years..im now in texas..so san antonio would be close..but really ill travel wherever i need to for which hospital has the best success rates on pregnancy..this has been a life long dream for me..and im 30 years old and times running out..i need to do this very soon if im gonna have any chance at all..thanks so much..mary

[marydiggs]

hey im new at this site..but was wondering if you could read my post i think its comment num 26 or 27..im mary and wantred to know more about your post more info..like if we have to pay the mtf upfront of the ivf cost or will they let us pay monthly..and more about who to contact maybe some numbers and names..and how long from when you first started with labs to the final ivf process. plus if you knew what mtf had teh best success rate..thanks so much mary

[~Adorkable~]

The military moms and family have a social group here on Mothering.com it can be found here: Military Family Life

There is a thread just about Tricare and mothering, let's pool our collective information there. 

Currently and for many years there have been posts over MDC about tricare and so much info that is hard for each of us to find. 

This way we can learn from each other and gather it in one place so that the next lady looking for the same info can find us and what we found!

We would love to had you!

[Nirvana Benitez]

Hi Adorkable, I finally received a referral from my pcm to go to the Madigan MTF and am hoping that you can tell me what the process is there and what I should expect.

[Nirvana Benitez]

Hi Adorkable, I finally received a referral from my pcm to go to the Madigan MTF and am hoping that you can tell me what the process is there and what I should expect.

[Nirvana Benitez]

Hi Adorkable, I finally received a referral from my pcm to go to the Madigan MTF and am hoping that you can tell me what the process is there and what I should expect.

[mrswd]

If you could provide me with more information like price list? everything you have would be great!

Thanks

[~Adorkable~]

im not sure what you are talking about and frankly i would suggest that you use some more considerate wording when talking about infertility around here.

[~Adorkable~]

Originally Posted by mrswd 

If you could provide me with more information like price list? everything you have would be great!

Thanks

you are not going to find a price list about tricare, its just not how they work. you need to get referred to a RE at your MTF and go from there. 

[~Adorkable~]

Originally Posted by Nirvana Benitez 

Hi Adorkable, I finally received a referral from my pcm to go to the Madigan MTF and am hoping that you can tell me what the process is there and what I should expect.

sorry i never got back to you, i was out of town helping family all spring and summer. how are you doing?

[Tara and Brad]

TRICARE covers more than you think. I had to fight for my premature child to get a breast pump, but with my husbands help they paid for it. TRICARE plans or contracts are so indebt you really have to dig for the correct info. But in the long run its worth it. Checkout http://www.cost-of-fertility-treatment.com/cost-of-fertility-treatments/tricare-fertility-coverage.html they have provided a few military hospitals that will cover certain things and bill TRICARE. TRICARE only covers certain services if done at certain military hospitals. Yeah I know its confusing!

[Deckercm]

We are stationed out in Hawaii and are just starting the road to professional help in getting pregnant. I am getting ready to have my first fertility clinic appt after receiving a referral from my doc. I am interested in any info you have about what is covered and/or pricing for the Tripler Army Hospital. If they cover any procedures there, I would be grateful to know. That way I can go into my appt with some knowledge of what my options really are.