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How important are dr. appts? - Page 2

post #21 of 24
autumnbloom, I could not read your post without saying I'm so saddened by the way you were treated. I hope you are able to find a solution that allows you to feel respected while not hurting you financially. I'm so sorry.
post #22 of 24
Thread Starter 
Thank you all so much!! I did get a hold of a midwife who sounded like a good match. I have a meeting with her next week. She said that she would even do a home birth with me, or I could go up there to the birthing center (YAYYYYY!). We have very similar belief systems about pregnancy/birth, and I think its going to be a better fit. She charges $2300 for everything (but doesn't include things like caring for the baby after, etc). *IF* tricare covers it, it would be $1300 out of pocket by my 37th week.

I can try to work (i own my own business and only work when I can/ want to / have clients LOL). It will take some advertizing and some hard work to get enough, but I might be able to pull it off! *crossing fingers & saying a prayer*
post #23 of 24
Quote:
Originally Posted by autumnbloom View Post
Thank you all so much!! I did get a hold of a midwife who sounded like a good match. I have a meeting with her next week. She said that she would even do a home birth with me, or I could go up there to the birthing center (YAYYYYY!). We have very similar belief systems about pregnancy/birth, and I think its going to be a better fit. She charges $2300 for everything (but doesn't include things like caring for the baby after, etc). *IF* tricare covers it, it would be $1300 out of pocket by my 37th week.

I can try to work (i own my own business and only work when I can/ want to / have clients LOL). It will take some advertizing and some hard work to get enough, but I might be able to pull it off! *crossing fingers & saying a prayer*
I wish you a lot of good luck and support! I strongly encourage you to do whatever possible to have the birth you need, and it sounds like you're doing just that!

I have to say too, I'm so impressed with how you're handling everything, what with calling your insurance company and finding a midwife (already!) and filing a complaint, all so quickly - you're so efficient! It really is impressive - I know I would still be sitting at home bawling and complaining and not wanting to deal with it if I had gone through what you did. You rule, seriously!
post #24 of 24
Quote:
Originally Posted by autumnbloom View Post
We're a military family and they have made it abundantly clear that we can't go off post for prenatal care or they will refuse to see us (my whole family) for a year after the baby is born. I would say okay to this without a blink except that my oldest has special needs and it would also require copays out the wazoo that we can't afford right now. I'd rather her get the care she needs than not... if I have to pick between the two, she always comes first. It just sucks that there are so few choices.
You can drop to tricare standard, just you, and can still get the 100% global maternity authorization.

Quote:
Originally Posted by infraread View Post
Oh, no no no. YOU can call Tricare at any time and drop yourself from prime to standard, without changing the rest of your family. Actually, your DP may have to do it since (I'm assuming?) he's the sponsor. But either way, that is YOUR choice and not the mtf's choice. YOU would have to stay on standard for 1 year, but the copays are pretty low as long as you find a doc who accepts Tricare.
This is what I've done for this pregnancy and myself and my doctor who is OUT of network just got our letters saying that I have NO copayments and that it is covered at 100% just like if I were prime. I don't know why they hide that you can do this but fwiw, there is an Army MTF that delivers babies right up the road. If I had stayed on prime, that's where I would have had to go.
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