15 Sep, 2018 → by ClaimboUser126076
Tri-Care Referral

1

I had to submit a Fraud grievance due to the excessive Co-Pay process they have in place. Hours on the phone with untrained or unqualified Customer No Service reps resolved nothing. Going to the base hospital Commander this week to try and get some answers. They have changed the process from a Evaluate and Treat referral to needing a referral for each step of the process when sent off base for simple procedures. After raising they Co-Pay from 12 to 30, this means a person could pay 90 for what used to cost 12. Almost 1,000% increase. Someone is churning Co-Pays from Veterans. The Offutt AFB referral office said the new process was to reduce the cost to the Gov't. No, it just transfers the cost to Veterans trying to get medical care. In addition, they try and say the Dr. is a fault for not completing medical procedures under the office visit code, which I am sure would under pay the Dr. for medical procedures.
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