Question:
Tricare Ins. question?

I had surgery on the 14th of Feb. I got two statements from my insurance stating what they paid and what they didn't. 1st, the surgery bill was $40,000. They covered only about $5000. Then I got info from my surgery that the anesthesiologist was not a covered procedure. Today, I received a bill for $3055. What do I do? Do I have to pay this money? I was under the impression that this was all covered? HELP!!!!!    — Stephanie T. (posted on April 3, 2003)


April 3, 2003
please call your insurance company right away. it could be a mistake -- i get bills from my clinic all the time for things my insurance covers.
   — Kasey

April 3, 2003
I also have TRICARE, I am assuming you are talking about TRICARE PRIME. THe hospital, DR, etc... axcept what TRICARE pays. They paid for my stay, the DR, including the anesthesiologist. I would call TRICARE and the hospital and DR's offices, to see where the mixup is. I only had to pay my co-pay of 11.00 per day.
   — mildstorm

April 3, 2003
Another Tricare person here.. Prime actually. Call TRICARE right away. Make sure to keep a record of when you call, who you talk to, and what they tell you. If you were all preapproved and used a provider hospital then most likely its just a mix up. Once you talk to Tricare, be sure to call the hospital billing department and let them know whats going on!
   — Anne R.




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