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Friday, November 14, 2014

Letter To The Editors...TRICARE FOR LIFE FOR THOSE OVER 65 YEARS OLD

Opinion
TRICARE FOR LIFE DRUG PROGRAM STARTING 1 JAN 2015.

BEGINNING 1 JAN 2015 YOU WILL HAVE THREE OPTIONS HOW YOU RECEIVE YOUR VA. DRUGS. 
1. THRU THE MAIL FROM YOUR VA HOSPITAL. 
2. DRIVE TO YOUR NEAREST VA FACILITY AND GO TO A DOCTOR, HAVE HIM PRESCRIBE YOUR MEDICINES AND GET THEM FILLED AT THEIR PHARMACY. 
3. SHOW CAUSE WHY THIS IS A HARD SHIP ON YOU AND RECEIVE A WAVIER FROM EXPRESS SCRIPT SO YOU ARE ALLOWED TO USE YOUR LOCAL DRUG STORE SUCH AS WALMART.

GO ON LINE TO MY TRICARE / EXPRESS SCRIPT AND CHECK IT OUT. 

I FOUND OUT THRU MY ARMY NEWS LETTER ABOUT THIS AND CHECKED OUT ON LINE. ALSO I NOW PAY SOME CO-PAYS TO WALMART FOR CERTAIN DRUGS WHICH I NEVER HAD TO BEFORE AND NOW I HAD THE DRUGGIST AT WALMART EXPLAINED TO ME TO GO ON LINE AS TRICARE FOR LIFE WILL BE ELIMINATED BY LOCAL DRUG STORES AT THE END OF MARCH UNLESS YOU HAVE A WAIVER TO THE NEW POLICY. 

I WENT ON LINE AND FILLED OUT MY WAIVER BECAUSE I AM NOT ALLOWED TO TRAVEL AND I MUST DO BREATHING TREATMENTS 4 TIMES A DAY AT HOME BECAUSE MY CO2 LEVEL AT PRESENT IS 86% AT TIMES . SO FAR THEY HAVE REFUSED MY WAVIER AS TWO YEARS AGO THEY HAD STOPPED PAYING FOR MY O2 THRU MEDICARE .. 

THIS IS THE DEATH SQUADS BEING PUT IN PLACE FOR SENIOR CITIZENS. I ALSO CALLED THE HOT LINE NUMBER FOR TRICARE AND THEY IMMEDIATELY SWITCHED ME OVER TO EXPRESS SCRIPT. MY WIFE CAN VERIFY THIS AS I SPENT 1 HOUR A DAY ON THE PHONE BEING SWITCHED FROM ONE PERSON TO THE NEXT AND FINALLY ENDING UP WITH FOREIGN SPEAKING PERSON WHO COULD NOT UNDER STAND NOR SPEAK ENGLISH WHO CLAIMED THEY KNEW NOTHING ABOUT THE NEW TRICARE PILOT PROGRAM BEGININNG 1 JAN 2015.

I HAVE ALL THE MATERIALS AT THE NEXT MOAA MEETING FROM ON LINE AND WALMART.. AFTER NEXT MARCH 30 2015 I MUST PAY ONE HUNDRED PERCENT OF THE COST OUT OF MY POCKET FOR MY DRUGS PLUS DONNA'S. MINE RUNS BETWEEN $1600. A MONTH AND DONNA'S $1200. A MONTH UNLESS WE GO TO THE VA. AN GET MAIL ORDERED DRUGS AND IF YOU SEEN THE LATEST NEWS ABOUT THE VA., IT HAS BEEN CHEATING ALL PEOPLE JUST ABOUT ON MAIL IN DRUGS BY GIVING THE WRONG PILLS OR PILLS THAT COULD HARM YOU HEALTH. 

PEOPLE WE ARE HEADING DOWN A SLIPPERY SLOPE FOR OUR VA HEALTH CARE FAST. BEND OVER AND GRAB YOUR ANKLES AND KISS AMERICA GOOD BYE IF THIS STANDS FOR TRICARE AND VA MEDS.

DANIEL J. CAUSER
903 Barden Brook
Eldred, PA> 16731
814-225-3681

8 comments :

Lt. Dan said...

I have received my prescriptions from the VA thru the mail for nearly a decade and they have never made a mistake. I can refill the scripts online within minutes and the 90 day supply is usually in my mail in a couple of days. I do have to say...in my opinion, that if you and your wife are spending $2800 per month on meds. maybe....just maybe the pills aren't really working. I think you should try some vitamins and herbal supplements.

Anonymous said...

Dan,
While I cannot speak to your specific situation, from your post it seems there may be other alternatives.

Among the options that I did not see you mention were:

*Generic brands if available and suitable (may not be an option for you) OR

*Home delivery. Home delivery does NOT have to be from a VA pharmacy from a VA doctor. You simply have your prescriptions (scripts) sent to the mail order pharmacy and they send you your drugs in the mail (a 90 day supply at a time).

I understand your frustration with being ‘BOUNCED’ between the “Tricare North” call center and the “Express Scripts” call center—you are correct there, neither one seems to know what the other does and their systems don’t seem to mesh (at least at the customer service level). Been there, done that…wanted to spit nails.

BUT if your (maintenance) prescriptions were covered by Tricare at the local pharmacy (that means the prescribing doctor is an authorized provider) they should also be covered through the mail-order pharmacy—the mail-man will bring them—a 90-day supply at a time.

Check out this link if you haven’t already (it is an Adobe .PDF that will download in your browser).

http://www.tricare.mil/~/media/Files/TRICARE/Publications/PubsNotOnPubsPage/TFL_Pharmacy_Pilot_FS.pdf

I wish you the best in sorting this out for your situation.

Dave, USAF Retired

Anonymous said...

LT DAN,
MY DOCTOR OF ALMOST 25 YEARS I BELIEVE IN. I DON'T GO TO THE VA DOCTORS BECAUSE THE OLD REGULATION WAS 40 MILES FROM THE NEAREST MILITARY OR VA FACILITY ,YOU COULD USE EXPRESS SCRIPT AT YOUR LOCAL DRUG STORE AND CIVILIAN DOCTOR WHICH WE HAVE DONE AND BEEN VERY SATIFIED. NOW I MUST TRANSFER MY DRUGS OVER TO THE VA IN ERIE,PA. EVERY TIME I AM IN THE HOSPITAL LOCAL AND I AM TRANSFERED ME TO VA IN ERIE, ERIE VA SENDS ME STRAIGHT TO HAMMOT BECAUSE THEY WILL NOT TREAT ME AS THEY SAY THEY DON'T HAVE THE STAFF SURGEONS AVALABLE. I JUST HAD KIDNEY SURGERY AT HAMMOTT BECAUSE THE VA DON,T WANT TO TREAT ME BECAUSE OF MY HEART AND LUNG CONDITIONS. SOME OF MY DRUGS REQUIRE A NEW ORDER EVERY THIRTY DAYS AND I GET TO SEE THE VA DOCTOR ONCE A YEAR. YES I GET MY NEW HEARING AIDS THERE AND MY NEW GLASSES BUT THAT IS ALL. AS I STATED SOME DRUGS ARE NOT CARRIED BY THE VA THATS WHY I APPLIED F0R THE WAVIER NOW. ALSO BE ADMITTED TO THE LOCAL HOSPITAL WITHOUT YOUR PRIMARY CARE DOCTORS SIGNATURE AND DON'T CRY WHEN YOU GET A FEW THOUSAND DOLLAR BILL AS UNDER THE NEW HEALTH CARE LAW IS HOW IT WORKS. ENOUBH SAID, FRED'S DEAD

Anonymous said...

What is a wavier? I'm also a veteran and very concerned as I can not find what a wavier is.

Anonymous said...

It's French(?) much like Douche... Try not to be one.

Anonymous said...

Obamacare is meant to break this nation! Employers will start laying off more because they won't be able to afford the employees premium! So many here in Texas already will only hire part time workers, so they don't have to pay them health insurance. Twenty hours a week just won't cut it for most people! I hope everything works out for you Dan!

Anonymous said...

GO ON YOUR WEBSITE FOR EXPRESS SCRIPT FOR TRIACARE FOR LIFE PERSONS ON TO YOUR OWN ACCOUNT AND THIS IS ALL EXPLAINED ABOUT YOUR OPITIONS AND THE WAVIER... DAN CAUSER

Anonymous said...

Dan,

You're online enough to figure out how to order meds via the mail. Most of us do this now to save the government money.

Be thankful you have options that still allow for coverage for you; many people around here don't.

Stop whining, suck it up, and figure it out; the meds will come.

Nothing to do with death panels.

You're always carping about the government but this is a way to try to save money, not kill you.

Inconvenient, maybe. get used to it.