How to fight Tricare

[Guest guest]

I just wanted to know if anyone was sucessful in fighting Tricare. I

know our pediatrician said that he knows of 2 people that are

appealing and they are all the way up to then congressman and they are

still being denied. I hate this. I am so stressed out about having

to pay so much money to have this done. It is the principle of having

insurance and not having them cover something that your child needs.

I had to quit my job because my son has a chromosome anomoly and stops

breathing and no one knows why. I should be concentrating on getting

my son better, but I have this aching stress of insurance not covering

it. It is almost like if I were to take in a child that has a

disability, I could get paid something from the state, but if you

decided to keep and take care of your child with a disability, you are

left out in the cold, especially if you have a savings. Well all we

are living on is our savings and that is going to run out eventually,

especially if I have to keep on paying for medical expenses out of my

pocket. Sorry for babbling, I am just depressed and frustrated.

Trudy

[Guest guest]

Hi Trudy,

Welcome to the group. I'm sorry Tricare has denied you. On what

grounds was their denial? Was your son born with plagio? We had one

member get Tricare to pay for her daughter's DOCbands when she appealed.

It was all in the wording. From what I understand Tricare won't pay

for treatment of POSITIONAL plagio. They will pay for CONGENTIAL

plagio. I'm pretty sure that's how Christie was able to get Mya's

DOCbands covered. Good luck and keep us posted! Don't give up, keep

fighting.

>

> I just wanted to know if anyone was sucessful in fighting Tricare. I

> know our pediatrician said that he knows of 2 people that are

> appealing and they are all the way up to then congressman and they are

> still being denied. I hate this. I am so stressed out about having

> to pay so much money to have this done. It is the principle of having

> insurance and not having them cover something that your child needs.

> I had to quit my job because my son has a chromosome anomoly and stops

> breathing and no one knows why. I should be concentrating on getting

> my son better, but I have this aching stress of insurance not covering

> it. It is almost like if I were to take in a child that has a

> disability, I could get paid something from the state, but if you

> decided to keep and take care of your child with a disability, you are

> left out in the cold, especially if you have a savings. Well all we

> are living on is our savings and that is going to run out eventually,

> especially if I have to keep on paying for medical expenses out of my

> pocket. Sorry for babbling, I am just depressed and frustrated.

>

> Trudy

>

[Guest guest]

Hi Trudy,

I am not sure if you are in the military or not but I am just

guessing by u saying u have Tricare. Tricare denied my twins also for

starbands. I took my deniel to the state of CA (childrens services

and mediCAL) who also denied coverage. After that I took all 3 of my

deniels to Air Force Aid Society who gave us a $3800 grant. Like u I

was very upset that Tricare would not cover my sons bands b/c they

did not have it at birth but one of the causes for their plagio was

b/c they where premature. I understand your frustration and hope

that if you are in the military you ask you your familiy support or

leadership in squadron about what agancies can help. Also VFW and

American Legion can help. Please let me know if there is anything I

can do to help or if you just need someone to talk to.

Sunshine mommie to and Vedder 1 years old, Starband since

2/16/06

>

> I just wanted to know if anyone was sucessful in fighting Tricare.

I

> know our pediatrician said that he knows of 2 people that are

> appealing and they are all the way up to then congressman and they

are

> still being denied. I hate this. I am so stressed out about

having

> to pay so much money to have this done. It is the principle of

having

> insurance and not having them cover something that your child

needs.

> I had to quit my job because my son has a chromosome anomoly and

stops

> breathing and no one knows why. I should be concentrating on

getting

> my son better, but I have this aching stress of insurance not

covering

> it. It is almost like if I were to take in a child that has a

> disability, I could get paid something from the state, but if you

> decided to keep and take care of your child with a disability, you

are

> left out in the cold, especially if you have a savings. Well all

we

> are living on is our savings and that is going to run out

eventually,

> especially if I have to keep on paying for medical expenses out of

my

> pocket. Sorry for babbling, I am just depressed and frustrated.

>

> Trudy

>

[Guest guest]

Hi Trudy, I have tricare too. My husband is in the Army in Iraq

fighting for a second year long year tour there, and we are loaded

with adoption loans for adopting our baby boy. I've put the first

helmet therapy bill on our cc, but we are maxed out financially and

feeling the crunch of having to pay for his helmet therapy. Our

doctor (off post care) said he doesn't even bother filing it with

tricare anymore because they've come up with every excuse in the

book to not pay for it,and said he's never seen anyone win the fight

for tricare to pay. What burns me up is that I've heard there are

wives getting cosmetic surgery like liposuction at certain bases for

free, but tricare can't help a baby??? I've been trying to track

down anyone who has received cosmetic surgery from the military for

free, and fight it from that angle if I can find someone. I've

tried two state agencies for help & local media for help, and have

been turned down. I'm just taking this one day at a time. I

have resorted to asking for donations from visitors who visit our

web site, but no takers there either. A normal average military

couple has trouble with their finances when a baby arrives, but add

to that we have adoption loans to have made our miracle dream come

true. I'm just taking this one day at a time praying that somehow

we'll see the light at the end of the tunnel. God will see us

through this, but the waiting for things to fall into place is

umbearable. Please let me know if you find any information that

would be useful/helpful to us. I'm even researching grants after

reading about the airforce grant. I'm praying the Army has

something similar. Thanks for bringing this subject up,

[Guest guest]

, Just read your message. Here is the website for the army

emergency relief which I am pretty sure is the same as AF Aid.

www.aerhq.org/

It is very upsetting to me that our service men and women can die for

there country but our children can not get the medical care they

need.

www.defenselink.mil/news/ Dec2000/n12192000_200012192.html - 49k -

Here is an article about AF members being able to have tattoos

removed for free even if you can not see them in uniform. If you need

any help or questions feel free to email me.

Sunshine mommie to and Vedder one year old twins starband

2/16/06

>

> Hi Trudy, I have tricare too. My husband is in the Army in Iraq

> fighting for a second year long year tour there, and we are loaded

> with adoption loans for adopting our baby boy. I've put the first

> helmet therapy bill on our cc, but we are maxed out financially and

> feeling the crunch of having to pay for his helmet therapy. Our

> doctor (off post care) said he doesn't even bother filing it with

> tricare anymore because they've come up with every excuse in the

> book to not pay for it,and said he's never seen anyone win the

fight

> for tricare to pay. What burns me up is that I've heard there are

> wives getting cosmetic surgery like liposuction at certain bases

for

> free, but tricare can't help a baby??? I've been trying to track

> down anyone who has received cosmetic surgery from the military for

> free, and fight it from that angle if I can find someone. I've

> tried two state agencies for help & local media for help, and have

> been turned down. I'm just taking this one day at a time. I

> have resorted to asking for donations from visitors who visit our

> web site, but no takers there either. A normal average military

> couple has trouble with their finances when a baby arrives, but add

> to that we have adoption loans to have made our miracle dream come

> true. I'm just taking this one day at a time praying that somehow

> we'll see the light at the end of the tunnel. God will see us

> through this, but the waiting for things to fall into place is

> umbearable. Please let me know if you find any information that

> would be useful/helpful to us. I'm even researching grants after

> reading about the airforce grant. I'm praying the Army has

> something similar. Thanks for bringing this subject up,

>

[Guest guest]

THANK YOU SOOOOOOOO MUCH for this information!!! I hope this helps

our plight...! I thought AER only gave loans. I didn't realize

they could give grants too. I'm going to try and see if they can

help us any at all. Say a prayer..! Thanks!

> >

> > Hi Trudy, I have tricare too. My husband is in the Army in

Iraq

> > fighting for a second year long year tour there, and we are

loaded

> > with adoption loans for adopting our baby boy. I've put the

first

> > helmet therapy bill on our cc, but we are maxed out financially

and

> > feeling the crunch of having to pay for his helmet therapy. Our

> > doctor (off post care) said he doesn't even bother filing it

with

> > tricare anymore because they've come up with every excuse in the

> > book to not pay for it,and said he's never seen anyone win the

> fight

> > for tricare to pay. What burns me up is that I've heard there

are

> > wives getting cosmetic surgery like liposuction at certain bases

> for

> > free, but tricare can't help a baby??? I've been trying to

track

> > down anyone who has received cosmetic surgery from the military

for

> > free, and fight it from that angle if I can find someone. I've

> > tried two state agencies for help & local media for help, and

have

> > been turned down. I'm just taking this one day at a time.

I

> > have resorted to asking for donations from visitors who visit

our

> > web site, but no takers there either. A normal average military

> > couple has trouble with their finances when a baby arrives, but

add

> > to that we have adoption loans to have made our miracle dream

come

> > true. I'm just taking this one day at a time praying that

somehow

> > we'll see the light at the end of the tunnel. God will see us

> > through this, but the waiting for things to fall into place is

> > umbearable. Please let me know if you find any information that

> > would be useful/helpful to us. I'm even researching grants

after

> > reading about the airforce grant. I'm praying the Army has

> > something similar. Thanks for bringing this subject up,

> >

>

[Guest guest]

I went to the AER web site and they do give grants to some people.

I'm going to give it a try. I emailed Dave to send me another power

of attorney though because the one he gave me is still in Guatemala

with the US Embassy. They wanted the original. So, I have no POA

on hand. I'm hoping Dave will email me back that he can make one

there in Iraq and send it to me. So far AER Is the best hope I've

seen yet. Wish me luck, and thank you so much...!!!

> >

> > Hi Trudy, I have tricare too. My husband is in the Army in

Iraq

> > fighting for a second year long year tour there, and we are

loaded

> > with adoption loans for adopting our baby boy. I've put the

first

> > helmet therapy bill on our cc, but we are maxed out financially

and

> > feeling the crunch of having to pay for his helmet therapy. Our

> > doctor (off post care) said he doesn't even bother filing it

with

> > tricare anymore because they've come up with every excuse in the

> > book to not pay for it,and said he's never seen anyone win the

> fight

> > for tricare to pay. What burns me up is that I've heard there

are

> > wives getting cosmetic surgery like liposuction at certain bases

> for

> > free, but tricare can't help a baby??? I've been trying to

track

> > down anyone who has received cosmetic surgery from the military

for

> > free, and fight it from that angle if I can find someone. I've

> > tried two state agencies for help & local media for help, and

have

> > been turned down. I'm just taking this one day at a time.

I

> > have resorted to asking for donations from visitors who visit

our

> > web site, but no takers there either. A normal average military

> > couple has trouble with their finances when a baby arrives, but

add

> > to that we have adoption loans to have made our miracle dream

come

> > true. I'm just taking this one day at a time praying that

somehow

> > we'll see the light at the end of the tunnel. God will see us

> > through this, but the waiting for things to fall into place is

> > umbearable. Please let me know if you find any information that

> > would be useful/helpful to us. I'm even researching grants

after

> > reading about the airforce grant. I'm praying the Army has

> > something similar. Thanks for bringing this subject up,

> >

>