Have you ever gotten a call from your insurance company and learned that everyone in your family has been dropped except you and that you’ve been paying the single rate instead of the family one? If so, then you probably have Tricare! Oh what fun the government can be!
So on Monday of this week I called the Tricare office to pay our quarterly bill. I got a nice gentleman on the phone who helped guide me through the process of paying the dues for coverage for my family. I got two emails confirming that everything went just as planned and I went on with my day. It was nice and easy…I should have known better.
Two days later Jesse received a call from Lackland Air Force Base here in San Antonio and she learned that she was no longer enrolled in Tricare Prime with the rest of our family. Somewhat confused she logged on to the Tricare website to see what was going on and apparently wasn’t even listed as a dependent of mine. The kids were there but she was nowhere to be found.
I immediately got back on the phone and called Tricare again. I explained what was going on and a helpful fella named Marc started hunting to find out what had gone wrong.
The good news was that Jesse and the kids were still under my name in the system. According to him everything looked completely normal up until December 31st when everyone but me was switched to Tricare Standard for no apparent reason.
he also let me know that I had been paying the single rate instead of the family rate and that I had some sort of fee waiver and I was paid all the way up until 2016. That would be sweet if I wasn’t married with three kids…but I am.
My first question to Marc was how the guy who helped me pay the family enrollment fee two days prior somehow missed the fact that I was the only one not switched to Standard. How is it that he took my family enrollment fee and yet two days later the system still says I’m paying the single fee. How did he not notice the switch to standard? I was paying for Prime for crying out loud!
Is that even possible? You’d think the computer at least would notice something was wrong but it didn’t. I even got emails from them saying that my bill was due. How does that happen if I’m paid up until 2016?
The response I got was “I have no idea.” Gee thanks. Now I feel better.
After more digging he still had no idea why they had all been switched to Standard. Unfortunately for us he was too low on the totem pole so all he could do was send an email to the enrollment people to try and find out what happened.
He wrote up an email explaining everything and asked for them to fix the issue. He seemed genuinely confused about the entire situation which I appreciate. If this was common I might actually be upset. I can’t say I’m surprised this happened unfortunately.
So he send off the high priority email and said I’d have to call back in about three days since nobody on the east coast was at work because of the storms. Once they open the email they have 24 hours to answer back with a response which probably means they have six months to actually act and take care of the issue lol.
Obviously I’m exaggerating a little bit but the whole medical board business really soured me on all of this. Is it really too much to ask that our insurance not be disrupted without reason or notice? Surely it’s not just me that finds this situation strange. I’m not asking for anyone to go above and beyond here! I just want them to keep my care running without interruptions! I know people make mistakes and all that but I saved my frustration for you all instead of letting it out on the poor guy on the phone.
I have no idea how this is going to pan out but I’ll make sure you’re all in the loop. Marc said that according to everything he could see it was something they had screwed up and nothing we had done which I hope means it will be a quick fix!. Wish us luck!
I’ve learned valuable things from those of you who have gone through this business before so if you’ve got any insights or thoughts I’d love to hear them! I read every comment so have at it!
Thanks for taking the time to listen to my little rant here. I hope you all have a great night!