OK, so most of you know the Spouse Thingy spent 20 years in the USAF, right? And when he went in it was with the promise that if he gutted it out for 20, he'd get free medical care for life.
Yeah, that didn't happen. Somewhere along the way someone decided that it was all right to renege on contractual promises made to active duty military members...and now we pay for the honor of being on the lowest rung of the military medical ladder.
Possible bleeding ulcer? We can get you in to see your doc in about 6 weeks. You had excruciating abdominal pain that went away after 5 hours? And this happened more than once? Well, don't go to the ER, you know the pain will eventually go away. We'll see you in a month.
That's not an exaggeration, BTW.
Being on that lowest ladder rung is why we now have a civilian doctor; I have medical issues, I need to see an endocrinologist a few times a year. There are medications I need. And face it, we're getting older, chances are high that our annual visits to our totally awesome civilian doctor will increase.
Now, the Spouse Thingy has been on a medication for a number of years. And over the years it has ceased to work the way it's supposed to, so today Spiffy Civilian Doc changed it to something else, something that will work better for him. He knows it will work better because he was on it before being on the other medication...which TriCare (military medical) decided was the equivalent to the med today's doc took him off of. It obviously was not.
TriCare, in its infinite wisdom, refused to pay for the new-but-he-used-to-take-it medication because the other one is, as far as they're concerned, just as good.
No. No it is not.
It did not work.
It may work in other people, but it failed as far as the Spouse Thingy is concerned. It doesn't matter that his doctor wants him to make the switch because he needs something different...Tricare has decided they know better than the doctor and patient.
Now, we have other insurance. We're fortunate in this. If we had to pay it out of pocket it would be $110 a month for the one medication; we only had to manage the co-pay.
WTH are military members and retirees who have no other insurance supposed to do when some clerk in an office somewhere decides they know more than the patient's doctor? Active duty military don't take home the world's most generous paychecks. Retiree pay is half that of active duty.
This is what you get when you give two decades of your life to service to your country, boys and girls... If you hear the theme to Deliverance while trying to fill a prescription, now you know why...