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    Off-post specialist referral being declined

    Do they use genesis or Ahlta at your base do you have a patient portal?
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    Off-post specialist referral being declined

    Call her, or the appt line maybe first, tell the appointment line your symptoms are getting worse and you need a sooner appt w pcm or a different pcm
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    Off-post specialist referral being declined

    That’s an option, but, you can always force the hand and keep going to the ER, don’t you have follow ups with your PCM after each visit to ER?
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    Off-post specialist referral being declined

    It’s okay:) I see. Hmmmm. Seems need to go above the patient advocate. You could change your PCM or request an appointment for “abdominal pain” with another on post pcm. Another option, you can file a IG case, show them the supporting documentation. That will stir the pot and you’re in post GI...
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    Off-post specialist referral being declined

    Has your referral expired?
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    Off-post specialist referral being declined

    Who gave you the humira?
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    Off-post specialist referral being declined

    Another option, go to ER, say I was diagnosed with UC and I’m in a lot of pain. ER will put it in your visit notes the diagnosis just more Dr opinions
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    Off-post specialist referral being declined

    Try this: call the appointment line at your base. Tell them you “See GI at xyz GI for ulcerative colitis I need a referral renewal for more visits.” Nurses place the referrals most time the providers aren’t even aware and it should slip through and get approved by tricare and once it’s approved...
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    Off-post specialist referral being declined

    Now that you have a dx of UC does the GI know this?
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    TDRL to PDRL question

    @PERS-95 @chaplaincharlie
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    Off-post specialist referral being declined

    Here is what you can do, I work in an MTF and manage referrals. Go to the patient advocate, tell them you are requesting a second opinion and are wishing to be seen off base GI. Squeaky wheel gets greased. Also, a referral can come from your PCM for GI.
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    Off-post specialist referral being declined

    Probably because there is the specialist on base. Tricare shouldn’t have to pay for a referral in the network if the services are on base.
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    TDRL to PDRL question

    What percentage would you say is members TDRL for MH conditions placed on PDRL? Thanks @RetiredColonel-MikeT
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    MDD TDRL Re-eval. Please share

    Anybody with TDRL re-evals for MDD, can you share your re-eval experiences here and how it went? Thx
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    DoD 70%/ VA 90% When is compensation permanent

    I was rated DoD TDRL 70% I was rate 90% VA On reassessment in 18 months for TDRL condition, if my rating is dropped, so is my compensation and possible Tricare, so what is left, my VA moneys? Currently 90% gets me $2486 a month for VA disability, so if I am dropped below 30% DoD can I count on...
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    Ratings Done: DoD unsure/VA 90%

    Don’t fret! You will get your ratings this week, promise!
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    Choosing DoD vs VA

    I have been told that choosing VA compensation it’s better because it’s tax free, but isn’t the VA rating subject to change at Anytime when reevaluated? I’m Dod 70/VA 90 @PERS-95 @Provis @RonG
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    Just got my ratings 70% TDRL/90% VA

    This is very helpful and I appreciate you chiming in!
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