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JimGant

Tricare Rembursement for Pharmacy Charges

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On 10/9/2019 at 1:40 PM, JimGant said:

Pib, I only put the same info as the receipt on the DD Form 2642, namely: "Maintenance medications, quantity provided, blah blah."

And, as from post 17 in the above archived thread:

So, I guess a licensed pharmacist (or unlicensed -- who would know) can write a receipt like I got, without any doctor's name attached, nor daily dosage, nor without stipulated information, if even provided, need be "printed."

 

TOP is pretty loosy goosy, i.e., I've never had anything denied, both for medications and procedures. Nice! Maybe next time I'll save some travel time to the pharmacy and order a year's supply of maintenance meds..... (or, maybe not -- why push it).

 

Most of my meds, and my wife's, are cheap. But a few aren't -- so being able to file a pharmacy receipt buys a few more beers.

 

Interesting that JUSMAAG just put out the word about, with APO's going away, you no longer can get Express Scripts Tricare meds delivered to Thailand. Not sure who actually went that route, since such meds defintely needed a US doctor's prescription.....?

 

 

I used Express Scripts to have my wife's meds sent to JUSMAG. It worked great. Took about one week and the best part was it was all US Mail. Shipping was free. Now that that option is gone, I have to rely on Thai mail. That is scary. My granddaughter sent a card to me at the beginning of September. Still waiting.

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2 hours ago, Pib said:

And were the meds you got a 30 day supply, 90 days, 6 months, etc., as I can't tell from your receipt? 

First off, yeah, 75% reimbursement after deductible taken.

 

Secondly, Tricare has no idea from the receipt about how many days supply there are...... I just ordered a nice round number, like for Bestatin, which comes 100 to the box (10 strips of 10 each). Exforge was the exception, where the pharmacist misunderstood the amount I wanted, but I didn't correct her, as it just means I buy fewer next time. So, Tricare has no precise way of knowing my number of days supply -- at one pill per day, for several of the meds, it's 100 days worth. Certainly no where near the 90day/30day precision wanted back in the States for Scripts TMOP, or for retail pharmacies.

 

So, who knows.... Do they keep count and thus prevent a reorder within 100 days? I guess I'll find out next time.

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23 minutes ago, TPUBON said:

I used Express Scripts to have my wife's meds sent to JUSMAG. It worked great. Took about one week and the best part was it was all US Mail. Shipping was free. Now that that option is gone, I have to rely on Thai mail. That is scary. My granddaughter sent a card to me at the beginning of September. Still waiting.

Thai mail won't work:

Quote

 *** TRICARE Mail Order Pharmacy ***

Effective 1 October 2019, the Air Force Post Office (APO) in Thailand CLOSED.

Regrettably, due to the APO closure, ordering prescription medication from the TRICARE Mail Order Pharmacy and having it delivered to an APO AP 96546 address has also ended.
>>>  TRICARE does not mail prescription medication to foreign addresses! <<<

http://www.jusmagthai.com/medical.html

 

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On 10/10/2019 at 6:09 PM, TPUBON said:

I used Express Scripts to have my wife's meds sent to JUSMAG. It worked great. Took about one week and the best part was it was all US Mail. Shipping was free. Now that that option is gone, I have to rely on Thai mail. That is scary. My granddaughter sent a card to me at the beginning of September. Still waiting.

90 day supply

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How long does it take to get reimbursed for a claim and do they send the money to your bank account in Thailad or the US.

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1 hour ago, moe666 said:

How long does it take to get reimbursed for a claim and do they send the money to your bank account in Thailad or the US.

I filed online with Tricare Overseas on Sept 7. Processing was complete on Sept 24, and money was in my US bank account on Sept 26. They direct deposit only dollars; and now that the ACH route through Bangkok Bank NY is essentially closed, there's no longer an avenue to have the Tricare dollar reimbursement sent to your Bangkok Bank account.

 

Quote

JUSMAGTHAI TRICARE Office Note #2:  Effective 1 September 2019 (originally 1 April 2019), TRICARE claim reimbursement via direct deposit to a Bangkok Bank account is no longer available.  Policy vs. Practice:  By policy, beneficiaries should not have set up their TRICARE claim reimbursements to be direct deposited to a non-U.S. bank like Bangkok Bank.  In practice, the direct deposits to Bangkok Bank were successful because the Defense Health Agency did not sort and block U.S. ABA routing numbers used by some foreign banks.  In short, that has changed due to a change in U.S. anti-money laundering rules that took effect 1 September 2019.  If you do not receive your TRICARE claim reimbursement via direct deposit to a Bangkok Bank account as expected, you now know the likely reason why

 

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On 10/10/2019 at 6:34 PM, JimGant said:

Thai mail won't work:

 

That is correct but if the meds are mailed to an address in the US and then re-mailed to a Thai address, it will work. But as we all know, Thai mail is not the best.

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2 hours ago, TPUBON said:

That is correct but if the meds are mailed to an address in the US and then re-mailed to a Thai address, it will work. But as we all know, Thai mail is not the best.

From review of USPS regulations the mailing of medications is only allowed from a DEA registered distributor (i.e., that is some company like Express Scripts, WalGreens, etc.  that fills prescriptions).  Now if a person is remailing meds to someone else....like someone in Thailand....well, if the mailer does not say meds are within the package then USPS or the Thai Postal System may never know unless the package is opened for inspection.  See below snapshot from USPS website.

 

Anyway, on 10 Oct I submitted/uuploaded my first Thai pharmacy reimbursement claim to Tricare as talked back in my 10 Oct post. I would expect this or next week it will be processed and I will know then how I faired. 

 

image.png.09ea4d3ddbc1b6577c9b1c58122b6f85.png

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On 10/23/2019 at 11:27 AM, Pib said:

Anyway, on 10 Oct I submitted/uploaded my first Thai pharmacy reimbursement claim to Tricare as talked back in my 10 Oct post. I would expect this or next week it will be processed and I will know then how I faired. 

 

Update: My claim for meds processed today/28 Oct.  I billed Tricare for approx $33 in meds and Tricare allowed the entire $33. 

 

Now I'm <deleted> at myself for not doing this for the 11 years I've been in Thailand buying around $35/month in meds for me each month and another $15/month for the wife....totaling $50 total between us....that's $600/year.  I could have been getting 75% or $450 of that $600 reimbursed each year.  Over 11 years that adds up $4,950.   Oh well, live and learn.  

 

For my future claims I'm going to add some structure and schedule to what I get....do my best to buy a 90 days supply of my meds....get the necessary  receipt and file a claim.  And ditto for the wife...get 90 days worth of her meds....receipt...file a claim.  I going with 90 days since I think a 90 days supply is the max Tricare will reimburse as that also the max the Express Scripts, military hospitals, etc., will issue at a time.

 

 

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You're welcome. First two (three, four, five...) drinks are on you. Find an Air Force friendly bar for us old wild blue yonder geezers. 😀

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On 10/16/2019 at 10:52 AM, moe666 said:

How long does it take to get reimbursed for a claim and do they send the money to your bank account in Thailad or the US.

I just pay the co-pay. Mine is $7.00 - $24.00 depending on the meds. Other claims, for medical care in Thailand, took about three weeks to have the money deposited in my account in the U.S.

 

One person mentioned getting a years worth of meds. Tricare will only pay for a 90 day supply. You then have to have the prescription refilled. As far as buying meds here and getting reimbursed from Tricare, I haven't tried that.

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1.  Sounds as if some people did not get the word about the APO closing.  It was announced approximately four months ago and there has been much discussion about it in the American communities and various media about how we were going to obtain our medications.  After many alternatives were researched, In the end it was decided we just have to live with obtaining meds locally.

2.  Also, there is more than one doctor here in Thailand who was able to write prescriptions for Tricare medications.  One I personally know of is at Mission Hospital in Bangkok.  An American doctor who comes from a military family and works very well with the retired and other military personnel.

3.  True, Tricare cannot ship to a foreign address.  And, even if they could the receiver would need an import license for some medications and there would also be customs duties.

4.  While a local pharmacy might be convenient, I get my meds at the hospitals where I see doctors, primarily Mission and BNH in Bangkok.  Never a problem about receipts or the pricing of my medications.  I file my Tricare claim via the internet and reimbursement is in my US bank in 2-3 weeks.  And, no worries about counterfeit meds.

5.  Some APO mail is still getting through to JUSMAG but if you receive your mail there, the very last day to pick it up will be 1 November (this coming Friday).  Mail received or on hand after that date will be returned to the sender.

6.  On the Tricare Overseas website it tells what is required on the receipts for your medications to be reimbursed.  And, they only pay for a 90 day supply at a time.  In some cases it may be possible to get refills without a doctors appointment if he/she knows in advance that you will be coming in for refills.  Something you would have to arrange with your doctor. 

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