Pregnant and wondering how to get an off base OB

Laura - posted on 05/25/2010 ( 27 moms have responded )

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This is my second pregnancy and now that we are living near a base, they say I have to be seen by a Dr. on base. I don't understand the "class" I have to go to when I am 6-8 wks, to get my first appt!!! I would like to get an off base dr. but I need authorization. I know I am overreacting. It is just frustrating. If anyone has any advice please leave me some.. Thanks so much. BTY we are stationed at Ft Carson!!

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Amy - posted on 05/25/2010

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i am a navy wife and was not required to do any classes. they urged them but i was not b a base. i moved the first month of pregnancy to the country and didnt come back to the base till i was 7 months. i would suggest calling the pcm and ask for a referral. and you can call tricare and ask them. i just tried to change my daughters dr but they tried to tell me i have to type a letter to the CO of the base and get his/her approval and then they would let me go off base. i would also have your husband ask his command about it. i did not like base drs at all. i had never even met the man who delivered my daughter i dont even know his name. and they talk to you like you are dumb here. good luck

Lori - posted on 05/27/2010

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Just tell them (you PCM) you would prefer to see an outside OBGYN. Most PCMs will put in a request for you. then all you have to do is call for the appt at the hospital obgyn office and tell them you want to get and outside referral. Most will oblige you there. But you may have to stop by the tricare office with a good reasoning. But it really isn't all that hard, just don't let them tell you its impossible. Tho you might find,depending on whether your a tricare prime beneficiary or a different, there might be a copay, usually is. I am 13 year Navy wife with 4 kids.

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Sarah - posted on 09/13/2013

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For those who have Tricare Prime, there is hope to be seen off-post. With my first pregnancy, at Fort Hood in 2010/2011, I had a referral submitted to see my regular OB/GYN, who was an off-post civilian provider. The referral was denied and I had my first two appointments at Darnall. By 16 weeks I was able to get a referral approved by the people at Darnall to see my regular OB/GYN. The rule there during that time was that they would accept 450 deliveries for the month of April (when I was due, possibly the same for each month) and until they had reached the max, they would not refer patients off-post. So, once enough people had come in for care and were due in April, I was able to get the referral and had no issues. I am currently pregnant again and we are stationed at Fort Riley and even though we live 35-45 minutes from the hospital, my referral was still denied! So, I am hoping to get my first few visits done at Irwin and then when they have the max patients they can accept, I will attempt to get a referral to be seen off-post again.

Mary - posted on 06/09/2010

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I'm retired Mil (A.F) and had my 2nd child at Ft Carson, my 3rd at the AF Academy & 4th at a birthing center in the springs, which is no longer around. The reason they have the classes is so the can give a room full of people the local and current information vs. one on one. It's a more efficient way for them to manage their time. A few yrs ago Ft Carson delivered 300 babies in one month. So they really know what they are doing. Which is a good thing. On the flip side because they do deliver so many babies you might feel like they don't care, because they've seen it all. They do care it just might not seam that way. P.S when I got to Colorado I was 6 weeks from my delivery date, and the AF academy wouldn't return my calls after a week I called Ft Carson they saw me the next day. Thank goodness because I delivered early,25 day after PCSing in.

Andrea - posted on 06/08/2010

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May I suggest that you go to the Dr. that they tell you that you have to have on base. Then once you have seen said Dr. you can go to human resources and tell them that they doctor does not mesh with your beliefs. I did this when a doctor I had during my pregnancy with my son. The doctor was telling me that I was ruining his life and a bunch of other nonsense because I was not willing to change some medical things that I needed to handle. you are not supposed to be stressed more than necessary during pregnancy and this situation would not help. Maybe you could explain it that way.

[deleted account]

Hey! I'm a Marine wife and I go off base for all of our Dr's. I know that if you are "30 min" from base TriCare will allow you to see off base doctors. Just visit the TriCare office on base and talk with them, they are usually pretty helpful. They mapped our address to base and said we were a 30 min drive so we had the choice to choose if we wanted to be seen on or off base.

[deleted account]

I know this sounds funny but I got better pre natal care at FT Bragg than I did with the civilian I had with my second child (husband got out of the army joined the Nat. Guard). from what I know about getting a civilian OB from friends of mine they will let u go to a civilian but u have to pay a co pay for it

Jessica - posted on 06/06/2010

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I went to tricare office on carson and just stated that i was tired of being switched with my medical issues and they said i could see if tricare would a approve a waiver to be seen off post where i dont have to p.o.p. and within a week i got approved but u have to find civ doc that takes tricare and is seeing new patients before u fill that out though. and now i have a great civi doc down in fountain by carson and only have to deal with one doc and its easier for civi doc to get referrals approved through tricare than on post docs.

Laura - posted on 06/05/2010

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Also, I know that some said you can just ask for a referral from your PCM. It doesn't always work that way anymore at some bases. I know at Hood, it didn't matter, you were going on post. Here at Fort Sam, same thing. Even if I wanted to try to off post and ask, it doesn't matter. They control the fact that I can't. The referral nurse that monitors the referrals put in by docs is at the hospital and can stop the referral from going out of the base. Dealing with this currently! ugh

Laura - posted on 06/05/2010

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Unfortunately, it is up to the base. If you have tricare prime and the base says you have to go there, you have no option. You can pay to go off post, but you will pay a percentage for everything. If you like over 30 min from the base, then you can ask to be seen by civilian. The class if usually going over the classes offered, what to expect and stupid crap like that. I had to do it at Fort Jackson. At Fort Hood, even though I was going to an off post GYN, when I got pregnant, I had to go on post. I was just as irritated as you. Good luck!!

Jessica - posted on 06/05/2010

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they now have the premier army clinic and cnm Nelson works there. She is GREAT!! They Are off of Austin Bluffs. You can go to tricare standard if you truly want a off post doc but u will have to pay out of pocket!! And the class is just an informative class that goes through what they offer and what happens throughout your pregnancy and so on. Some of it is good info. I went through it about 3 yrs ago with daughter #3 and since i got pregnant with daughter #4 so soon they let me skate by without it! Good luck and if you have any other questions dont hestiate to ask ive been here for about 5yrs!

Jessica =)

Cailin - posted on 06/05/2010

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First, congrats on the baby :) I agree with some of the other posters on here, standard is the way to go. We had prime with my son and it was horrible, so we switched to standard and found a fantastic Dr out in town. Good luck with everything!

Elizabeth - posted on 06/05/2010

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The class is not that serious. You just sit there for an hour or so and tell you what to expect at that particular hospital and different classes and stuff they offer on that base. I had a one child off base and one on and no problems either time. You can become Tricare standard, but you do have out of pockets expenses. The base here, Eglin AFB , was wonderful to me. They will probably not refer you off base without a legit reason.

Anja - posted on 06/04/2010

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we are insured though tricare too...just call and ask for any info on out of network or of base doctors..it should be no issue

Heather - posted on 06/03/2010

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there are 2 ways you can get off base dr. 1 everyone on your base gets knocked up at once and overwhelm the drs on base and they will send some people off base to the dr and to deliver. second option is to call tricare tell them you want to have your baby off post! there is a co pay for this it will not be covered 100% by tricare unless you are over 50 miles from the base hospital. if i remember right you pay 20% of your bill if you chose off post dr and delivery. i had 2 kids off base before hubby came in the army and 2 on post after hubby joined. the first one on post i had no problem with they were great the second one i was treated horribly. i am not sure if it was because hubby was deployed when i delivered or what. maybe it was because i had 2 birth coaches that were not my husband in the room who knows but after that experiance i told him i would pay the money to go off post to have my baby if i ever had anymore. good luck hope it works out for you

Tara - posted on 06/02/2010

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It is my understanding that standard covers maternity care at 100%, just like prime. I had a friend switch to standard just for that reason. You might want to call tricare and ask to be sure. Then you can see any OB you want and use any hospital. The main downside is that you have to wait a certain time, I think it's 6 months or 1 year before you can switch back to prime.

Crystal - posted on 06/02/2010

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if u are more than 30 miles away u can see a civilain or see if the dr can get u a referrel to go off post if not u stuck going on post

Laurie - posted on 06/01/2010

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fight to get off base..i was told it was impossible but there are always ways to get around stuff. in portsmouth, va i did not get my first apt until i was 14 weeks and then at the appointment they made me wait 4 hours to see a doctor for 5 minutes, and that was all after i had 2 recent miscarriages. everytime i was there i did not recognize any of the doctors or nurses and i was like a number and not a person. i moved back to ohio 2 days later because my husband was getting deployed and i could pick a doctor because there were no close bases. at 7 weeks i went to the er and lied saying i was having cramps just so i can get the pregnancy confirmed because i was so surprised to be pregnant again so quickly, and not even sure if i was pregnant!! When i called to make my first appointment they didnt care!!! i can not believe they would wait until the second trimester to get me in, and then treat me like crap. GOOD LUCK!!!!

Leigh - posted on 05/28/2010

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Wow am glad I was Canadian Army and not American! You guys have to go through a lot! Even though when I was pregnant with Liam I was Military, I still got to choose my own Dr. Good luck to you all!

Kathy - posted on 05/28/2010

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I would try calling TriCare again and ask them if you could get a dr. off base. I luckily had another insurance from my work so to go off base for myself was not a problem. But once my son was born I was wanting to take him to a ped in town and not have to go to base for his appts. All I did was call TriCare and they told me that restrictions have changed and I didn't need a referral or anything, that it was open to going off base for anyone. I just had to find a provider that was listed as a PCM for in the city. You can find that information on TriCare under providers. Just check the box that says "PCM only" when searching for a provider.

Laura - posted on 05/27/2010

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Thanks for all the advice. Actually I got a call today from the OB educator at the hospital and asked me if I wanted to go to the off base army clinic. It is a little closer to me so I am trying that place out. I really don't understand the reason for the class, especially since I have had a pregnancy before, but I will go, I hope they don't mind if I bring my son, being here in Colorado, I don't know anyone and so I don't have a babysitter.

Tiffany - posted on 05/26/2010

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I'm looking to get pregnant very soon, and I was wondering how I could get off-base OB care. It's not that I don't like prenatal care here at Balboa, but they don't seem to care as much and I always feel like I'm just wasting someone's time. Thanks for the advice, girls!

Heather - posted on 05/26/2010

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I've had that same question at Ft. Hood and they told me in order for me to get on off post OB I had to drop my tricare to standard rather then prime which would cost me to see the Dr. so my husband and I decided it was easier to stay on post. I was scared about seeing a Dr. on post from the stories that I have heard but it wasn't all that bad. the class as to they are talking about I don't remember having to go to one at Ft. Hood. Sorry I couldn't help you, but that is what Tricare told me.

Amanda - posted on 05/26/2010

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yeah the class is to help inform you about pregnancy/giving birth all that great stuff, and they usually make you take it every single time u get pregnant, its not very long, like an hour maybe, and they tell you your due date based on ur lmp and answer questions everyone has(its a group class) and you fill out a bunch of paper work

Laura - posted on 05/26/2010

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Thanks Amy, I really donn't know what the class if for. They just want me to have the paperwork filled out and they'll give me prenatals and my dr and 1st appt. Just confusing is all. Tamara, I would have to wair annother 2 wks to even see my PCM to get a referral. Thank you both for your advice.

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