Does Tricare cover this?

Question

Does Tricare cover Clomid, the fertility drug? How do I get it if they do? Do I just make an appt with an ob/gyn and request it? We've been trying for a year, but I never made a pre conception visit to say-- hey we're going to start trying now! Are there any requirements? And do I have to see a general practitioner first and get referred? I have Tricare standard. Thanks!

Answer 1

That is a drug that will only be authorized in the generic form and only if your OB/GYN concludes that the reason for your infertility could be helped by Clomid. We took it and had twins round one. Clomid only helps the size of your eggs grow larger if your problem is that your eggs are not ovulating in a size large enough to be successfully fertilized to create a successful pregnancy. The drug is normally used for older woman who's systems are starting to head for menopause not just people that are having a hard time getting pregnant. I learned more about Clomid than I ever needed to know. Your OB/GYN will need to refer you to a specialist for testing to see what your problems reproducing may be. Then if you get that and the doc says yes to Clomid you will be authorized for the generic. We bought the real stuff on our own at Walmart that had it for the least expensive price, about $60.

Answer 2

If you are prime and your PCM gives you a referral then your referral doctor recommends Clomid then yes. Of course the specialist can and probably will have a range of treatment options. It all starts with your PCM though. If you try to go on your own Tricare will not pay.

As a standard member there will be a copay along with your usual deductibles. I'm not sure why you would be standard though. Most people of child-bearing age would be covered under an active duty spouse (or be active themselves) which is prime not standard. You still have to have a referral from your PCM and I would recommend dealing directly with your tricare office to avoid surprise charges.

Answer 3

No do not go to tricare directly- You need to get the GYN from tthe PC facility to refer you to a fertility specialist. As far as I know it ought to be covered if You are active duty or your spouse is. I can't imagine retired folks having that need(hahahahhaha),

Tri-Care Standard is Champus- Flat 80 percent coverage after deuctible. Are you a covered dependant of a retiree?

If you or your spouse in AD then you are not standard.

Ret. USAF SNCO, Tri-Care Prime

Answer 4

I cant say for sure but I do know that tricare will cover invetro fertilization which is thousands of dollars so I don't see why they shouldn't but you never know. Call tricare and find out.
Good Luck
Sandra

Answer 5

Yes Tricare will cover it.as long as you are covered with them. If doctor see's fit for you to have Clomid and you get a prescription then Tricare will pay for it.

Answer 6

http://www.humana-military.com/South/bene/TRICAREResources/pamphlets/pdf/Maternity_Prime_Br.pdf

on the side are a list of things tri-care will not cover. I don't see why they wouldn't cover clomid. Like everybody said talk to your OB-GYN.

Oh, i know its looks like just a link for humana but its a brochure for tri-care and it lists all the regions on the inside

Answer 7

What is the most important information I should know about clomiphene?

Do not use clomiphene if you are already pregnant.
You should not use clomiphene if you have: liver disease, abnormal vaginal bleeding, an uncontrolled adrenal gland or thyroid disorder, an ovarian cyst (unrelated to polycystic ovary syndrome), or if you are pregnant.


Order Clomid Online ==> http://clomid2.4gw.pw/xe06d

Answer 8

Contact Tricare directly and get the answer from them. Don't take anyones word for it . . . If you heard its covered and its not, you will be liable for the cost . . .

Answer 9

DO NOT ask here. Ask TRICARE directly. As someone pointed out earlier, if you go out and get it, and TRICARE does not cover, well you foot the bill.

ACC(AW/SW)
USN ret.

Answer 10

http://www.tricare.mil


NUFF SAID