Jump to content

Re: No Medical Care For Cebu Retirees


Recommended Posts

gasturbine

With the decertification of the last remaining tertiary hospital in Cebu military retirees in Cebu are effectively left with 0 availability of medical care.  Only Mactan Doctors, Velez, Sacred Heart and Visayan Community Hospital are certified. So what is the issue?  They are hospitals right, no wrong. First they are all  substandard and secondly there are no doctors on the Cebu Tricare certified list that are affiliated with these hospitals. Think admitting privileges etc. So we have doctors certified for Chong Hua, Cebu Doctors and Perpetual Succor who have admitting privileges there, but the hospitals they are affiliated with are not Tricare certified. So we  have no access to the best hospital's in Cebu.

The bad part is the military retirees in Cebu sit on their collective asses and let the status quo remain. Sooner or later the status quo will kill someone. Who has a million pesos to pay for care at a hospital without hope for reimbursement?  What is our RAO doing to help ?  The answer is nothing. Most retirees have no clue how to even file a Tricare claim so they don't file a claim adding to the misconception of Tricare that we are all either non existent or just happy campers with the status quo.  Some retirees have offered to help retirees file claims at the RAO one or two days a week but no  interest was shown them . I for one know how to file a Tricare because I have worked closely with those who could educate me and with their help have gotten reimbursed by Tricare for at least $15,000 since 2012. Who is aware of the Demo in Manila? Makati Medical Center, Asian Hospital and The Medical City are Tricare providers for the Demo . All you do is present yourself, access a priovider and pay 25% copay on total bill and you are done. Not good for an emergency but dam good for planned medical care. Retirees need to wakeup and be counted or our our hard earned medical benefit will cease to exist in the Philippines. We worked for the benefit, why we don't fight like hell for it is one of my life's mysteries. I for one will fight like hell for my benefit. I put 20+ years of my life in the military and my earned benefits will not be denied me. My 2 centavos. David in Cebu

  • Like 6
Link to post
Share on other sites
  • Replies 47
  • Created
  • Last Reply

Top Posters In This Topic

  • Jim1

    15

  • lopburi3

    7

  • Majorsco

    6

  • gasturbine

    4

Top Posters In This Topic

Popular Posts

With the decertification of the last remaining tertiary hospital in Cebu military retirees in Cebu are effectively left with 0 availability of medical care.  Only Mactan Doctors, Velez, Sacred Heart a

Jim, is it possible for you to just give the facts rather than being insulting in the process? If somebody posts misinformation, it is OK to show why it is misinformation and give the correct informat

May we all learn from this thread - both about medical reporting and how to better react to others.  We are all wrong at times so the old saying "to err is human - to forgive divine" seems to be fitti

There are three new hospitals going up. Maybe they are going to be certified.

Link to post
Share on other sites
Headshot

Actually, Tricare just said that Chong Hua is being put back into the certified list. One can only hope that CDUH and Perpetual Succor will also be recertified. The situation now is intolerable. You have a choice of either being treated at a substandard hospital and then hoping to get partially reimbursed by Tricare...or you can just get treated at a decent hospital and foot the bill yourself. There are no other options unless you want to fly to Manila.

Link to post
Share on other sites
gasturbine

Where did that information come from Headshot that Chong Hua is going back on the certified list??? I must be totally confused because that is not the information I have. Can you provide me a source for this statement. I sure hope you are correct and  I am 100% wrong. It would make my  day. According to ISOS they are waiting for documents from Chong Hua that have never been sent to them since November of 2013. However, I personally spoke with Chong Hua and they did say documents were sent to ISOS. It seems some one is very confused here besides me. David in Cebu

Link to post
Share on other sites
  • Administrator
Salty Dog

 

 

Not good for an emergency but dam good for planned medical care.

 

Unless they have changed the rules. In an emergency you can go to any hospital. 

Edited by Salty Dog
Link to post
Share on other sites
gasturbine

Correct Salty Dog and that may be our only salvation. David in Cebu

Link to post
Share on other sites
SkyMan

I've filed claims myself.  No big deal really.  It's just gov't forms and you didn't through 20 plus years in the military without being able to fill out gov't forms.  Why didn't people take advantage of the help in getting forms filled out?  Well, I'm not going to run out and get sick so I can have someone show me the forms.  When I use medical care I fill out the claim forms, even if I know I won't exceed the caps for the year.  As HS said, I think Chong Hua will be back on the list soon.

  • Like 1
Link to post
Share on other sites
SkyMan

 

 

According to ISOS they are waiting for documents from Chong Hua that have never been sent to them since November of 2013. However, I personally spoke with Chong Hua and they did say documents were sent to ISOS. It seems some one is very confused here besides me. David in Cebu
My bet is CH filed the forms, ISOS received the forms, ISOS filed the forms in the round file.  That's what ISOS does.
Link to post
Share on other sites
NOSOCALPINOY

I found this, but haven't read it all!

 

http://tricareoverseasphilippines.wordpress.com/2014/03/19/demo-secretly-moves-to-cebu/

Demo Secretly Moves to Cebu!

Posted on March 19, 2014
In a secret and underhanded move International SOS (ISOS) and the Defense Health Agency (DHA) has implemented the Philippine Demonstration Project in not only Cebu but in Davao, Baguio, La Union, Naga and in the 5th Class municipality of Lamitan, Basilan; that is if you believe the information received.
(go to link to read more)
Link to post
Share on other sites
Headshot

Where did that information come from Headshot that Chong Hua is going back on the certified list??? I must be totally confused because that is not the information I have. Can you provide me a source for this statement. I sure hope you are correct and  I am 100% wrong. It would make my  day. According to ISOS they are waiting for documents from Chong Hua that have never been sent to them since November of 2013. However, I personally spoke with Chong Hua and they did say documents were sent to ISOS. It seems some one is very confused here besides me. David in Cebu

 

David, I got it from my doctor who has an office at Chong Hua...just something he had heard at Chong Hua. I also heard it from a friend. However, Chong Hua hasn't yet been reinstated, and I haven't seen anything in writing that verifies this, so I don't know for sure that it is factual rather than hopeful rumor. I guess only time will tell. We know how long it takes Tricare to do things...especially things that might benefit us.

Link to post
Share on other sites
volstateguy

Please forgive my ignorance on using Tricare in the Philippines, as I'm not residing in the Philippines yet, however when I use the Tricare website to search for providers in Cebu it lists several certified doctors at Chong Hua.  So, does having a doctor certified at Chong Hua not mean that the hospital itself is certified?  How does that work, you can see a specialist at Chong Hua, just not be admitted to the hospital?

Link to post
Share on other sites
gasturbine

Well I must reply to Skyman on how easy Tricare claim filing is. It is obvious he is out of touch with reality and is speaking about something he knows nothing about. I had to file a claim on St. Lukes for a very complex procedure that cost , php 167000 hospital charges, php 240000 doctors fees or a total of php 407000.  Well it took 12 pages of documentation, over 3 months to obtain relevant information and numerous phone calls to St Lukes before I obtained the required medical abstracts, medical records, doctors notes, records of doctors rounds etc to support the claim. Also was assisted by members of a  retiree group who provided me with the expertise needed to process the claim. Simple medicine claims and office visits are easily filled out but the major claim is an entirely different story. Pro Fees are the big issue for inpatient  claims  and unless you can break them down into individual events you will not be paid by Tricare period. 

 

Now as for the secret Demo in Cebu. That is total 100% fabricated bullshit. One only has to think why would a Demo be a secret? How would a retiree access medical care from a SECRET program. Where are the certified hospitals and doctors for the secret Cebu Demo? If we had a Demo in Cebu then Chong Hua would not be an issue. A little logic goes a long way. You can't believe everything put out by the Military Retirees of Philippines Group, but you can believe the Yahoo group Philippine Tricare Fight which is 100% factual and has no agenda to push unlike some groups.

 

And yes a doctor can be Tricare certified while the hospital he is affiliated with is uncertified. That is the current issue with Chong Hua.

 

Yes Headshot I hope your doctor is correct. It would be of benefit if you could followup on his statement and get me some more information. I like others suspect ISOS of round filing the documents Chong Hua sent them . Chong Hua personally told me as well they had complied with ISOS requirements.  Something her is not smelling good and I think the smell is coming from ISOS. Any information you can get me would be helpful as my group administrator has a direct line to the top officials of Tricare Overseas and I could forward information to him to discuss with tricare overseas administrators as well as ISOS. Would be greatly appreciated. Thanks David in Cebu working to get Chong Hua certified.

Link to post
Share on other sites
lopburi3

Is this a case of Tricare not allowing use of hospital or that hospital will not accept Tricare?  I gather that Tricare will not pay or accept claim for care at facilities they have not listed as approved? 

 

Most hospitals are selective on what insurance that accept for direct payment because of the paperwork involved.  My US government insurance will direct pay some hospitals but at others I would have to pay and then file paperwork - but I could use any hospital.

Link to post
Share on other sites
  • 3 weeks later...

Where did that information come from Headshot that Chong Hua is going back on the certified list??? I must be totally confused because that is not the information I have. Can you provide me a source for this statement. I sure hope you are correct and  I am 100% wrong. It would make my  day. According to ISOS they are waiting for documents from Chong Hua that have never been sent to them since November of 2013. However, I personally spoke with Chong Hua and they did say documents were sent to ISOS. It seems some one is very confused here besides me. David in Cebu

Actually I and my group did the work to get Chon Hua back on the list through contact with DHA and congressionals. However Cebu Doctor's will probably never be added back due to the ongoing lawsuit with the city.

 

Jim

Please forgive my ignorance on using Tricare in the Philippines, as I'm not residing in the Philippines yet, however when I use the Tricare website to search for providers in Cebu it lists several certified doctors at Chong Hua.  So, does having a doctor certified at Chong Hua not mean that the hospital itself is certified?  How does that work, you can see a specialist at Chong Hua, just not be admitted to the hospital?

Right!

 

Jim

Link to post
Share on other sites

Unless they have changed the rules. In an emergency you can go to any hospital. 

True but our experience is in the Philippines they generally deny the claim on the basis that hospital is not certified. I got one claim approved in spite of certification but it took almost two years.

 

Jim

Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

×
×
  • Create New...

Important Information

By using this site, you agree to our Terms of Use, Privacy Policy and Guidelines. We have placed cookies on your device to help make this website better. You can adjust your cookie settings, otherwise we'll assume you're okay to continue..

Capture.JPG

I Understand...