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National Security & Defense

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Eugene

(65,645 posts)
Fri Mar 14, 2025, 10:14 PM Mar 2025

A Navy veteran and his wife say Tricare rescinded approvals for over $100K in health care claims paid years ago [View all]

Source: NBC News

A Navy veteran and his wife say Tricare rescinded approvals for over $100K in health care claims paid years ago

The 71-year-old retiree says he has struggled to get clarity from the military’s health care program, as one medical bill has already gone to collections.

March 13, 2025, 5:43 PM EDT
By Melissa Chan

A Navy veteran and his wife said they were blindsided when Tricare, the military’s health care program, rescinded over $100,000 in medical claims it had approved and paid several years ago.

Harve Smith, 71, received a $470 bill in January for dermatologist visits in 2020. He thought it was a one-off error until he discovered that Tricare had retroactively denied 26 more claims for a total of about $3,000 worth of services it had already reimbursed providers for since 2019, when he first enrolled in Tricare For Life, a plan for Tricare-eligible people who have Medicare.

Tricare also reversed approvals for at least 10 claims, totaling about $100,400, for his wife, Janice, in the same time frame, while nine other claims that had once been marked as completed are being re-processed, according to records from her Tricare portal, which NBC News reviewed.

“We don’t know where this ends,” said Janice Smith, 67, who has multiple sclerosis and worries the stress will aggravate the autoimmune disorder.

-snip-

Read more: https://www.nbcnews.com/news/us-news/navy-veteran-wife-say-tricare-rescinded-approvals-100k-health-care-cla-rcna195797

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