Can Behavioral Health deny me getting a second opinion off post?

2022-02-15T18:23:43-05:00

Response by SGM Bill Frazer made Feb 16 at 2022 12:13 AM

2022-02-16T00:13:10-05:00

Not Normally, but it will come out of your pocket.

Response by SFC Ralph E Kelley made Feb 16 at 2022 9:25 AM

2022-02-16T09:25:13-05:00

That's going to cost you to get a second opinion off post. Hope you have deep pockets.

Response by MSG Private RallyPoint Member made Feb 16 at 2022 10:30 AM

2022-02-16T10:30:15-05:00

a 2nd opinion can't be denied. You have the right to seek 2nd opinions. Granted, the off post treatment will be out of pocket, more than likely

Response by SFC Private RallyPoint Member made Feb 16 at 2022 11:36 AM

2022-02-16T11:36:09-05:00

They can't deny you going to see an out of network provider - they just don't have to put in a referral. So if you go without a referral, you will be charged as Point of Service by TRICARE and you have to pay for it. If you want a second opinion and they won't put in a referral, just go and pay for it. If you can't afford it, then don't go.

Response by CSM Darieus ZaGara made Feb 16 at 2022 3:33 PM

2022-02-16T15:33:11-05:00

Can’t you get one at the treatment facility? Otherwise uou pay.

Response by SSgt Christophe Murphy made Feb 16 at 2022 4:02 PM

2022-02-16T16:02:49-05:00

You can request a second opinion if there is another in network clinic within your area. But if you are trying to get a referral to civilian care you will run into a snag that will cost you out of pocket

Response by SFC Casey O'Mally made Feb 16 at 2022 5:15 PM

2022-02-16T17:15:43-05:00

As everyone has mentioned, it will likely be out of pocket. The other thing to keep in mind is that the military SHOULD take that second opinion into consideration... but they don't have to. At the end of the day, whatever your military providers say is what the military considers official.

Response by SFC Private RallyPoint Member made Feb 17 at 2022 1:07 AM

2022-02-17T01:07:23-05:00

As a Tricare recipient, you are entitled to a second opinion. However, Tricare is an HMO and your second opinion will be wherever you are referred to, not where you want to go.

You can seek treatment off post by a professional of your choice if you're willing to pay for it. However, it's a long way between seeing a civilian provider and getting the outcome you may desire. Chances are you're probably hoping for some certain outcome, like a diagnosis that leads to a specific treatment or discharge. You primary care provider still has to verify and OK any treatments, and your EBH will need to validate any diagnosis' from a civilian provider.

Response by MSG David Lambert made Feb 18 at 2022 6:11 AM

2022-02-18T06:11:39-05:00

You can get a second opinion usually at your own expense off base. Unless an emergency with a visit to your nearest ER

Response by SPC Private RallyPoint Member made Mar 1 at 2022 5:28 PM

2022-03-01T17:28:38-05:00

Behavioral health the department, no. But if you are asking about Tricare coverage then you need call Tricare and explain what’s going on. They may be able to approve a special type of authorization.

Response by SGT Hector Rojas, AIGA, SHA made Apr 4 at 2022 6:46 PM

2022-04-04T18:46:41-04:00

They can't. But as stated, you'll have to pay out of pocket.
Or you could always to your friendly unit PA, explain whatever the situation is, and that you would like a civilian second opinion, he/she/it can order the referral.
I did it while still in.