Tricare and WPS
We are retired military, last year at age age 65 we enrolled in Medicare part B. Medicare is now our primary insurance and Tricare second payer.
We've had Tricare for over 30 years. We recently moved to TX which is covered by WPS insurance (Tricare South region). I had a double surgery in January. Tricare WPS was paying claims until March then suddenly 'denied payments'.
I went to our online account to see the explanation, which was "has other insurance". Since we've never had anything but Tricare, decided to check my onlone profile. Well lo and behold it had been changed! It now showed AETNA as my insurer, not only that but it gave a patient policy number and a 2007 start date for the policy.
I called the consumer number and asked for explanation. I was told it was an office "error", and that they would correct it. They would not explain how an employee could alter my profile without sending verification of a change (since that is their usual procedure).
They beleived they saved $$ by denying 8 medical claims, now they all have to be resubmitted and paid.
Does Wisconsin health insurance company think by following this practice that patients will just pay out of pocket, leaving them with fatter profits from Tricare!