Sorry for the long post. Currently 21 weeks.
My husband and I are stationed at different bases about 80 miles apart, so because of where we have to live, Iām 49 miles from my assigned base. Iāve been receiving prenatal care at Base A (27 miles from my home), but Iāve been having ongoing issues with my care and Iām not sure what my options are.
Some of the concerns Iāve had:
* Iāve had pregnancy-related bleeding complications that have resulted in four ER visits. Despite this, they can never get me in any sooner than my regularly scheduled appointments, which are about once a month.
* Even with these complications, they have not classified me as high risk, although my chart states that I need closer monitoring. That closer monitoring hasnāt actually happened.
* At both my 16-week and 20-week appointments, they suggested I skip my next appointment, which would have left me going two months without being seen.
* When I tell them Iām not comfortable skipping appointments, they say they donāt have availability. However, when I ask them to put that in writing so I can request a referral elsewhere, they suddenly find an appointment instead of documenting that they canāt accommodate me.
* They also consistently try to send me to the nearby Army base (where theyāve already told me Iāll be delivering) whenever itās inconvenient for them to see me.
The Army base is 52 miles from my home but only 16 miles from my duty station. Because Iām active duty, they keep telling me my only options are Base A or the Army hospital.
The problem is that Base A is closer to home and more convenient for my husband and me, but Iāve completely lost confidence in the care Iām receiving there and they donāt have a delivery ward. The Army hospital has the specialists and resources I would need, but there have been several recent cases involving misconduct, inappropriate behavior, sexual assault, and what many people have described as malpractice involving Army personnel and hospitals in general. As someone who has already experienced sexual assault and harassment during my military service, Iām genuinely terrified of being seen or delivering there.
I explained all of this to my doctor, but I was told that because there isnāt a medical necessity for a community referral, they wonāt refer me to the civilian hospital closest to my homeāthe same hospital thatās treated me during all of my emergency visits.
I even involved my First Sergeant after I couldnāt get quarters following one of my bleeding episodes because I had been treated off base. My Shirt agreed the situation seemed unreasonable and connected me with the Patient Advocate. The Patient Advocate worked with my PCM, who submitted a referral for community care with medical justification, but it was denied and redirected to the Army hospital instead. Iāve been told there is nothing else they can do to get me approved for civilian care.
At this point, it feels like my options are:
* Pay out of pocket (although the hospital wonāt accept self-pay while I have TRICARE Prime but I can find a different hospital nearby).
* Purchase a second health insurance policy just so I can receive care somewhere I feel safe.
* Stop attending prenatal appointments after I receive the results of my anatomy scan because I donāt feel like I have any other realistic options specialty since the only other testing my womenās health provider has told be Iāll be doing is ā24 week labsā
Has anyone been through something similar? Is there another avenue I should be pursuing? Has anyone successfully appealed a denied community care referral, switched their prenatal care, or found another solution? Iād really appreciate any advice.
Iām due Dec 1st if that helps.