Insurance

Does Ponte Vedra Spine & Pain Center accept TRICARE For Life?

Yes — we are in network with TRICARE For Life (TRICARE For Life). Plans differ within a carrier, so we verify your specific policy before your visit.

Check my coverage Call (904) 750-3787

How TRICARE For Life works at this practice

We are in network with TRICARE For Life. It matters to say which TRICARE that is, because TRICARE is several different programmes and they do not behave alike here.

TRICARE For Life is the wraparound benefit for military retirees and family members who are entitled to Medicare Part A and enrolled in Part B. Medicare pays first on covered care and TRICARE For Life generally picks up the remainder. If that describes you, bring both your Medicare card and your uniformed services ID.

If you are on TRICARE Prime or TRICARE Select instead — which is most serving members and retirees under 65 — those are not in our network. That is worth a phone call rather than an assumption: call the office and we will tell you plainly where you stand and what the visit would cost before you book anything.

What we bill to TRICARE For Life

Under an in-network plan we bill your evaluation and the interventional work that follows it: epidural injections, medial branch and nerve blocks, sacroiliac and joint injections, radiofrequency ablation, and spinal cord and peripheral nerve stimulation. All of it is placed under live X-ray or ultrasound guidance rather than by landmark.

The conditions most often treated under this coverage: back pain, sciatica, neck pain, herniated disc, spinal stenosis, knee pain, shoulder pain, hip pain and peripheral neuropathy.

What is not billed to insurance

Two things are not billed to any plan, this one included. Regenerative treatments — platelet-rich plasma and bone marrow concentrate — are not covered by United States insurers and are quoted directly. SoftWave and MLS laser therapy are likewise usually self-pay. You are told which category your treatment falls into before it is scheduled, not after. The full picture is on insurance & cost.

Before you come in

What to bring

  • Your TRICARE For Life card and a photo ID.
  • A referral, if your plan requires one. Call us if you are not sure.
  • Any imaging relating to the pain — MRI, CT or X-ray.
  • Notes from prior treatment: physical therapy, injections, surgery.
  • A list of your current medications, including doses.

Not sure what your plan requires? Call (904) 750-3787 and we will check it with you.

TRICARE For Life questions

Does Ponte Vedra Spine & Pain Center accept TRICARE?
We are in network with TRICARE For Life, the wraparound benefit for those entitled to Medicare Part A and enrolled in Part B. TRICARE Prime and TRICARE Select are not in our network — call the office and we will tell you what your options are.
What do I bring with TRICARE For Life?
Both your Medicare card and your uniformed services ID. Medicare pays first on covered care and TRICARE For Life generally covers the remainder.
Being in network — does that mean my treatment is covered?
Not by itself. In network means we have a contract with the carrier and you are seen at your in-network benefit level. Whether a specific procedure is covered, and what you would owe, depends on your plan and sometimes on prior authorisation. The office verifies your benefits and gives you an estimate before anything is scheduled.
What if my plan is not TRICARE For Life?
See insurance & cost for the full list of plans we are and are not in network with. If yours is not on either list, call (904) 750-3787 — we will confirm it rather than guess.

Eliminate pain and reclaim your life.

Request an appointment with Dr. Loch, or call the office at (904) 750-3787. Most patients are seen within a week.

Request an appointment