I need some help and opinions please. I had a new patient in today that had Tricare Select. The Tricare was still showing active. On her demographic sheet, she put single and also listed a "boyfriend". The Tricare sponsor was different than her "boyfriend". The sponsor was her ex husband. The patient did not have her Tricare ID. I called Tricare to verify coverage and she was active, I did tell them all this info. He suggested contacting the sponsor. I did ask the patient if I could contact the sponsor because I was having "trouble verifying her eligibility". Patient said she was not allowed to have contact with him, but due to the situation he had to keep her on his Tricare. She said she just needed to go back to the base to get a new Tricare ID card. To me there are many red flags here. (the reason I a very weary is due to Tricare just recently coming back and taking back over 2 years of claims that they had paid for a patient that had gotten a divorce and Tricare had been contacted many times and for whatever reason Tricare just did not cancel the insurance and continued to pay claims. The patient made us aware of the cancellation when it was termed, it was over 500.00 refunded to Tricare)

Once divorced, doesn’t the spouse have to have their own policy under their own social/ID?

Please give me your thoughts on this.

Thanks!