Tricare hopeful

[lucybugsmama 0]

I went to the lap band surgeon Friday 5/1/10 and they said everything looked good for surgery and they would submit the letter. So, of course every day since then I've been checking the website to see if the letter had been submitted. Yesterday, still nothing showing in my authorizations. So I checked today and there's my authorization request with an "A" by the status. So I click to look and at the top it has a case/order number and under that case category APPROVED!!!! Is this for real?

Has anyone had this happen before? Your authorization goes from not even showing to approved in 1 day, skipping right over pending? Or does the approved mean something else, like the procedure is approved but not necessarily my case? I'm just freaking out because that was so FAST and I'm afraid to get my hopes up.

Am I really approved? REALLY?!

[FattyCakes 0]

Really, really, I guess! :thumbup:

Do you mind if I ask a few questions?? If so, just ignore. lol

How tall are you and how much do you weigh?

How did you go about the process? I thought I had to see my primary and she would put in the letter, not the surgeon...??? :thumbup:

[Rsilversea 2]

The surgeon puts in the letter.

[FattyCakes 0]

The surgeon puts in the letter.

Thanks for answering that. Don't you need a referral fm your PCM to see the surgeon though?

[Rsilversea 2]

Yes you do.

[lucybugsmama 0]

Cakes,

I'm 5'4 246 and classified as a small frame. I haven't been diagnosed with any comorbs, but I did tell my surgeon about shortness of breath, pain in my joints and I had gestational diabetes. There's also family history of diabetes, high blood pressure, arthrtis,apnea and everything else under the sun. I'm not sure if any of that helped with the approval (I'm assuming at this point that I am).

I have reserve select, which is like Standard, so I don't have a PCM. But from what I understand from reading the boards, the PMS refers you to the lap band surgeon and the surgeon submits the letter.

[FattyCakes 0]

Cakes,

I'm 5'4 246 and classified as a small frame. I haven't been diagnosed with any comorbs, but I did tell my surgeon about shortness of breath, pain in my joints and I had gestational diabetes. There's also family history of diabetes, high blood pressure, arthrtis,apnea and everything else under the sun. I'm not sure if any of that helped with the approval (I'm assuming at this point that I am).

I have reserve select, which is like Standard, so I don't have a PCM. But from what I understand from reading the boards, the PMS refers you to the LAP-BAND® surgeon and the surgeon submits the letter.

Thanks for the info. I go on Tuesday. Do you have to pay anything?

[lucybugsmama 0]

Cakes,

I'm 5'4 246 and classified as a small frame. I haven't been diagnosed with any comorbs, but I did tell my surgeon about shortness of breath, pain in my joints and I had gestational diabetes. There's also family history of diabetes, high blood pressure, arthrtis,apnea and everything else under the sun. I'm not sure if any of that helped with the approval (I'm assuming at this point that I am).

I have reserve select, which is like Standard, so I don't have a PCM. But from what I understand from reading the boards, the PMS refers you to the LAP-BAND® surgeon and the surgeon submits the letter.

Uh, yeah your PCM refers younot your PMS.:embarrassed: Just thought I should clear that up.

[FattyCakes 0]

Uh, yeah your PCM refers younot your PMS.:embarrassed: Just thought I should clear that up.

LOL I didn't even notice.