Tricare standard - please help! Confused!!

[drm1123 0]

I have an appt to see the surgeon before the end of the month but already insurance questions are coming up. I have an out-of-network doctor and hospital. What does tricare actually pay for after they have approved you? I know that the "allowable" charge is ridiculously low (a little over $1,000). This is for the lapband alone, the hospital charges, ie. anesthesia etc. are separate). Will they cover 75% percent of that that allowed amount or the amount my doctor charges. My doctors fee for the lapband alone is $10,000. I just need to know if they will pay 75% of that or the allowable charge. I'm beginning to sad because I won't be able to afford that. No MTFs in New York City, and very few doctors accept tricare. :biggrin: