Need advice ASAP regarding Tricare Prime

[Nelsondevon05 0]

I have been working with La Jolla Weight Managment and Dr. B and I am scheduled for surgery on 7/14/10 but Tricare Prime declined my authorzation because they needed a refferal submitted from my Primary care provider, so i got the referral from them but they submitted it to Balboa Naval Hospital and they accepted the refferal but I want to do it through La Jolla weight managment for numerous reasons.

Does anyone know how or if i can get Tricare to submit the authorization to LWM instead of Balboa or is there anyway i can just pay like a large copay and have Tricare Prime pay for the rest of it?

Any ideas are greatly appreciated

Thanks,

Devon

[snoopy11 0]

i had to change doctors. all you have to do is call tricare and tell them that you would like to change doctors! for me it was immediate. I got my new letter in the mail within days!! it should not be a problem at all!! I had to change clinics because the original clinic i had chosen had a 1 1/2 yr wait list!!!

[snoopy11 0]

the number to call is on ur referral

[KatieMT 0]

Yep, just give them a call. They called me when I got approved and asked me if I had a surgeon or if I wanted one of their "center of excellence" surgeons. I got the choice because I'm more than 50 miles from one of their surgeons. But I asked if I decided to not use my surgeon how did I change and they told me to just call in.

Tricare will not pay at a facility without a referral. You'd end up self paying. I had to change hospitals because the one my surgeon usually uses wasn't excepted with Tricare. No problem, though, my surgeon has privileges in most of the hospitals in the area.