Tricare Prime North

[☠carolinagirl☠ 18,721]

they approved me to have surgery. the clinic just told me today.

((thank you to everyone who offered me support))

[MendyB 8]

I'm so excited for you! I'm still waiting on Tricare north for a answer;) it seems like it is taking forever. I'm starting to worry:( but keep us informed

[yvonne74 73]

Are you active duty Tricare?

Congrats!

[☠carolinagirl☠ 18,721]

no, my hub is retired air force.

[yvonne74 73]

Ok, my hubby is retired army. When I got my EOB, I was told that I only had to pay co-pay. A few days ago, I got a letter in the mail from Tricare saying that I owe my provider $4,308 .. Wondering if this is an oversight or if I was given wrong information when I scheduled the surgery.

[lovex5 25]

yvonne74 you have to really stay on top of tricare! they don't like me because i worked in medical insurance for several years and i've called them on several of their mistakes. i had a major surgery a couple years ago and they asked for some info from me that was not needed at all. it took me months going round and round with them for them to finally pay. i hope you can get everything straightened out with them. also, did you ever speak with anyone regarding your benefits for surgery? if so, and they quoted you on a certain amount that they arent honoring you may be able to get that call retrieved. when i worked for bcbs they paid many claims that the reps had misquoted. one girl nearly got fired for incorrectly quoting a bariatric surgery as being covered at 100% of the allowed amount. turns out that person did not even have bariatric coverage on her policy but because she was quoted those benefits bcbs had to pay the bill. good luck to you!

[armymom2012 51]

Yvonne74, I have Tricare Prime North and my husband is Retired Navy. I had to do alot of the work and checking up on Tricare at first, because they can be really slow at times, but they paid for all but $50 at the time of my surgery. And my fills are a $12 co-pay. I would check with them again and find out why they are asking you to pay that much, unless they have you in as not approved by mistake. I was only approved because I had more than 2 co-morbilities causing health problems otherwise they would not have covered me, because I did not meet the 100# over weight status. Hope you get the answers you need.

[☠carolinagirl☠ 18,721]

hi Army mom just a $12 co pay on fills? i was wondering about that. my clinic said i would only need to pay 184 for my surgery and they pay the rest so i am thankful.

[yvonne74 73]

Thanks ladies! My fills are $12 co-pay. I was told that I only had my $35 co-pay for the surgery. That is what I paid.. So far, I haven't gotten another "bill" or anything so maybe it has been taken care of? I do think my surgeon over charged Tricare. They billed tricare over $82,000 for the surgery!! Thats a lot for a surgery if you ask me!