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tricare prime overseas-germany questions



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With Tricare Standard you don't need a referral. I just made an appointment with the surgeon. Once I was at my appointment they explained they would need tricare approval and you either had to to have a BMI of 40 or greater or have co morbid conditions. It took 2 weeks and I was approved for the surgery as well as the nutrition visit and the psych consult. Once I had completed that my surgery was scheduled. My advice would be to switch doctors. Do some research find what doctor has approved it for other people, and then make sure you tell them you have been fighting your weight for at least 10 years and have tried every diet out there plus weight loss drugs. I didn't have to do supervised weight loss or attend any seminars. Also if they say no appeal it if you need to. Don't take no for answer. Hope this helps :)

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I am in the states Georgia matter of fact and I was approved within 2 weeks of submitting to Tricare.. had to document 3 months of dieting supervised by my PCM...my surgery date is Feb. 28th...I heard that with Tricare south it is easier to get approval than with Tricare North or West

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Jagc23- I am also in hohenfles, just had the lap band and hernia repair this past Tuesday!! I'm not sure who your PCM is but mine had me do 6 months of physician watch with nutritionist and I also had to go to the metabolic test, and have a psych eveluation. If you pm me your cell, we can meet up or t all over the phone. I will do my best to help!! Good luck!!

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CAnthony, I am still working on the process. I have met with PCM for weights for 3 months now. I did the medibolic testing an met with nutritionist. I have kept a food journal for months now. I am 5'2 220 lbs and have sleep apnea. He did not say I had to do the nutritionist monthly. I have met with her twice and also done the one in vilsick. I will pm u my number. Guess I need to switch doctors.

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That is crazy how every Tricare region is different. I am in Texas and I just needed one visit to the NUT and one visit to a therapist. From my consult to my surgery was 5 weeks. I hope you can get moving with this process @jagc23. Good luck!

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