Tricare experience

[Ourlifecomplete 17]

So at first I wanted to get the sleeve but I would have to go to a Military treatment facility to get it done and that is 6 hours away. I am now leaning towards the bypass. I am scared I am going to get denied by insurance though for not being big enough. We just moved to Louisiana from Germany so I have a new PCM. Going to make an appointment hopefully for this week. I am 5'6 and half and my weight is currently 242. Which makes my bmi 39ish. I don't think I have any other co factors that they require. I have PCOS, fatty liver, incontinence, and last time I was checked (5yrs ago) I was pre-diabetic. Anyone else with Tricare Prime south? Just looking to here your story, from first visit on.

[Holly Swegle 1]

Hello and congrats on your approval! I have Tricare Prime also. I just started my process 2 weeks ago. I went to my PCM and got the referral, went to the seminar and lifestyle class and also have done my psychological exam. It all happened so fast .

My question is: About how long was your process with Tricare?

[robinsmj 39]

I have Tricare Standard South region. I took myself off of prime 10 years ago because it is so inflexible. Basically, with standard their requirements are whatever your surgeons office requires. After my surgeons office submitted, approval was back within 1 week. I had RNY. They don't approve for sleeve. You have to go to the MTF for that as you have said. Best of luck

Edited July 10, 2015 by robinsmj

[Ourlifecomplete 17]

Thanks! I saw my pcm end of May for referral to surgeon and have tentative surgery date July 29th. Tricare has been awesome no trouble with them at all. Once my surgeons office submitted it to them it took 4 days to approve and most of those days were over the holiday weekend.

[Holly Swegle 1]

That is awesome! Thank you so much ladies. ????

[nbateman06 12]

I'm dealing with Triwest and have seen my PCM and meet with the surgeon this Friday! I hope it's not too crazy after that for approval