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Anyone with Tricare Prime?



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I have completed all of my pre-approval testing as of last week (Mamo, pap, ultrasound on liver and gallbladder, echocardiogram, nutritional class 1, psych eval, visit with cardiologist) and got flying colors on all of them. I also have a statement from my orthopedic guy that I need to lose 100 pounds before I can have my knee replacement (we are all hoping losing the weight will mean I won't have to have the knee replacement for a much longer period of time). Now waiting for the insurance company to do their thing (Tricare Prime) and approve the RnY surgery (apparently the only bariatric surgery they cover). I was hoping for the surgery in mid to late October, but we may not have the insurance okay until then, then we have to schedule the surgery, so I'm hoping early November. I have a large and important event scheduled at work the week of Thanksgiving and must be back to work before then. Surgeon has me starting a pre-op diet now to get used to what the post-op diet will be like (primarily Protein with veggies). We live too far from a gym (and it's too expensive anyway), so hubby and I are going for a home fitness gym and I have nine acres property I can walk everyday (as well as miles of country road). I've been caffeine free for three weeks, sugar and alcohol free for two weeks, bubbly diet soda free for three weeks... working on learning to chew.... having time to practice the new habits and give up the bad ones is good, but not sure how long I can really hold out with out the help of the surgery. ​

I'm worried the insurance people are going to drag their feet or worse yet, deny me. I started out 120 pounds over my ideal weight of 128. I've lost a couple of pounds in the last week thanks to the Post-op diet (but feel like I'm starving and craving sugar something fierce). Surgeon tells me I have no worries about being approved even though I am healthy despite my weight. My weight alone should be enough she says.

Any experience with Tricare Prime?

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