Insurance Tricare?

[sarcruze 24]

@@flip26

I called the tricare standard west region rep and she said that I will only have to pay for the hospital stay which is $18 a day. I asked her about the $1000 catastrophic cap and she said that I will only have to pay copays if I don't reach the $1000 cat cap.

[flip26 10]

That is great. I anticipated paying the 1000 dollar cap.

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Maybe mine won't add up to the full cap. That would be great

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[flip26 10]

I have my surgery on September 20th and I just paid my copay and it was only 87.00 dollars. So excited!!!

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[KattrinJ 4]

I have my surgery on September 20th and I just paid my copay and it was only 87.00 dollars. So excited!!!

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I was sleeved in July. I had to pay co pay for the psych appt, and $25 for the surgery only! Feeling blessed!!!

[rdharri 46]

Trickle prime approved me for Oct.4th. I'm suppose to have to pay up to my deductible. I'll let you know how much out of pocket as soon as I know. I'm excited that major part will be paid.

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[rdharri 46]

I just read my post. I'm going to have to be careful with the auto correct spellchecker.

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[Smdnght28 69]

I have tricare standard I was wondering do you first have to get a referral from you PCM? Also how do you provide your documentation for your unsuccessful weight loss attempts I had kaiser before Tricare do I just send them my Medical record from Kaiser? I discussed it with my Tricare PCM so she has it on file is that good enough?

[KattrinJ 4]

I have tricare standard I was wondering do you first have to get a referral from you PCM? Also how do you provide your documentation for your unsuccessful weight loss attempts I had kaiser before Tricare do I just send them my Medical record from Kaiser? I discussed it with my Tricare PCM so she has it on file is that good enough?

Yes... You need to have referral from your PCM. Your medical records should support your unsuccessful attempts,

[flip26 10]

@Smdnght

I am standard too, I picked my surgeon first and called the office and asked if there was a different referral form for my pcm to fill out. I brought that form with me to my pcm appointment and had her fill it out. That form got turned in with all my records including my doctor notes of unsuccessful attempts at weightloss.

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[Smdnght28 69]

@@flip26 that's good to know I actually rescheduled my appt with the surgeon cause I didn't know if I had to meet with my PCM first

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[sarcruze 24]

@@flip26 Congratulations on your surgery. I hope u r feeling well.

@@Smdnght28 : It all depends on your Surgeon's Bariatric program. I had to see my PCM and get a referral approved by Tricare and sent to my Surgeon's office stating that they recommend me for the Bariatric program. Once they got my referral they called me to schedule an appt to see the surgeon and if he thought I was a good candidate I immediately saw the patient advocate and set up other appts and she went through the paperwork and a quick run-down of what the program is about and what to expect. It's all gone pretty fast for me. I never had failed diet attempts that were monitored by my PCM so I have to do 4 months of weigh-ins and that is per my surgeons program. Good Luck with your journey and keep us updated.

Edited September 21, 2016 by sarcruze