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Tricare Ropeadope?!



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I was given prior authorization to have my gastric sleeve on January 24th and everything has been going well until today. I got a bill for $1800 and am very upset/confused. I was under the impression that the approval meant full coverage of the procedure. The financing person at my surgeon's office did not mention anything about a copay that substantial. Does anyone have any experience with Tricare standard or tricare select (as it is now called) and getting a giant bill 3 months later with no warning? Any information is appreciated.

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I was given prior authorization to have my gastric sleeve on January 24th and everything has been going well until today. I got a bill for $1800 and am very upset/confused. I was under the impression that the approval meant full coverage of the procedure. The financing person at my surgeon's office did not mention anything about a copay that substantial. Does anyone have any experience with Tricare standard or tricare select (as it is now called) and getting a giant bill 3 months later with no warning? Any information is appreciated.

Not with WLS, but when I had an IUD put in tricare was supposed to cover it, but didn't. I had to put a call in to both tricare and the hospital to get it smoothed over. I was out of standard tricare area (went back home to have the baby when my husband got deployed). Check the regulations, the hospital had to eat the bill in the end because the dr. That performed the implant did accept tricare even though tricare (supposedly) didn't cover IUD's.

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    • Alisa_S

      Just been waiting until time for my consult with my bariatric surgeon. It's scheduled for Jan 9th. Turns out I won't actually be seeing him. Apparently it'll be with his P.A.             Not sure what to expect. I thought this is where the surgeon would discuss the best surgery option for me. For years I had my heart set on the sleeve, but I've read so many people have issues with reflux - even if they've never had it before - that they've had to be revised to the bypass. I already deal with GERD & take 40 mg of Omeprazole daily, so I started studying about bypass and honestly, it seems like it might be the better choice for me. How can we discuss surgery options if the surgeon is not there?
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    • cryoder22

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      · 1 reply
      1. NickelChip

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      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

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        Well done! I'm 9 days away from surgery! Keep us updated!

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