TRICARE East questions

Cherylw13 · January 13, 2021

Does Tricare require a number of monthly weight visits with your primary doctor before approval? I've heard both 3 and 6 months and seen on posts from 2012 in here they don't require either. When I called Tricare the man told me he didn't see a number listed.

And do they require Psychological evaluation as well. I've heard they dont.

Edited January 13, 2021 by Cherylw13

CPull004 · January 13, 2021

I’m in Florida and have Tricare East. I had to complete a 2 month supervised diet, dietary education, and diet history. My first consult with my surgeon was 11/11/2020 they did include that visit as part of the supervised diet. Medical clearance by PCM 12/7/2020. My dietitian appointment was 12/8/2020. My second supervised visit was 12/10/2020 and everything was submitted to Tricare for approval 12/11/2020 which was approved 12/12/2020. I received a call for scheduling of my surgery date within a week. Preop diet started 12/22/2020. I ended up scheduling my WLS on 1/6/2021. I will be 1 week post op tomorrow ☺️

Cherylw13 · January 13, 2021

Thank you! I'm going to call Tricare to once again clarify the policy with them.

Kristine70 · February 21, 2021

I’m in Florida and have Tricare East. I had to complete a 2 month supervised diet, dietary education, and diet history. My first consult with my surgeon was 11/11/2020 they did include that visit as part of the supervised diet. Medical clearance by PCM 12/7/2020. My dietitian appointment was 12/8/2020. My second supervised visit was 12/10/2020 and everything was submitted to Tricare for approval 12/11/2020 which was approved 12/12/2020. I received a call for scheduling of my surgery date within a week. Preop diet started 12/22/2020. I ended up scheduling my WLS on 1/6/2021. I will be 1 week post op tomorrow [emoji3526]

I'm in Texas and I have Tricare.
I had my appt with the surgeon on Jan 5th. I have to 3 appts with a dietary nutrition and medical clearances.
I go Monday for my 2nd appt with the nutrition. The next two weeks I'm having testing done to measure the acid in my stomach and having a upper and lower GI. The surgeon told me he wants to get me into surgery for April. I just don't have a date yet.

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