Tricare Select

[vilmarie.25 24]

I was cleared two months ago with all my tricare select insurance requirements and labs but Now my doctor’s office told me that tricare requieres an audit of my record and probably take long time with tricare. Whattt???? That is pre authorization? I’m very confused!!!!

[liveaboard15 1,293]

tricare select requires that you have proof that You were unsuccessful with non-surgical medical treatments for obesity. Your medical records must show your failed attempts.
Diet programs, such as Weight Watchers and Jenny Craig, are acceptable methods of dietary management, as long as there are monthly clinical visits with your doctor and medical documentation of your participation and your progress throughout the course of the dietary program.

Is that maybe what they want to know or did you already provide that?

[vilmarie.25 24]

@liveaboard15
Yes ALL documents were provided. Failed attempts. Monthly visits. My hypertension record and all requirements.

[LilaNicole20 252]

1 hour ago, vilmarie.25 said:

I was cleared two months ago with all my tricare select insurance requirements and labs but Now my doctor’s office told me that tricare requieres an audit of my record and probably take long time with tricare. Whattt???? That is pre authorization? I’m very confused!!!!

Can you go to the VA or are you a dependant? Mine was done at the VA and they were wonderful.

[vilmarie.25 24]

I’m Dependant. Now, I received a msg from the nurse and she told me that my Dr. Leaves the practice on June and I need a new doctor because he is booked up. First I was confused and now I’m frustrated.

[Tony B - NJ 642]

1 hour ago, vilmarie.25 said:

I was cleared two months ago with all my tricare select insurance requirements and labs but Now my doctor’s office told me that tricare requieres an audit of my record and probably take long time with tricare. Whattt???? That is pre authorization? I’m very confused!!!!

I would not worry about it. I have Tricare as well and I was approved. The review is not going to be anything earth shattering, mine went through in a couple days. I paid less than 200 dollars total for my entire surgery. Hang in there...breathe.

[vilmarie.25 24]

Tricare approved me in 24hrs. I think the whole story was the clinic not the insurance. They submit my chart yesterday and today morning was approved! Crazyyy!!!!

[Tony B - NJ 642]

Great to hear. We all get a little worried when we get so close. It would be devastating to have the surgery denied after going through the process.

[Timothy Nutting 0]

I also had problems with this, and they probably want you to renew that sheet. I understand you have them all, but try to find out what they need again - you can let them know again that you have that sheet.