Tricare Prime in Texas

[sassygrl 0]

Hi Everyone,

I have started looking for a Surgeon that will take Tricare Prime. I am thinking of have the Lap Band done

If you have any sugestions I coould use your help. I would like to have the surgery in San Antonio.

Thanks so much !

[tomatogirl 0]

You need to go to your PCM and get a referral. Tricare will refer you to a doctor that performs the surgery.

[sassygrl 0]

Thank you !

[thatDEgirl 1]

Well, that depends are you prime or standard? With standard, you don't need the referral and can go to the tricare website and find a covered doctor. You do need a PCM referral for prime though.

[sassygrl 0]

So, I'm Tricare Prime. My PCM sends in a referral for WLS and Tricare picks my surgeon.?

I wonder if I can request one that's not on the list?

[thatDEgirl 1]

Tricare *may* let you change the doc on the referral (I've never tried) but they won't let you pick on that is not a network dr. Then you will go for a consult with the surgeon, nut eval and pysch eval, then the surgery gets submitted for approval...which may be yes or no depending on the whole package.

[tomatogirl 0]

You can change the doc on your referral from TriCare (all you have to do is call), but this doctor you want may not accept TriCare.

[sassygrl 0]

I'm glad I have Tricare ~ But it can be a challenage at times .