sassygrl 0 Posted August 22, 2008 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 ! Share this post Link to post Share on other sites
tomatogirl 0 Posted August 22, 2008 You need to go to your PCM and get a referral. Tricare will refer you to a doctor that performs the surgery. Share this post Link to post Share on other sites
thatDEgirl 1 Posted August 23, 2008 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. Share this post Link to post Share on other sites
sassygrl 0 Posted August 23, 2008 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? Share this post Link to post Share on other sites
thatDEgirl 1 Posted August 23, 2008 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. Share this post Link to post Share on other sites
tomatogirl 0 Posted August 23, 2008 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. Share this post Link to post Share on other sites
sassygrl 0 Posted August 23, 2008 I'm glad I have Tricare ~ But it can be a challenage at times . Share this post Link to post Share on other sites