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Tricare Prime in Texas



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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 !

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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.

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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?

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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.

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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.

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