Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Recommended Posts

Hi All,

I have Tricare Prime and am about to start the process. My PCM placed my referral and I am just waiting on my letter so that I can sched. a first visit with my surgeon. My PCM and the nurse at Dr. Nye's office said Tricare is easy to get approved and that start to finish is about 6 weeks til surgery. Anyone had hsi happened or not happen? Thanks for all you help!

Karen

Share this post


Link to post
Share on other sites

I have Tricare Prime and it is a fairly easy process. I started in May and had surgery in August because I had additional testing that need to be done. No complications with insurance approval though.

Share this post


Link to post
Share on other sites

I am using Tricare Prime in San Diego. I had no problem getting approved for the surgery and testing process. Their standards seem to be pretty cut and dried - meet the criteria and you are on the way. The issue was not getting the approval but finding a surgeon that would take the insurance. I am now with UCSD and very happy with them. I start the liquid diet on the 25th and have surgery on 01/08 :>)

Share this post


Link to post
Share on other sites

I have tricare Standard, it took only 3 days to get my approval for my surgery. I was shocked on how fast I got it. My surgery is on Jan 12, 2009.

Lisa

Share this post


Link to post
Share on other sites

Hi Everyone,

I have tricare Prime, I have now went from the cancelled stage due to tricare said they didn't get the codes(?) for the surgery, so I call the surgeon office to let them know, so now my status for surgery is pending. So everyone wish me luck and hopefully everything will go okay and i can get banded in January. I started my journey in October.

Happy Holidays!

Share this post


Link to post
Share on other sites

I have Tricare Prime (east) and I'm still getting all my requirements done. It is taking forever mostly due to trying to get appts (i.e. nutrition doesn't have anything until mid-Jan). My PCM did the referral and I have been approved to see a surgeon but they won't even make an appt until I have all my requirements done and they have all the paperwork. I guess this is ok since I wasn't looking to do the surgery until Feb, but I'm wondering how many more delays I will encounter in the future.

Share this post


Link to post
Share on other sites

I have Tricare Prime (east) and I'm still getting all my requirements done. It is taking forever mostly due to trying to get appts (i.e. nutrition doesn't have anything until mid-Jan). My PCM did the referral and I have been approved to see a surgeon but they won't even make an appt until I have all my requirements done and they have all the paperwork. I guess this is ok since I wasn't looking to do the surgery until Feb, but I'm wondering how many more delays I will encounter in the future.

Just continue to be patient, and we're keep each other posted on progress because you will get major support from everyone here, which helps me a lot.

Good luck!

Share this post


Link to post
Share on other sites

I am also Tricare Prime East (OHIO) and it took forever for me too. I am using the base as they have a surgeon who is a Bariatric Surgeon, as a matter of fact they have two now. I had the referral from my PCM, then I had to attend a Lap Band class, then on to nutrition, psyc appt which took a couple of weeks to get in, then appt with surgeon to talk over my questions and see which surgery I wanted, gastric or band. I have another appt on Jan 12 for pre-admission, labs, nutrition class, and surgeon again to make sure nothing has changed with me. My surgery is scheduled from Jan. 16 and I will be on a pre surgery diet of 1 week of liquids plus a frozen diet meal for dinner, then post op is one week of liquids, 2 weeks of mushy foods, then soft foods. He does not do a fill during surgery as he said that is what causes band slippage. CAN'T WAIT!!!!!!!!!!!!!!!!! Jan

Share this post


Link to post
Share on other sites

For the surgery, Tricare was a piece of cake...Dr. Nye is my surgeon too. You can see my timeline here Life With A Lap Band | this life of mine

My issue lately is getting Tricare to approve more than one follow up visit at a time.

Share this post


Link to post
Share on other sites

Triwest was easy here! It took me about 3 weeks to go throught the process. Would of been less if my Dr. wasnt so booked. I delayed surgery due to work but everything was so dang easy. Good luck!

Share this post


Link to post
Share on other sites

I'm a Tricare gal.

I started the process in September and just got my surgery approved last week. My pre-op appt is January 8th. It has been slow progress, but progress none the less. :laugh:

Hugs!

Share this post


Link to post
Share on other sites

Im a Tri Care girl from vegas and i just had the seminar today.. i was so excited when i saw that so many people were approved... but i dont know if i will be.. im 5'5 and 240 pounds... im like 5 pounds away from being morbid... i dont have sleep apnea or high blood pressure.. but i do have asthma... anyone think i can slide by???

Share this post


Link to post
Share on other sites

Yeah!!!!!!!! My Doc's office called and scheduled my first appt. for Jan 7th at 12:45pm. I am so excited! She said i should not have a problem getting approved as Tricare South is very easy. I am 5 ft. 1 inch and weigh 228. I do not have any health problems but PCOS so I am hoping it will be no problem. Can't wait!!!!!

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • rlcpd

      Two months out from hiatal hernia repair.  Surgeon said to expect a lot more flatulence...something about the 'air' no longer being able to 'burp' out so comes out the other end.  That is my experience but have no understanding of why that swallowed air cannot be 'burped'. ???
      · 1 reply
      1. BlondePatriotInCDA

        As I understand it since your stomach is smaller and not completely resting against your diaphragm anymore you no longer have the ability to "push" burps out as well. Plus, since its smaller and we don't digest slower the trapped air moves a lot quicker out of the stomach so its no longer available to burp out. Hence the other option for removal.

    • Lizette1122

      Anyone had the TORe procedure? How did it go? How much weight did you loose? 
      · 0 replies
      1. This update has no replies.
    • LadyVeteran1

      Sleeve surgery is on April 14th.  I am counting the days!!  Can't wait!
      · 3 replies
      1. Brookie2shoes

        Me too girl!! Are you in the full liquid diet right now? It’s sooooo hard!

      2. LadyVeteran1

        Not yet. I was told I only have to do 24 hours of a liquid diet. But I have my pre-op tomorrow so I’m going to confirm if I need to do longer.

      3. buildabetteranna

        Your so close now! It's gonna be great :) Wishing you a speedy recovery and looking forward to seeing how it goes!

    • buildabetteranna

      Down 33 lbs and slightly stalled, but I'm gonna reevaluate and push through. I started back to work last week after 2 years of being disabled due to mental health as well as my weight. It's a great job and I'm just so happy to have this opportunity at a second chance at life. Hope everyone is having their best journey ❤️ Together, we got this!
      · 2 replies
      1. DaisyChainOz

        Great work Anna! Keep it up 😁

      2. buildabetteranna

        Thank you ❤️

    • Bashbee91

      Hey guys new to the process looking forward to this new life. 
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×