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

    • cryoder22

      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
      1 protein shake (bariatric advantage chocolate) with 8 oz of fat free milk 1 snack = 1 unjury protein shake (root beer) 1 protein shake (bariatric advantage orange cream) 1 snack = 1 unjury protein bar 1 protein shake (bariatric advantace orange cream or chocolate) 1 snack = 1 unjury protein soup (chicken) 3 servings of sugar free jello and popsicles throughout the day. 64 oz of water (I have flavor packets). Hot tea and coffee with splenda has been approved as well. Does anyone recommend anything for the next 3 weeks?
      · 1 reply
      1. NickelChip

        All I can tell you is that for me, it got easier after the first week. The hunger pains got less intense and I kind of got used to it and gave up torturing myself by thinking about food. But if you can, get anything tempting out of the house and avoid being around people who are eating. I sent my kids to my parents' house for two weeks so I wouldn't have to prepare meals I couldn't eat. After surgery, the hunger was totally gone.

    • buildabetteranna

      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

      · 0 replies
      1. This update has no replies.
    • BetterLeah

      Woohoo! I have 7 more days till surgery, So far I am already down a total of 20lbs since I started this journey. 
      · 1 reply
      1. NeonRaven8919

        Well done! I'm 9 days away from surgery! Keep us updated!

    • Ladiva04

      Hello,
      I had my surgery on the 25th of June of this year. Starting off at 117 kilos.😒
      · 1 reply
      1. NeonRaven8919

        Congrats on the surgery!

    • Sandra Austin Tx

      I’m 6 days post op as of today. I had the gastric bypass 
      · 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

    ×