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How long does TRICARE Standard take to approve surgery?:)

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usually within a week! Tricare has a good reputation for turnaround. Also, you can check you status online at myTricare.com

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Mine took 2 days for Tricare Prime...Constance

6/20/09 Seminar

6/22/09 PCM Visit - Letter of Necessity

6/23/09 Nutrition Eval

6/24/09 Psych Eval

6/25/09 EKG/Stress Test/History & Physical (Cardiologist)

7/10/09 Surgeon faxed packet (Friday)

7/14/09 Approval (Tuesday)

weight.png

294/294/size 12

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I'm Tricare Standard and I had my answer in under 48 hours.

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I have tricare prime. Do they pay for everything? Like the nutrition class and Psych evalve. I have a 45BMI so i am deffinitely qualified for the surgery. Also do they make you do the 6 month diet with physicians thing? I really think that would be pointless..I don't get why they make you do that when they know that YOU KNOW this is your last way of losing weight. It's frustrating because I'm going to college soon and i can only do it during summer, spring, or winter break.

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I paid for my nutrionist eval, Tricare Prime paid for everything else as far as pre-op (cariologist/psych eval/surgeon consult) provided you get referrals from PCM for in-network specialists. Of course you pay your co-pay.

Did not require the 6 month diet just wanted to know that you have tried different ways to lose over the years. Just need to meet the weight requirement of 100 over ideal with one co-morbility or 200% over ideal.

6/20/09 Seminar

6/22/09 PCM Visit - Letter of Necessity

6/23/09 Nutrition Eval

6/24/09 Psych Eval

6/25/09 EKG/Stress Test/History & Physical (Cardiologist)

7/10/09 Surgeon faxed packet (Friday)

7/14/09 Approval (Tuesday)

weight.png

294/294/size 12

Edited by cmedwards

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I got my approval in less than 48 hours, I knew before the doctor did that I was approved... I didnt have classes to attend other than meeting with the dietician, so I guess that was paid as a bill didnt show up here, lol!

Tricare, in my opinion, when you are overweight and meet their quals, is a no brainer for approval. When I first started this process and told them I had Tricare, I was told approval was pretty much a guarentee..

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    • 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.

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    • BetterLeah

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      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

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