Tricare Prime.. Do they pay for fills?

[mom2boys3 0]

Hi all, im getting banded in @ 2 weeks, and cant seem to get an answer from my Dr. office if Tricare will pay for my fills. They are paying for surgery, so hopefully fills too!???

Any one gone through this?

[usmcwife1997 1]

I know that when tricare paid for my surgery that it included 9 fills each year. If I need more than 9 then the doctor has to notify Tricare and they can approve or deny the extra fills. Some doctors could be different, I am in Georgia, so I am in the Tricare South region. Hope this helps! Good Luck!!!

[mom2boys3 0]

Thanks usmcwife1997! I am also in the south region and im hoping thats the case for me as well.

thanks for getting back with me!

[chatty826 4]

I have a question about your approval process. It says Nutritionist (2 appt needed by insurance). I have never been told anything about Tricare needing anything like that. Is it because of the Region?

[mom2boys3 0]

:thumbup:

I have a question about your approval process. It says Nutritionist (2 appt needed by insurance). I have never been told anything about Tricare needing anything like that. Is it because of the Region?

Hi! It very well could be a southern region thing, but i doubt it. They usually have the same requirements across the board. My friend is also getting it done in texas and had to see the dietician 2 times and do a pysch eval.

Hope that helps!

[chatty826 4]

Thanks for the info. When I called I only got the info about 100 over body weight with two comorbids or 200 over wtih none. That is also what tricares website said. I guess I will find out soon enough I have my first appt with the surgeon tomorrow!!!