Hello, I'm in the beginning process of trying to get approval from Tricare prime overseas in Germany. I am currently awaiting Tricare to respond to my question but wanted to see if anyone else who has gone through the process or is going through the process has an answer. I wanted to know how many months of documented visits with your PCM showing no weight loss was needed prior to approval. and if once your PCM send the referral in and Tricare approves referral does that mean your approved for the surgery? Thanks to all that respond!!!!