Everything posted by Emily'sDad
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process?
that is really long. good luck finding an other surgeon!
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Surgery date!!!
Good luck to you too...let me know how it goes!?
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Approved by Tricare? Post here plz
I've been approved for the surgery too!! March 25th!
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Surgery date!!!
Two days after my consult I get a call from the surgeons office saying that I am approved and to set the date! March 25th!! WOO HOO I'm on my way to a new life. Not even worried about the new lifestyle. I have a nutrition class I have to attend the week before surgery...I can't believe how fast this has progressed.
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Surgery date!!!
Two days after my consult I get a call from the surgeons office saying that I am approved and to set the date! March 25th!! WOO HOO I'm on my way to a new life. Not even worried about the new lifestyle. I have a nutrition class I have to attend the week before surgery...I can't believe how fast this has progressed.
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I have a surgery date! April 4, 2008
congratulations...Hopefully mine comes through in the next couple of days!
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process?
I actually didn't have a chance to attend a seminar. From the time I met with my PCM to the surgeon's office consult was about 7 days. As for the surgery I was told it would be about two weeks after I get the surgery approved. The approval "should" come in today or tomorrow.
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Insurance Approval
That seems strange that there is a separate fee from the surgery. It would seem like it would make more sense for the surgeon to make it one all inclusive charge so insurance doesn't get all twisted up. I grew up in Cortez/Durango but spent about 10 years in Ft. Collins. I miss the mountains something fierce.
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Insurance Approval
Congrats ColoradoChick...that's a bummer there is a huge enrollment fee...what is that anyways? I'm moving back to Colorado next year....Can't wait to be home!
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Tricare - does is, or does it not
I actually had trouble with the website. None of my referrals have showed up there. I'm sure I could just call and get it straightened out, but since they just call me when the referral has gone through, I haven't worried about it. Tricare actually selected the only surgeon in town for me. I'm not sure how it works if you want to choose your own. The referral for me only took two days. On the second day I called tricare to check and they said it had just been approved. The following day I called the surgeons office to make my appointment.
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Tricare Standard Steps
I didn't even bother picking a PCM. I didn't have one assigned and just made an appointment with whom ever they had. Didn't seem to make a differance I was still approved. Tricare Prime South
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Tricare - does is, or does it not
Thanks mommyof5 and good luck to you too. Its a very exciting thought to picture yourself blubber free isn't it! I think I've made it through the hard part, which is getting the initial referral. The final approval for surgery is just a check to make sure your surgeon isn't trying to rip off the insurance company (or at least that is what I've been told). I'm saving the celebrating for the official "approved," from Tricare.
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process?
I have tricare prime and the policy regarding Lap-band is standard across the Tricare Prime system. Once your PCM submits the referral, tricare will then evaluate it to make sure you meet their criteria. Your PCM should already know what the criteria is and will make sure you meet it. A couple of days after the referral is submitted Tricare will fax your referral to the approprite surgeon and most likely the surgeons office will call you to make an appointment. I was a little inpatient and called tricare to check the status to find out if i was approved, and I was. In my case both Tricare and the surgeons office called.
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Tricare - does is, or does it not
I'm Tricare South and just got done with my surgery consultation for Lap-Band. That means Tricare approved the surgeon referral, but still waiting on the surgery approval (should only be a day or two). I was given a break down of any expenses Tricare does not cover. In my case that was a $35 for a 10 day supply of Protein shakes for the pre op diet, and $65 for a post op vitamine and supplament kit (don't know how long the kit lasts). Many of the extra services I will require are included in the surgeons fee, including meeting with a neutritionist. Just a note for those of you seeking the initial approval. My PCM didn't weigh me, just asked my weight. They took my BP and said it was boarderline high. I complained of backpain at night and "potential sleep apnea." The point being that my comorbidites weren't well documented and you don't need to be on deaths door step to get approved. A lot depends on your PCM, if they think you will benefit from the surgery then they will probably make sure that you will get approved in the way they submit their referral. My blog has my experiances so far.
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We're rollin now!
I had put my name on the standby list at the surgeons office incase someone cancelled since it was going to be month before they got me in. They called the next day and I had my appointment the following day. It was an interesting expericance. First my wife and I waited 45 minutes after the appointment time before we actually saw the doctor. Once he did come in he was a pretty flashy dude. He gave me his speil, which I thought was mostly canned. The consultation took all of twenty minutes and by the end he had me sitting in front of his insurance specialist. The insurance lady was nice and told me I should have my insurance approval the following day. I couldn't believe how fast this process has gone. I'm also a little surprised at the lack of verification. My primary docor just took my word for it on the comorbidities and weight, my insurance doesn't require any additional testing. From start to finish this process looks to be about a month. If I hadn't taken so much time to research this surgery, the consult would have been a little upsetting. As it stands now. The doctor seemed to be very competant, his hands didn't shake and he has a nice facility. I've also checked his reviews/stats which are also very good. Can't believe I'm going to be getting this done and how fast it has gone. I'm really excited to start losing some weight! In four months my best friend is getting married and I'm anxious to be there minus a few pounds!
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We're rollin now!
I had put my name on the standby list at the surgeons office incase someone cancelled since it was going to be month before they got me in. They called the next day and I had my appointment the following day. It was an interesting expericance. First my wife and I waited 45 minutes after the appointment time before we actually saw the doctor. Once he did come in he was a pretty flashy dude. He gave me his speil, which I thought was mostly canned. The consultation took all of twenty minutes and by the end he had me sitting in front of his insurance specialist. The insurance lady was nice and told me I should have my insurance approval the following day. I couldn't believe how fast this process has gone. I'm also a little surprised at the lack of verification. My primary docor just took my word for it on the comorbidities and weight, my insurance doesn't require any additional testing. From start to finish this process looks to be about a month. If I hadn't taken so much time to research this surgery, the consult would have been a little upsetting. As it stands now. The doctor seemed to be very competant, his hands didn't shake and he has a nice facility. I've also checked his reviews/stats which are also very good. Can't believe I'm going to be getting this done and how fast it has gone. I'm really excited to start losing some weight! In four months my best friend is getting married and I'm anxious to be there minus a few pounds!
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Tricare - Center of Excellence???
I was an engine specialist on HH-60 pavehawks and c-130s in the AF. I'd love to get a pilots license. I Just don't fit in a cessna right now. I think I'll add that to my to to list (post poundage) :smile2:. I'm wondering if the AF will let me reenlist after WLS?
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Time to meet the surgeon
I called yesterday to make my appointment with the surgeon. I have to wait a whole month! ahh Who wants to be patient?
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Time to meet the surgeon
I called yesterday to make my appointment with the surgeon. I have to wait a whole month! ahh Who wants to be patient?
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Tricare - Center of Excellence???
Sgt Bob I think you are the first person to catch the beachcraft connection to my user id. I was a turboprop mechanic in the Air Force and vowed that if I ever won the lottery I was going to buy my very own turboprop.. Beach King air 1900
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Approved by Tricare? Post here plz
my referral to the surgeon has been approved. Haven't yet been approved for the actual surgery. 305lbs 6'00" BMI 41. Cormobids; high bloodpressure, sleep apnea, and back pain. My impression is that I've made it through the difficult part of the approval process. We will see though. I'm still keeping my fingers crossed that all contiues smoothly.
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Let the games begin
I have read some posts about potential bandsters bringing their spouses to lapband seminars. This gives them some exposure to the program and may alleviate some misconceptions. Diabetes is nothing to mess with, I also have a family history there. I'm only new looking at this option seriously because it took me a while to get past my own misconceptions.
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That was quick
Well after checking the insurance website obcessively over the past two days I broke down and called. I guess my referral was just approved today! I'm pretty excited, and a bit nervous. I'm not sure what my upcoming obsticals are. It seems as though once you have that initial referral approved then it's a down hill battle from there on. We'll see, I don't want to get too excited. I've been doing quite a bit of reading about the procedure, complications, lifestyle postband. Guess I'll start filling out the questionaire for the surgeon!
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That was quick
Well after checking the insurance website obcessively over the past two days I broke down and called. I guess my referral was just approved today! I'm pretty excited, and a bit nervous. I'm not sure what my upcoming obsticals are. It seems as though once you have that initial referral approved then it's a down hill battle from there on. We'll see, I don't want to get too excited. I've been doing quite a bit of reading about the procedure, complications, lifestyle postband. Guess I'll start filling out the questionaire for the surgeon!
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Tricare - Center of Excellence???
I'm approved to see the surgeon! I couldn't wait for the letter I had to call and ask...yeah I'm a big dork.