rjohns26

I live in the upstate of SC and am now waiting to go to a seminar on April 9th. Our tricare representative has given me the referral to go see an out of network doctor. After the seminar they will see if the hospital where he practices at will take Tricare. He is in Anderson, SC. I do not know if this will work out or not. I have tried to go to a network doctor here in Seneca who is in our network but he only practices at a hospital that is out of network and they won't do it there as they say they will lose too much money. Can I get the name of the doctor and hospital that you are using? I am really getting discouraged. I am ready to go out of state if I have too. Thanks Debra

I am new to the forum but haven't had too much trouble with Tricare it is the physicans and hospital in the area. We are retired military and live in the upstate of SC. The doctors or should I say insurance person(Tricare in network doctor) that do the lapband in our area did not want to believe that Tricare now covers lapband. Once we got our service rep to talk to them, then they wanted to make sure the hospital would take Tricare (out of network hospital). The doctor's office sent the hospital the information. So we have had to wait approx. three weeks and after trying to get this all straightened out, (we thought) we got a call from the insurance person at the doctor's office telling us the hospital is not going to let me have the surgery there because Tricare does not pay enough. They said the lapband itself costs $3800.00 and Tricare only pays $900.00 and that is not including everything else the hospital charges. Has anyone had any luck getting the lapband done in Tricare South?