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Tricare Requirements...

SinCityGal

By SinCityGal, in LAP-BAND Surgery Forums

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SinCityGal    43

SinCityGal
Posted

Hi everyone! I'm a newbie & I would like to ask a few questions. I have Tricare West/ standard & would like to know roughly how much out of pocket to expect? Also, is Tricare pretty tough to work with? Getting anxious & I meet with the surgeon monday! Thank you.

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Mjv013    67

Mjv013
Posted

I had triwest prime when I had mine done. I didnt do anything special but I did provide for the Dr in the paperwork all the different ways and times I tried to lose weight and everything else that was wrong like pcos, high blood pressure and such. It was very easy and fast for me. As for out of pocket for standard, I dont know. Im standard now and pregnant and triwest told me I would owe co-pays and hospital fees and such. When my Dr filed everything I ended up paying nothing so I dont know how standard does things.

Good luck, I found tricare to be very easy.

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YngGram    73

YngGram
Posted

I am TriCare standard in VA. If you search Tricare here you should find the info I listed. Three yrs ago, I had to show 5 yrs of weight loss efforts and the required test and got approval first time.

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☠carolinagirl☠    18,721

☠carolinagirl☠
Posted

Hi everyone! I'm a newbie & I would like to ask a few questions. I have Tricare West/ standard & would like to know roughly how much out of pocket to expect? Also, is Tricare pretty tough to work with? Getting anxious & I meet with the surgeon monday! Thank you.

i have tricare prime north.

tricare was extremely easy for me to work with.

here is the requirements from the tricare website

http://www.tricare.mil/mybenefit/jsp/Medical/IsItCovered.do?kw=Bariatric+Surgery

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SinCityGal    43

SinCityGal
Posted

Thanks for the link, Carolina girl! Did you have a Dr. that was in network? The surgeon I want is out of network. Were you an outpatient? Sorry, I have a ton of questions & I'm so nervous about getting approved! Thanks so much!

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☠carolinagirl☠    18,721

☠carolinagirl☠
Posted

Thanks for the link, Carolina girl! Did you have a Dr. that was in network? The surgeon I want is out of network. Were you an outpatient? Sorry, I have a ton of questions & I'm so nervous about getting approved! Thanks so much!

yes, my dr was one recommended and approved by tricare

i found a dr and asked if they accepted tricare and then i made sure by asking tricare myself

tricare is super easy to work with and i more than pleased.

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YngGram    73

YngGram
Posted

Awesome! How do you like having the Lap band? How did you feel after surgery?

I love having a band, especially now that I have restriction. I am learning again, but it is wonderful. I was an overnight, TriCare required it; and I had an onboard pain med system for about 2 days. I was able to go out that night and the rest of the week. Worse thing is the gas from surgery, it can rally be painfull without warning. My life is so much better, and the healing was simple. The journey can be trying, but the joy of helping yourself is unbeliveable. I did this at 51 and I can't believe all the years I wasted being morbidly obese and sitting on the sidelines of life.

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SinCityGal    43

SinCityGal
Posted

That's great! How long did it take you to get the restriction? Have you had any 'stuck' episodes? They sound frightening... BUT, I'm so ready to start living!

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