I was banded April 11, 2012. I received an approval notice from Tricare Prime on March 17, 2012, my 38th birthday. Around August I start receiving cars from the doctor office and hospital reverifying my insurance information such as ID numbers. In September I was told as well as received letter stating my insurance company made an error. They were now reversing the charges. A whopping 47K with a 6K discount. Wtf/Wth. I don't have this kind of money.

Therefore at the end of October I declared bankrupt. Now my doctor refuses to see me.

Omg

Wow! That is horrendous! I am stunned that they can reverse a decision after the fact. Yo made medical decisions based on their advice and now they expect you to wear a whopping great bill like that!!!

I am really sorry for your situation and hope you are able to get some resolution quickly.

Thank goodness the Australian healthcare system does not operate like this!

Crazy!

Wow I would sue them. I know that sounds harsh but if you have the approval letter and u got the surgery thinking you could afford it bc they told you they'd approve u.. It just doesn't seem right that they can do that.

I don't understand... I have tricare prime and I thought it was pretty easy to get an approval from them. What was the problem... Why did they reverse? This makes me nervous considering I have the same insurance!

That really sucks, can you try and argue your case and have the doctor justify the medical necessity of the surgery. this is crazy!

I have Tricare Prime also and have just finished all the steps today and now starts the waiting process to see if I am approved. What were their reasons for reversing the decision? I agree I think I would sue them- you have the approval letter and then they change their mind 5 months after the procedure.

Depressed fat and don't know what else to do about tricare

Well today I attempted to transfer to another doctor in Jackson. She refused to accept me because she is also apart of the same center but has another practice. I found another doctor in Hattiesburg, MS; roughly an 1.5 hour south of me. It will cost me more but I need a doctor to monitor me.

I'm in Hattiesburg and Dr Donald is my doc! He's AWESOME! I also deal with insurance and I know tricare can reverse for lots of reasons. I'm sure you've checked all this since you decided to declare bankruptcy.... Make sure they have you right in that system not just the Humana system.

Ready to change my life!

Thank you, glad to meet a patient of the doctor.

I'm in Hattiesburg and Dr Donald is my doc! He's AWESOME! I also deal with insurance and I know tricare can reverse for lots of reasons. I'm sure you've checked all this since you decided to declare bankruptcy.... Make sure they have you right in that system not just the Humana system.

Ready to change my life!

Well it seems as if I ready for new doc... Partial records have been transferred; hopefully I will be ready for my first visit; first of February

I am not a litigious person, but I would pursue legal action. Find yourself an attorney that specializes in medical issues and takes your case on the contingency that he only gets paid if you win (sue for court costs too, of course).

ya'll....you cant sue Tricare, its the government

Military members can't sue but dependents can...with that said, it would definitely be a long, tough road ahead suing the government...So glad you are on your way to having a new doctor.....I wish you well!

Well the good news is....they can't repo your band lol, On a serious note, I fee like there's more to this story, why did they decide to reverse it? They must have given you a reason...were you entitled to coverage under that plan? I'm not sure what tricare is but I know someone who was getting medicaid but they started making too much money to qualify for medicaid so they had to pay for all those things they did cover when she wasn't entitled to it. Idk but whatever the situation is, it sucks that you had to file bko. My cousin pays $80/ fill, maybe you can pay out of pocket? I wouldn't use that insurance for anything lapband related since there's an issue...just my opinion!