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Insurance reversal

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

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  • Author
Military members can't sue but dependents can...with that said' date=' 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![/quote']

Thanks... Waiting on operative report to be release from hospital

  • Author

Approval was given by 3rd person vendor. Received two approval letters And where physician received authorization however Tricare states they have the right to deny a claim at any time. Still receiving EOBs where they have paid some charges but for the most the surgery bill is still outstanding.

  • Author
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!

My appointment is scheduled for feb. 13 with dr. Girod. Looking forward to appointment

  • Author

Tricare...

I HATE insurance companies!

this scares me since I am trying to have my lapband approved with Tricare. Are you prime or standard? Have u called them?

  • Author

this scares me since I am trying to have my lapband approved with Tricare. Are you prime or standard? Have u called them?

Prime....

Yes, I have called them. they are slowly paying some of the bills but have not paid for the surgery.

  • 2 weeks later...
  • Author
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!

Laura....thanks.. Great group of people. Well worth the drive.

I specifically asked Tricare. I was told if you have an authorization in writing you are protected by that and as long as all providers are in network there should be no problems. Don't give up :)

I also have tricare prime! They would not approve me for the band without me going thur hell first:( they wanted me closer to 40 bmi. I gave up on the thought of getting the band done after I checked on out of pocket pricing until one day by the grace of god I seem a ad in the paper on post. My prayers had been answered, they open up a baratric program here on post at Fort Knox Ky;) I didn't pay for anything and it was done here at Fort Knox and that is where I go for my fills and support groups! Didn't have to do n e thing with tricare! Thank goodness since I read about your post! Good luck

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