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Tricare Anyone?

  • Replies 12
  • Views 1.1k
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Featured Replies

I have Tricare prime. I don't have approval yet, and everything was sent in on Nov 4. My doctor's office messed up and forgot to attach the surgical referral form, so that was sent today. I will let u know, but others have said 3-5 days. Good luck

  • Author
I have Tricare prime. I don't have approval yet' date=' and everything was sent in on Nov 4. My doctor's office messed up and forgot to attach the surgical referral form, so that was sent today. I will let u know, but others have said 3-5 days. Good luck[/quote']

Thanks. I'm so fed up with waiting. I'm starting to get discouraged. I'm tired of being so overweight and uncomfortable ALL the time. Well good luck to you. I would love to hear how it goes. Good luck to you.

I have prime. I went through the surgical program thru navy medical center balboa. 6 months from start to finish. Good luck to ya. Hopefully you'll get some answers soon

surgery 10/17/12 pre op wt 215 surgery wt 201 current 185

  • 2 weeks later...

I have tricare prime as well and I was at Point Mugu. It took 6 months of seeing my PCP and going through all the steps, once all the steps met their requirements my dr submitted, I went online the very next day and it was approved.

My request has been sitting at Tricare Prime since Nov 14 and "in process"! I had to do no supervised diet , etc just BMI 35+ and sleep apnea as pre requisite. I am hoping for surgery in mid Dec.

Approved today and waiting on the doctors office to call Friday with a surgery date.

AWESOMMMMMEE!!! Soon we can welcome you to the losers bench!

  • Author

I am kinda flipping out. I have Tricare standard and I was told that Tricare would cover everything. I'm guessing that was just the surgery because I just got a bill in the mail for almost 800 bucks for all the pre surgery lab work. Has this happened with any one else?

I am kinda flipping out. I have Tricare standard and I was told that Tricare would cover everything. I'm guessing that was just the surgery because I just got a bill in the mail for almost 800 bucks for all the pre surgery lab work. Has this happened with any one else?

Just call tricare themselves so you can see why you got a bill. It could be paperwork not crossing in time or a simple error of tricare not being billed correctly or the referring dr.s info might not be showing up as requesting the lab work..

Usually the dr, hospital or whoever is needing paid did not code it properly or they try to get u to pay the difference that Tricare doesn't. They are to accept the contracted pay amount that the hospital or Dr's have already agreed upon. They cannot bill u.

  • 3 weeks later...

Same thing happened with me. I have tricare prime remote and I am doing the waiting game. But before I was getting bills saying i needed to pay for this and that. It was the wls's billing dept that didn't code it correctly and also didn't put in the correct information. They put down my info as the grantor. So I would call their billing dept.

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