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Any other Military Wives out there? Tricare South?



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I just got my approval! Took less than 48 hours once my surgeons office finally submitted it! Amazing! So excited!!

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Tricare South Prime. I

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Tricare South-Prime, I see a civilian Dr because the nearest hospital of excellence is 3 hours away! I had my lapband out about 7weeks ago and I was required to submit proof of exercise (gym membership), documented weight from beginning of band to post band removal, psych eval and approved! No pre-op diet ordered! I consider that to be pretty darn lucky! I will schedule surgery 10/21

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Hello all, I'm tricare north and they will not cover vsg as civilian dr only covered on base hospital. Nearest is 3 hrs away at Walter Reed in MD

Are any of you having vsg covered by tricare off base somehow?? If so how ?

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Hello all, I'm tricare north and they will not cover vsg as civilian dr only covered on base hospital. Nearest is 3 hrs away at Walter Reed in MD

Are any of you having vsg covered by tricare off base somehow?? If so how ?

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Hello all, I'm tricare north and they will not cover vsg as civilian dr only covered on base hospital. Nearest is 3 hrs away at Walter Reed in MD

Are any of you having vsg covered by tricare off base somehow?? If so how ?

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I am in Dallas and our small reserve base Fort Worth NAS JRB won't isn't able to do it. I have been referred to a doctor out in town. I figured that the process would be much quicker if I went the military route. Is it worth it to travel hours to another military facility? Is that an option?

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    • BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
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    • BeanitoDiego

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    • ChunkCat

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