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tricare prime overseas-germany questions



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With Tricare Standard you don't need a referral. I just made an appointment with the surgeon. Once I was at my appointment they explained they would need tricare approval and you either had to to have a BMI of 40 or greater or have co morbid conditions. It took 2 weeks and I was approved for the surgery as well as the nutrition visit and the psych consult. Once I had completed that my surgery was scheduled. My advice would be to switch doctors. Do some research find what doctor has approved it for other people, and then make sure you tell them you have been fighting your weight for at least 10 years and have tried every diet out there plus weight loss drugs. I didn't have to do supervised weight loss or attend any seminars. Also if they say no appeal it if you need to. Don't take no for answer. Hope this helps :)

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I am in the states Georgia matter of fact and I was approved within 2 weeks of submitting to Tricare.. had to document 3 months of dieting supervised by my PCM...my surgery date is Feb. 28th...I heard that with Tricare south it is easier to get approval than with Tricare North or West

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Jagc23- I am also in hohenfles, just had the lap band and hernia repair this past Tuesday!! I'm not sure who your PCM is but mine had me do 6 months of physician watch with nutritionist and I also had to go to the metabolic test, and have a psych eveluation. If you pm me your cell, we can meet up or t all over the phone. I will do my best to help!! Good luck!!

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CAnthony, I am still working on the process. I have met with PCM for weights for 3 months now. I did the medibolic testing an met with nutritionist. I have kept a food journal for months now. I am 5'2 220 lbs and have sleep apnea. He did not say I had to do the nutritionist monthly. I have met with her twice and also done the one in vilsick. I will pm u my number. Guess I need to switch doctors.

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That is crazy how every Tricare region is different. I am in Texas and I just needed one visit to the NUT and one visit to a therapist. From my consult to my surgery was 5 weeks. I hope you can get moving with this process @jagc23. Good luck!

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
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