Self Pay and surgery complications

[HealthyRN 56]

I have Tricare insurance who will not pay for my surgery, I have pulled cash from my home and will be a self pay patient. My concern is, if I run into complications post surgery will Tricare pay?

[HealthyRN 56]

This would be after I go home, = days, weeks , months later.

[OKCPirate 5,323]

It depends. They should, but they sometimes they balk claiming the original provider should fix a mistake. Depends on who is doing the coding. If you look at the contracts and policies there is enough wiggle room for it to go either way. Sorry I wish you could get a clear answer, but I can't get anyone to give me a clear answer on how much an office visit is to my doctor and the IRS can't give me clear answers EVER.

[SeahawksFan 444]

It does depend how the hospital or doctor codes it. I was self pay and I had to go to the ER 8 days later because I was dehydrated. I didn't have to pay for it.

~LA

[FocusOnMeNow 599]

My Dr. required "BLIS" insurance. I had to pay an additional $2,000 policy for this which covered anything that happened 90 days out and then covered treatment of all those complications for a year. The extra expense sucked at first, but I can honestly say that you should consider going for someone who really wants to look after you beyond surgery day. Of course, I've had no complications and my surgeon was wonderful and went above and beyond in every way.

[lillingtonnc 6]

Why wouldn't tricare cover your surgery? Tricare covered my surgery which I had at mtf so I was able to have sleeve.

[DONNK 14]

I also have Tricare and they paid for my surgery. Just had bypass done on 8-19 and not at a MTF.

[HealthyRN 56]

I do not have any co morbidities and a bmi of 35. Therefore tricare will not pay for it