Did anyone have surgery done with Tricare insurance? Just starting the process now.

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I am in the process as well. I had my first consult with the surgeon August 5th and my first weigh in was August 11th. My surgeon's bariatric program is 4-6 months long. Since Tricare Standard does not specify how many months u need for the medically supervised diet/weigh-ins, I am going with 4 months. I have read on other threads that some people sent in previous medically supervised diet/weigh-ins to the insurance and they were approved. Others only did a month or two and were approved. Good luck with your journey!

Edited October 14, 20169 yr by sarcruze

I have Tricare west. I was very concerned about getting authorized. At my initial appointment the doctor's office told me that Tricare doesn't cover the sleeve. I knew this wasn't true because I had checked the insurance before I even started. They double checked and it was a covered procedure. I went with an in network surgeon and not the MTF. I was not successful in getting the nutritionist or psych covered. My primary care doctor initiated the first referral and authorization to the surgeon, which they denied. However I chose to proceed and paid my copay and got the insurance adjusted rate for my visits. My surgeon has a person whose entire job is coordinating care with insurance and hospital. She did a great job and I had full authorization for my procedure within two weeks. My surgery is 10/18. The hospital registration nurse called this morning and confirmed that she had the authorization and had spoken to Tricare this morning. I have a $25 copay for the procedure. I expected a higher copay for the hospital stay and half expected her to say Tricare had made a mistake on the initial authorization. I'm very excited. Based on my experience on the forum, the insurance experience varies greatly between regions and even between surgeons.

I am just now starting the process.

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My copay (prime) ended us being $25.

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Thanks for all the responses. I had my first nutrition appointment and have to do 6 more. I should be having my surgery next April or so. I guess Tricare standard is different. Where is everyone located ?

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California

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California

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That's where we are from originally. Sacramento area

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I am in Arizona. I have one more weigh in and nutrition appt left which will be on November 2nd. I still have to take a pre-op class and that will be on Monday. I also have an appt with the sleep doctor on the 27th to get my results and see if I need a cpap. I have to get all the cpap stuff situated before they will even send in my paperwork to set a surgery date. I hope all that stuff happens quickly. I also have to get a cardiac clearance because my ecg came back abnormal. I have that appt on November 1st. The next 2 weeks are gonna be booked up

I am in Arizona. I have one more weigh in and nutrition appt left which will be on November 2nd. I still have to take a pre-op class and that will be on Monday. I also have an appt with the sleep doctor on the 27th to get my results and see if I need a cpap. I have to get all the cpap stuff situated before they will even send in my paperwork to set a surgery date. I hope all that stuff happens quickly. I also have to get a cardiac clearance because my ecg came back abnormal. I have that appt on November 1st. The next 2 weeks are gonna be booked up

That's so exciting! I hope all goes well

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