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Sleeve with tricare



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I had gastric sleeve surgery 9/21/16. My insurance is Tricare Prime. You can Google Tricare requirements. I think it was a Wow 3 months dieting and psych visit. As soon as I finished all my program reauu

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Sent by mistake before I was finished and can't figure out how to Delete! Just Google the requirements. Your medical center will have its own requirements too. I think the psychological visit was part of my hospital program. After I did the requirements, the insurance approved all in a day or two. It was great. Paid for virtually everything. Best of luck to you!

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I have Tricare Prime. As long as you are 40 BMI or greater, or 35 with 2 co-morbidities (that's me), you're good. Tricare didn't have any weight loss surgery requirements; However, my surgeon did. I had 3 visits with a dietician, 1 per month. I had to attend a support group, get a psych eval, EGD and physical therapy consult. I started the process July 22nd and my surgery is Nov 1st. Basically it has been a 3 month process. Tricare won't pay for the nutrition visits, but paid everything else, minus my co-pays. I've spent about $200 out-of-pocket, not to include the special Vitamins and Meal Replacement shakes. I feel like it's been a pretty smooth process. It's been a good time for learning and changing my eating habits. When my final paperwork was sent to Tricare for approval, it only took 1 day to get my acceptance. Good luck with everything!

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I am Tricare Prime West. My seminar was in March. 1st visit with surgeon in May. Surgery 10/18. The drs requirements took longer than tricare. Once completed and sent for authorization, 10 days to approval. 35bmi with 2 comorbidities. Paid out of pocket for nutritionist and psych to avoid delay. MTF tried to hijack any referrals.

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I am Triwest. I had to have 3 documented doctor apts for weight lose. I am in Tricare Prime and the nutritionist visits are covered. I had my sleeve done May 24, 2016. Two weeks post op I ended up with a blood clot in my portal vein, intestine and two in my lungs. Luckily for me I do not have to be seen on base because they wouldn't have caught the clots. Anyway just last week I had to have my gallbladder out because of so much weight lose. I am will be 5 months out Monday and will be 70lbs down! Surgery even with the complications has been the best thing I have ever done. All of my care has been done at the local hospital here in Boise ID and I have yet to pay even a dollar. Good luck to all of you with your journey!

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I am Triwest. I had to have 3 documented doctor apts for weight lose. I am in Tricare Prime and the nutritionist visits are covered. I had my sleeve done May 24, 2016. Two weeks post op I ended up with a blood clot in my portal vein, intestine and two in my lungs. Luckily for me I do not have to be seen on base because they wouldn't have caught the clots. Anyway just last week I had to have my gallbladder out because of so much weight lose. I am will be 5 months out Monday and will be 70lbs down! Surgery even with the complications has been the best thing I have ever done. All of my care has been done at the local hospital here in Boise ID and I have yet to pay even a dollar. Good luck to all of you with your journey!

Was you on blood thinners when you left the hospital?

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No, I only had them during my two days in the hospital post-op. I have never had problems with blood clots before so there was no reason to stay on them at the tim. Thinking back that is probably why it was two weeks post-op that I went back in the hospital.

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    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 0 replies
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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.
      · 1 reply
      1. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • 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
      1. This update has no replies.
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