Tricare Approval

[Insky67 2]

I had my consult today and found out there is a one time fee not covered by ins. it is $1000!!!!!!!!!!!!!!!! And the doc charged $200 for the Protein Shake mix. Is this normal or is this crazy? I have tricare prime and thought it was all covered. I dont know what do now.

[Jesusislove 26]

Hi, it is should be fully covered if your surgeon is a tricare participating provider. Mine was, so I did not have to pay anything, only for nutrition eval. I would double check this doctor with Tricare. If he is a participating provider; then he can only charge Tricare the contractual agreement amount. That is it. Call tricare and ask about your cost share.

[bama_belle 0]

I just looked on the website and I am approved.

APPROVED!!!!!!!!!!!!!!!!!!!

I'm so excited!

[KatsenD 0]

Congrats!!!!!!!!!!!!!!!!!! I'm scheduled for next Friday, YAHOO!!!!!!!!!!!!!!! I am Tricare Approved, too.

[JenniLeen 0]

I went in and had my psych eval today and she gave me the go ahead. Now I am just waiting for the stupid doctor to write my letter and send my records over...why must they take so long?? ugh! it's been 2 weeks! it's terrible! but once the surgeon gets all that they'll be submitting to Tricare and hopefully I'll have my surgery by this time next month!! Keeping my fingers crossed!

[hotchocolate 0]

When you went through the pysch evaluation, what types of questions were asked?

[Insky67 2]

If the doc is a tricare provider (which this one is) can they get in trouble for charging more money?? The receptionist said the 1000 I needed to pay was for aministrative costs.

[Jesusislove 26]

I would call tricare and tell them they are charging an administrative fee, and I would ask them if this is acceptable? I do not think they will be to pleased to hear that if he is a participating provider.

[KatsenD 0]

Congrats!!! Let me pass on some info. My provider asked for $600 upfront, to pay for fills afterward. So I called Tricare and gave them the code they were filling the money under. It was an old code that was no longer used. So claims from Tricare said that if the dr. office will write out, what the money is used for, the reciept can be submitted for some reimbursement. "Wordage" is what it's all about. Good luck.. D'

[zeama 0]

I have finished all of my required medical tests, psych evaluation and have not had to pay anything. The only thing I have left is a diet and nutrition class on May 15 that will be $60 and that I do have to pay. I had my EGD today and as soon as Tricare sends the approval I get to schedule my surgery!!! :biggrin:

[mommakatx2 0]

I had to pay a $300 fee to my surgeon's office and that covered the psych consult and nutritionist fees. I was glad to pay it, though. $1000 sounds pretty steep to me, however medical providers can pretty much charge whatever they want in terms of fees. I would want to know the breakdown of those charges...and find out from Tricare if those are charges that would normally be covered.

[Fdiljn 0]

I just found this site today and am very interested in these TRICARE posts. I signed up for Prime and will see a PMC for the first time in May at Keesler AFB Biloxi. Is anyone aware of a Lap Band surgeon in the Biloxi that accepts Tricare? Appreciate any info you can share. Tks

[Long2BFree 12]

I just found this site today and am very interested in these TRICARE posts. I signed up for Prime and will see a PMC for the first time in May at Keesler AFB Biloxi. Is anyone aware of a Lap Band surgeon in the Biloxi that accepts Tricare? Appreciate any info you can share. Tks

I went to the Tricare office on my base and they gave me a list of surgeons within a four hour driving radius that took Tricare.

[AZChick289 1]

I too just got apprived my Tri West.. Took only two days.

This forum has been so hlepful . I didn't know till reading this how to check on my referral.. So I am almost a member now of the Bandits and have my pre-op appt. Wednesday...

Please tell me you would do this again ...

Anxious in Arizona

[Fdiljn 0]

Thanks I will try it