Tricare

[carolynfletcher 0]

where do you go online to see if you are approved from TRICARE? I am also retired TRICARE PRIME. I went to seminar in April, Psyh in May,nutri in June, Dr in June and had to have alot of blood work also stress test a couple of weeks ago and saw the Dr again today and I am scheduled for surgery AUG. 28 yessssssss!

[carolynfletcher 0]

my dr said that tricare has you stay overnight but my dr is in conway,sc and he said I could stay overnight in hospital or stay overnight in the hotel near his office so he could see me the next morning so no charge to me my husband and I will stay in a hotel.

[carolynfletcher 0]

Hi All!

I'm TriCare Prime Remote North. I'm in the beginng stages but so far have been approved for the initial consultation. I have my phone H & P interview in 2 weeks. This is when they will schedule my psych consult and order any lab work. I am hoping all goes smoothly. I didn't realize TriCare reqiures an overnight stay. Did they tell your physician this when they obtained authorization?

It's great to connect with other TriCare folks! Any info is greatly appreciated!

Thanks!!!

Where are you in WV? my family is from Greenville,WV, and from Oakhill,WV. I will be in WV the first week of Aug then will have my surgery Aug 28.

[Keleka 0]

I'm in the Eastern Panhandle! Martinsburg. I have a friend that lives in Conway! Good luck with your surgery! You can go to the https://www.hnfs.net/common/home/ to check claim status and approval status, etc... I only had to pay for the psych consult, but that was because she was out of network and I didn't mind. It just seemed easier because she saw me in my surgeons office. Hopefully I will be getting a date soon!

[Airforcewife 0]

Go to mytricare.com but you have to be registered there (not on tricare, on mytricare.com) but tricare told me their coordinator doesn't post approved until AFTER surgery (figure that out) - I was approved a week ago and my authorization still says "in process". I think every office is a bit different.

I was told they tell the DR if I was approved so I called in and the nurse said they just faxed the approval. I was on with tricare just minutes before and she didn't have any information. Screwy system but I was approved so I didn't care!:biggrin2:

[aculberg 0]

So, this is soo frustrating!! Apparently the surgeon's office submitted to Tricare on Thurs, so I check it online today (Fri) and it says "pending review"!!!! I have to wait ALL weekend...ugghhh sheer torture!! I almost wish I hadnt checked it....sigh....the waiting continues!

[MrsEOD_2004 0]

I'm TriCare Prime South, and overall I was suprised how fast it all went to get approved. I went to the seminar at the end of March, but their ladies who do the review and such had to have surgery so my paperwork from them didn't get processed until May. In that time I went to my psych-evals and got those done and had my first visit with the hospital. They called me June and said that they hadn't gotten the big OK from TriCare yet,but went ahead and scheduled the appt for Aug 27th. Less than a week later I got a letter from TriCare saying I was approved for one procedure with my doctor.

Melissa

[pambo 0]

It has taken me about 2 months from my first seminar at the dr.s office. We have Tricare Prime South. My husband has not been approved...he has sleep apnea and diabetes and it is taking a little longer. I did not have to have the psyche visit or the dietician or anything else. My surgery is August 6...I'm really excited!

[carolynfletcher 0]

It has taken me about 2 months from my first seminar at the dr.s office. We have Tricare Prime South. My husband has not been approved...he has sleep apnea and diabetes and it is taking a little longer. I did not have to have the psyche visit or the dietician or anything else. My surgery is August 6...I'm really excited!

I have Tricare Prime South also and I had to have PC Dr write a letter to the surgeon requesting the lap band, 2 visits with the nutri, 1 psyh,stress test, 2 visits with the surgeon and the seminar of course, I have diabetes and high blood pressure i am schuduled for Aug 28 so I am sure your husband will be approved shortly, my trip started April 21 when I went to the seminar. good luck and GOD BLESS:thumbup:

[LadyHash 0]

Once all was said and done it only took a few days. But you have to follow their guidelines closely. Having to see andpay for dietician and pschologist, and diet classes. Then They said I was not heavy enough. But in the end they approved and I had mine done last week.

[Lavetta 0]

I have Tricare too. It took about a week for the approval. The Dr I used had a Tricare dedicated coordinator though so maybe that made a difference.

I didnt know about the requirement for an overnight stay...good thing I decided to stay overnight on my own. With 4 dogs I just felt it was for the best.

[SheriGone 0]

I also have Tricare Prime North...

HOWEVER.... a MTF started doing the surgery July 1st, so Tricare declined to allow me to seek a private doctor... the MTF is 40 miles away. As of when I called they were scheduling for 16 months out. I had to bite the bullet and self pay.

[irideaqh 0]

I have Tricare Prime South and I was approved in about a day. I was banded in March and Tricare did not require an overnight stay. I think that is up to the surgeon, not required by Tricare. They did however call me and want me to have my surgery done at a Center of Excellence, which meant that instead of the Surgery Center my Dr uses for some of his patients I had to go to the hospital which is a Center of Excellence hospital (which was fine w/ me)

[Ineedalapband 0]

I went for my initial consult June 30. I quickly went and did the blood work and took the psych test in the Dr. office. I thought that was all I had to do until my "P" (Pending) turned into a "C" (cancelled) on Tricare's website. I called and they said I needed the preop letter before they would approve.

So, I go and do the EKG, more blood work, urine test, etc. Urine comes back irregular. I go back again last Monday and do it again. Alls well. While I am at my PCM the surgeons office called and said I was "C" becuase my referral from my PCM only said "evaluate" and needed to say "evaluate and treat". So, I go over to the desk and put in a phone consult for my PCM to redo the referral.

A week later its done. I wait 3 more days for Tricare to get it and as of today I am "P" again on the website. Hopefully, I will know something in the next few days. If I am approved I'll need my surgery date quick because I think the preop letter is only good for 30 days.

All that to say, this has drug on about a month now.

[carolynfletcher 0]

I went for my initial consult June 30. I quickly went and did the blood work and took the psych test in the Dr. office. I thought that was all I had to do until my "P" (Pending) turned into a "C" (cancelled) on Tricare's website. I called and they said I needed the preop letter before they would approve.

So, I go and do the EKG, more blood work, urine test, etc. Urine comes back irregular. I go back again last Monday and do it again. Alls well. While I am at my PCM the surgeons office called and said I was "C" becuase my referral from my PCM only said "evaluate" and needed to say "evaluate and treat". So, I go over to the desk and put in a phone consult for my PCM to redo the referral.

A week later its done. I wait 3 more days for Tricare to get it and as of today I am "P" again on the website. Hopefully, I will know something in the next few days. If I am approved I'll need my surgery date quick because I think the preop letter is only good for 30 days.

All that to say, this has drug on about a month now.

mine took me 4 months. i am scheduled for 8/21 it was 8/28 but they had a cancelation and she put me in for that day cause she said i have been chomping at the bit for to long lololo