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Hi All,

I have Tricare Prime and am about to start the process. My PCM placed my referral and I am just waiting on my letter so that I can sched. a first visit with my surgeon. My PCM and the nurse at Dr. Nye's office said Tricare is easy to get approved and that start to finish is about 6 weeks til surgery. Anyone had hsi happened or not happen? Thanks for all you help!

Karen

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I have Tricare Prime and it is a fairly easy process. I started in May and had surgery in August because I had additional testing that need to be done. No complications with insurance approval though.

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I am using Tricare Prime in San Diego. I had no problem getting approved for the surgery and testing process. Their standards seem to be pretty cut and dried - meet the criteria and you are on the way. The issue was not getting the approval but finding a surgeon that would take the insurance. I am now with UCSD and very happy with them. I start the liquid diet on the 25th and have surgery on 01/08 :>)

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I have tricare Standard, it took only 3 days to get my approval for my surgery. I was shocked on how fast I got it. My surgery is on Jan 12, 2009.

Lisa

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Hi Everyone,

I have tricare Prime, I have now went from the cancelled stage due to tricare said they didn't get the codes(?) for the surgery, so I call the surgeon office to let them know, so now my status for surgery is pending. So everyone wish me luck and hopefully everything will go okay and i can get banded in January. I started my journey in October.

Happy Holidays!

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I have Tricare Prime (east) and I'm still getting all my requirements done. It is taking forever mostly due to trying to get appts (i.e. nutrition doesn't have anything until mid-Jan). My PCM did the referral and I have been approved to see a surgeon but they won't even make an appt until I have all my requirements done and they have all the paperwork. I guess this is ok since I wasn't looking to do the surgery until Feb, but I'm wondering how many more delays I will encounter in the future.

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I have Tricare Prime (east) and I'm still getting all my requirements done. It is taking forever mostly due to trying to get appts (i.e. nutrition doesn't have anything until mid-Jan). My PCM did the referral and I have been approved to see a surgeon but they won't even make an appt until I have all my requirements done and they have all the paperwork. I guess this is ok since I wasn't looking to do the surgery until Feb, but I'm wondering how many more delays I will encounter in the future.

Just continue to be patient, and we're keep each other posted on progress because you will get major support from everyone here, which helps me a lot.

Good luck!

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I am also Tricare Prime East (OHIO) and it took forever for me too. I am using the base as they have a surgeon who is a Bariatric Surgeon, as a matter of fact they have two now. I had the referral from my PCM, then I had to attend a Lap Band class, then on to nutrition, psyc appt which took a couple of weeks to get in, then appt with surgeon to talk over my questions and see which surgery I wanted, gastric or band. I have another appt on Jan 12 for pre-admission, labs, nutrition class, and surgeon again to make sure nothing has changed with me. My surgery is scheduled from Jan. 16 and I will be on a pre surgery diet of 1 week of liquids plus a frozen diet meal for dinner, then post op is one week of liquids, 2 weeks of mushy foods, then soft foods. He does not do a fill during surgery as he said that is what causes band slippage. CAN'T WAIT!!!!!!!!!!!!!!!!! Jan

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For the surgery, Tricare was a piece of cake...Dr. Nye is my surgeon too. You can see my timeline here Life With A Lap Band | this life of mine

My issue lately is getting Tricare to approve more than one follow up visit at a time.

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Triwest was easy here! It took me about 3 weeks to go throught the process. Would of been less if my Dr. wasnt so booked. I delayed surgery due to work but everything was so dang easy. Good luck!

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I'm a Tricare gal.

I started the process in September and just got my surgery approved last week. My pre-op appt is January 8th. It has been slow progress, but progress none the less. :laugh:

Hugs!

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Im a Tri Care girl from vegas and i just had the seminar today.. i was so excited when i saw that so many people were approved... but i dont know if i will be.. im 5'5 and 240 pounds... im like 5 pounds away from being morbid... i dont have sleep apnea or high blood pressure.. but i do have asthma... anyone think i can slide by???

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Yeah!!!!!!!! My Doc's office called and scheduled my first appt. for Jan 7th at 12:45pm. I am so excited! She said i should not have a problem getting approved as Tricare South is very easy. I am 5 ft. 1 inch and weigh 228. I do not have any health problems but PCOS so I am hoping it will be no problem. Can't wait!!!!!

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      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.
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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. 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.

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        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

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