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Tricare Prime and Lap Band

connie45331

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kaitlynmarie93    0

kaitlynmarie93
Posted

My family has tricare prime too because my dad is retired navy. I didn't even ask about surgery one when my mom took me to a regular doctors appointmen she brought up the lap band to me. Dr.Strickland at clinic in Mayport, Florida is doing my paperwork and everything.

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haroldrussi    0

haroldrussi
Posted

The only thing you have to be careful of is the approval dates. If you are only approved for Referal visits till 1 Feb and go to an appt on 3 Feb TRICARE will not pay for the appt. Pleeeeese watch your dates. My wife's was just like above and I just found this information yesterday. TRICARE will not budge....

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connie45331    0

connie45331
Posted

Ok well I just got a call from my doctor and Tricare approved the consultation. So I guess my next step is to got o the seminar and then the consultation. I hope everything goes well!

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Tiffykins    673

Tiffykins
Posted

Regarding the referral, make sure your PCM's office puts "to diagnose and TREAT obesity" that is some of the wording that Tricare requires for the referral to be approved and for you not to run into issues for future appointments. Apparently, the word " treat " is the keyword that Tricare looks for in their approval process and for aftercare appointments.I had to get my PCM to edit his letter of referral so Tricare would approve all of my visits.

My fills and follow up appointments have been covered 100% with zero out of pocket cost. I have Prime, but I have a civilian PCM and civilian surgoen due to our MTF always being overbooked. . .

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armywife2002    0

armywife2002
Posted

i got the referral from a doc to see the surgeon, and had my first appointment in early december. they submitted the referral for the surgery and said call with the date i want. my surgery is scheduled for march 17th. it could have been earlier, but i need my sister to come help with the baby, so i had to schedule around her spring break.

ive only actually seen the surgeon once, and then my 2week pre-op appointment is scheduled too.

its been easy, but im nervous

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haroldrussi    0

haroldrussi
Posted

I was just called by TRICARE Thursday evening telling me that my surgery was all approved and that if I had any questions about the procedure to just call them and they would help. What a surprise! Can't hardly wait till 4 March date of my surgery. Monday my wife and I go to the pre-op classes from 430-830. I guess if I still have any questions by then I can get them answered.

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connie45331    0

connie45331
Posted

I got the seminar all done! Tricare approved my consultation visit with the surgeon. It is April 2nd! I cant wait. Hopefully everything still goes smooth!

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healthyme2    0

healthyme2
Posted

Hi,

I have just been approved through tri-care prime. I started my Quest back in December, I tried going through the naval hospital. Unfortunately the wait list was quite long, in addition they were losing 2 surgeons. Nonetheless, I was number 197 and currently they are on number 135. I at the same time, looked into surgery through a civilian doctor. I received referrels from my pcm and two other specialty doctors with the Navy. Tri-care approved me for the surgery out in the civilian sector! The wait process i thought would be two to three weeks< IT WASN't one week and now I am on my way.

Good luck to you!

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connie45331    0

connie45331
Posted

Ok! I went to my consultation today to see the lap band surgeon. It went great. He approved me for the lap band! Now as long as tricare prime approves me everything will be great. I have to go see if I have GERD (acid reflex) and go get my blood taken for different tests. I also did my chest x-ray today. So after thats all done then I will hopfully get a surgery date........:smile2:

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KOLaficionado    0

KOLaficionado
Posted

Yay! That's great that the surgeon is for sure on your side! I also just had my initial consultation today and am hoping that I'll be one of the few that get it approved within a matter of days:tongue: From what I gather from this site, Tricare seems to be top notch at approving you the first time if you meet their criteria(which someone was kind enough to look up and post earlier). I'm 5'4 and 265 with hypertension and sleap apnea so I damn sure better be approved or their phones will be ringin of the hook!! I was actually surprised when my pcm wanted me to go do a sleep study because I was feeling overly tired durning the day, but sure enough it turned out that I was stopping breathing too long over 30 times an hour!! News to me:ohmy: Anyhoo, here's to getting banded around the same time eh?!!! Keep us posted!

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Go To Topic Listing PRE-Operation Weight Loss Surgery Q&A

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    • Alisa_S

      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.
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      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

        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

      CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
    • KimBaxleyWilson

      KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
      · 0 replies
      1. This update has no replies.
    • bellaamey

      bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
      · 0 replies
      1. This update has no replies.

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