Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Tricare Reserve Select in Las Vegas



Recommended Posts

Hi! I have Tricare Reserve Select, does any one know how the process is? I was told it's just like Tricare Standard? I have attended a seminar and I was told I should gain an additional 10-15lbs to quailify for 200% or more or the ideal weight. Right now I'm 233.5 and I'm 5' 2.5". I'm so nervous. I hope I get approved. This is my last resort.

Share this post


Link to post
Share on other sites

I have tricare standard and I was approved with absolutely no problem. I'm 5' 0" and I was pre surgery 218. It goes by BMI and I think mine was 42. I dont think you'd have to gain another 10-15 lbs. The process went to so quickly that I had my surgery 6 weeks after my initial consultation. I had all of my pre-op stuff done during that time such as sleep study, nutrition classes, psych eval, and everything else I needed to do. I don't think you'll have a problem. Good Luck!

Share this post


Link to post
Share on other sites

Hi,

I don't know f it is different in your region but this is the web site I checked out. I have HBP and am 5'2 at 240lbs. my BMI was at about 44.

https://www.hnfs.net/bene/benefits/gastric_bypass_surgery.htm

Good luck

Edited by niterun

Share this post


Link to post
Share on other sites

I have Tricare Reserve Select. I was very pleased with the response that I recieved when i decided to go with the Band. I saw the Dr 09-15-08......... and had my surgery on 11-04-08. They paid very well. As soon as I had my pre- test and dietary and psych eval out of the way I was approved for surgery at one week out.

Share this post


Link to post
Share on other sites

Good luck to you ... I am in Vegas as well. I am going to Dr. Teng out here, have you checked into Dr.s at all ?

Share this post


Link to post
Share on other sites

My doctor recommend me to Dr. James D. Atkinson. Next week I plan on getting my height and weight checked. Let me know how it goes with Dr. Teng.

Share this post


Link to post
Share on other sites

I have Tricare Reserve Select. I was very pleased with the response that I recieved when i decided to go with the Band. I saw the Dr 09-15-08......... and had my surgery on 11-04-08. They paid very well. As soon as I had my pre- test and dietary and psych eval out of the way I was approved for surgery at one week out.

Did TRS have you pay alot out of pocket?

Share this post


Link to post
Share on other sites

I have Tricare. The only qualification you have to have is that your BMI is at a 41 or more. Please make sure you select the correct physician in town. There is a bariatric physician in town off of Durango and 215 who has only done 5 lap bands. I was in the office and he was asking another physician over the telephone of how to do lap band adjustments. Go to the support group meetings and talk to other patients.

Share this post


Link to post
Share on other sites

I took your guys advice. I attended Dr. Teng's seminar. It was very informative and well put together. He seems to really care about his patients. Pretty impressive resume of this physician. Does anyone know whether this doctor utilizes physicians assistance in his program. I know other programs in town uses P.A. and you never get to see the doctor only at the time of surgery.

Share this post


Link to post
Share on other sites

I have TRS in Tx.. tricare rep said you pay your catasrophic cap only. Mine is $1000yr but we've been to the dr's alot this yr and have already had $400 applied towards the $1000 so the most my procedure would cost me is $600. If I understood her correctly. I am leaning towards Dr. Scott at UT SW.. hoping to find someone on here who went to him..

Share this post


Link to post
Share on other sites

I too am in Las Vegas. I chose Dr. Umbach who is in Henderson. He's close to my house so it's a little more convenient.

I have not been approved for the Lap Band yet. I have Tricare Standard as well. I'm about 87 pounds overweight and have high cholesterol and documented fatty liver (wondering if that might help with approval). I'm just waiting for my medical records from the base before my dr. can submit my info. Hopefully within the next week or so. I'm just nervous about not getting approved. Any insights?

Share this post


Link to post
Share on other sites

I'm from tx, so i dont know ur dr.. but i have tricare and i was approved. All you have to do is meet the weight requirement for tricare. With standard you dont even need a referral. Just make an appt w the bariatric dr and their office should submit everything to tricare. You should call and double check on everything tho.. follow up w dr office and ins just to be sure. Also tricare resets at the end of october so your out of pocket will be reset and you will have to pay more. I only had to pay $75!! but we had already paid $925 out of pocket over the last year for other appts and stuff.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • KeeWee

      It's been 10 long years! Here is my VSG weight loss surgiversary update..
      https://www.ae1bmerchme.com/post/10-year-surgiversary-update-for-2024 
      · 0 replies
      1. This update has no replies.
    • Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
      · 0 replies
      1. This update has no replies.
    • ChunkCat

      Thank you everyone for your well wishes! I totally forgot I wrote an update here... I'm one week post op today. I gained 15 lbs in water weight overnight because they had to give me tons of fluids to bring my BP up after surgery! I stayed one night in the hospital. Everything has been fine except I seem to have picked up a bug while I was there and I've been running a low grade fever, coughing, and a sore throat. So I've been hydrating well and sleeping a ton. So far the Covid tests are negative.
      I haven't been able to advance my diet past purees. Everything I eat other than tofu makes me choke and feels like trying to swallow rocks. They warned me it would get worse before it gets better, so lets hope this is all normal. I have my follow up on Monday so we'll see. Living on shakes and soup again is not fun. I had enough of them the first time!! LOL 
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×