For People Who Have TRICARE Insurance What Was Your Process Before Surgery Per The Insurance Company.

35 Answers

suburban_pluck
Answered 6 months ago    reply

Are you near a military hospital?

Pagel.T
Answered 6 months ago    reply

I Have Tricare prime so I can go to any civilian hospital or surgeons office in our network

suburban_pluck
Answered 6 months ago    reply

I am Tricare Prime also but in Norfolk so I had to do the program at Portsmouth Naval Hospital. It was over several months due to the waiting list but I paid less that $50 out of pocket in total so I have no complaints.

suburban_pluck
Answered 6 months ago    reply

Oh an that included the stay at Portsmouth Naval

Pagel.T
Answered 6 months ago    reply

I use to live in Norfolk ! But we are stationed at Camp Pendleton now they have a naval hospital but my Tricare is the one where you choose your civilian doctors off base

Pagel.T
Answered 6 months ago    reply

Correction I have Tricare standard lol


gailey_nancie88
Answered 6 months ago    reply

I have *standard...only needed 3 months (non consecutive) weight loss with my doc. I got approved with no problems with no comorbidities. If you have any other questions let me know! There were other things I did but I don’t remember which were required by surgeon versus insurance.

gailey_nancie88
Answered 6 months ago    reply

Edit to standard. Had mine at the hospital of my choosing with no referral required.

Pagel.T
Answered 6 months ago    reply

Yes I have that type of Tricare that all My doctors are off base and civilians I can choose any
Hospital in my Tricare network

Pagel.T
Answered 6 months ago    reply

What was your starting
Weight ? Where
You over 40 BMI or indeed

Pagel.T
Answered 6 months ago    reply

Under*

gailey_nancie88
Answered 6 months ago    reply

tanna I was BARELY at 40 BMI. I had to gain a bit to get it over the 40. Throughout the preop process they said to not lose weight and not gain any...I gained a bit and by surgery day I weighed 4 pounds more then the first day at surgeons office.

Pagel.T
Answered 6 months ago    reply

Oh okay that makes sense I’m at 45.7 BMI so I might have to loose
Some weight but I’m prepared !

gailey_nancie88
Answered 6 months ago    reply

tanna yea, my thoughts on it are that they just want to see you are adopting the new habits they are teaching you. I felt it was more difficult maintaining shitty eating while keeping in mind how much I would have to change AFTER surgery.

Pagel.T
Answered 6 months ago    reply

Exactly I want to slowly get into the diet they want us to have before surgery so I’m prepared after surgery

Pagel.T
Answered 6 months ago    reply

What do you think are the biggest challenges after surgery

gailey_nancie88
Answered 6 months ago    reply

tanna head hunger. I feel hungry because there is all of this amazing food I can’t have! I also haven’t dumped-had surgery 12/20. I’ve stayed within my diet restrictions but have advanced my diet as far as texture and am doing fine. It’s scary though because I almost wish my body would tell me when I messed up!

Pagel.T
Answered 6 months ago    reply

Yes I know some people
Wish they would get sick
More often to keep
Them on track

Pagel.T
Answered 6 months ago    reply

I’m one of
Those people! Lol I believe in tough love for myself

gailey_nancie88
Answered 6 months ago    reply

tanna I’m losing good though-down 14 pounds since surgery...my energy is coming back and I’m looking forward to start going to the gym with my hubby

Pagel.T
Answered 6 months ago    reply

That is great ! I know it feels amazing to finally feel in Control of Your weight

gailey_nancie88
Answered 6 months ago    reply

tanna exactly!


suburban_pluck
Answered 6 months ago    reply

Check to see for sure since Humana took over January 1. Not sure how that will effect Prime.

Pagel.T
Answered 6 months ago    reply

Okay I did call
Them they gave me approved hospitals and my surgeon is approved just the process I hope it’s not 6 months like some
Others

suburban_pluck
Answered 6 months ago    reply

If it is just roll with it. The time will fly by and it helps to get your mind in the right place. I am 8 years out.

Pagel.T
Answered 6 months ago    reply

I have Tricare standard I was so wrong hubby told me lol


dopey.Callihan
Answered 6 months ago    reply

We have prime and there was no waiting period. Approval was one day, out of network and everything was covered.

Pagel.T
Answered 6 months ago    reply

That is awesome! Very encouraging!

dopey.Callihan
Answered 6 months ago    reply

Yea it was way easier than I thought being out of network but all my preop appointments and testing was about 6 weeks, start to finish!

Pagel.T
Answered 6 months ago    reply

That is great I can only hope I have such a smooth process
I have standard so we will
See!


Mandy.98
Answered 6 months ago

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Pagel.T
Answered 6 months ago    reply

Oh that’s awesome
I have Tricare standard so
I got off base but everyone has a 2-3 month weight and that’s great for me !


Leigh.90
Answered 6 months ago    reply

I have Prime. 6 months weight loss counseling. Cardiologist, PAP, mammogram, H-Pylori test.

dopey.Callihan
Answered 6 months ago    reply

Whoa and we're prime and didn't need any of that. So weird.

Leigh.90
Answered 6 months ago    reply

I'm 55 so age may have something to do with that. Copay was $25.


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