TRICARE SURGEON FEES

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It must be that Tricare hasn't paid in the past.  I have United Health Care, got pre-approved and didn't have to pre-pay Dr. F. anything (and he is out-of-network).  UHC hasn't paid him yet (probably because they submitted using my husband's last name and not mine), but at all my pre-op appointments they said UHC was good with bypass surgery.  I can tell you that about $40K was submitted to UHC for the doctor's portion, but I had 3 procedures done...lapband removed, part of my omentum removed and rny.   The hospital portion was about $67K.  Dr. F is GREAT, so I hope everything works out for you!

While I did not have the same surgeon, I do have Tricare Prime and did not require prior payment.  I would call Tricare and inform them of what the surgeon is doing, because this might violate some of their rules and he will get in trouble.

I used the Kane Center, they are non network but because there are no in network surgeons in IL for WLS, I fought and won this arguement and it was treated as in network.

yea its because tricare has said they were going to pay before and than have not paid he surgeon so i guess he's doing this to protect himself...its just money nowadays is hard to come by