Recent Posts
Topic: RE: Still in Process (warning long vent)
Wendi.....first of all relax, I KNOW exactly how you feel. The SAME thing happened to me. Even down to the dates changing. I finally got fed up and called. I finally got to the right tricare lady who told me that I was approved. In fact I was approved not even 48 hours after they got the paperwork. Mytricare.com doesn't show approved until they issue you an authorization #. They won't give you an authorization # until AFTER surgery. She also told me if it was denied it would say Denied. Mine STILL says inprocess and my surgery is all scheduled and ready to go.
I can totally sympathize how you are feeling. I was checking the site 10-15 times a day like a drug addict looking for a fix.
Hopefully you will get to talk to the right person today and get the confirmation that you need. You might even try to call your surgeons insurance rep and see if they have got word yet.
Good luck Wendi!
Topic: I'm home.
Hi all Dr. H said that I am doing exceptionally well and he sent me home around 3. I have been sleeping alot since I got home(nothing like your own bed). I am really tired, so I will type longer later, Layla
Topic: Still in Process (warning long vent)
Ok, I have tried to be paitient but the amount of time I have prior to the end of the year is disappearing. Because I work in the accounting field, year end is fast approaching, and this means that If I do not get surgery by the middle of December, I will have to wait until the middle of March .
My surgeon's office submitted the paper work on 10/24, I called Tricare on 10/25 to verify the receipt of the paperwork. They said they had the clinicals but not the Request for Authorization form. I then called my surgeon's office and informed the girl who does the insurance of what they said and asked for her to resubmitt the paperwork with one small change. Mark it priority so I could get a response within 72 hours. On 10/27 the web site showed that the paperwork was in process, so I thought cool I should have a response by 11/1 at the latest. Well, on 10/30 I checked the web site and it showed the date changed from 10/27 to 10/30 and in process (WTF!!!). So, I kept waiting and being patient. Well, today 11/6 I am still in process so I got up the nerve and called Tricare at the first chance I got between working on the corporate budgets. I talked with a wonderful woman and explained the whole scenario, she looked in the system and said that yes indeed the paper work shows priority. So she transferred me to the medical management department and I explained the situation again. This time the woman said that oh, this is an inpatient request and you need to talk to another medical management team who deals with these. She gave me a phone number, so I call it and of course it is after 5pm EST so the office was closed. So now I am waiting for the morning to call them. It truly gets disheartening to see all these people get their approvals and surgery dates, and they get them within a day to a week period of time. Every time I check the web site, I have the fear that I will see the word DENIED attached to it. I sort of thought at the beginning of this process is that if your PCM referred you because medically necessary that it was pretty much a given that you would be approved. I to this day have not seen anyone with Tricare being denied (unless I missed that posting).
Topic: RE: Balboa Naval Hospital - San Diego
Hi Jennifer how are you hope all is well. Well to start I one day in Aug went to see my cardiologist and first thing out of his mouth is you are getting an appointment with the bariatric clinic and in about three week I was seen. I had my appointment in Sept. and was seen by a Dr Bertucci very nice Dr. after he said yes you need to have this surgery I asked the same thing after seeing you today how long will it be for me to get my sugery date he said it all depends on you. You see there is a list of thing you need to do he told me a lady had done it in about one month but it took me since Sept unitll next week for me to get my surgery so for me it was about 2 1/2 months and I am going in for sugery on the 13 of Nov. I am Army Ret and use tricare Prime I don't know who Mr Casins is but the nurse for the bariatric clinic is a Annelise Brown and she is the one that set up you dates and all that. Ms Brown makes sure you have everything ready and checks and doubles checks everything. My wife has had both our children at Balboa and I have had sugery at this hospital and im still here. So that is all the info I can give you I hope this helps. Take care and let me know when you are scheduled and if I can help in any way also they have metting every month that people can help with all of you question if you have more. Take care.
Topic: RE: I Called
TaReesa,
It should not take that long. Once my paperwork was submitted it only took a little over 24 hours to be approved. Good luck and let us know the results.
Leann
Topic: I Called
Well I called. I know I said I was going to try not to call, but I just had too. I called because I want to make sure that Tricare received my paperwork and that they did not need anything else. So far everything is fine. They received my paperwork yesterday and input it today. They told me it takes 7-10 days to find out if it is approved or not. I hope it does not take that long. Only because I am so excited. Well wish me luck.
Topic: RE: Submitting Paperwork
That is great new TaReesa! Good luck, I got my fingers crossed for ya!
Topic: RE: I'm back..and I am a looser
I am glad to hear that you are doing well. Keep taking care of yourself. We will be thinking about you.
Topic: Submitting Paperwork
Well I finally got the call yesterday at 4:44 pm. The doctor's office called me yesterday and told me that they have all my results in and they are submitting my paperwork to Tricare!!!! I have been waiting for this Since September. Wish me luck. I am going to try my best not to call Tricare today.