Recent Posts
Topic: RE: Trying to Wait Patiently
That does sound like good news. It at least sounds like they are getting everything set to go for you. If they get it submitted tomorrow you will prob. know by Friday.
I will keep my fingers crossed for you
Jaye Jaye
![](http://images.obesityhelp.com/mbgraphics/emoticons/beer.gif)
![](http://images.obesityhelp.com/mbgraphics/emoticons/angel.gif)
Topic: RE: Trying to Wait Patiently
I actually did get a little bit of good news after my post. I checked my answering machine and there was a message from the doctor's office. They need some more information from me. But they called at 4:50. And I didn't check my machine until 5:30. Even if I would have checked it earlier, I didn't get home from wor****il 5. And they close at 5. So first thing at 8 am, I am calling. 8- l HOPEFULLY after that they can submit my paperwork. Tricare told me that it only takes about 24-48 hours to make a decision. So I am hoping by the end of this week they will have atleast submitted my paperwork.
Topic: RE: Trying to Wait Patiently
Hi Taressa I am in the same boat you are in. I am just waiting for the psyc. evaluation to be sent to my doctor.(get this they told me that it takes a week to a week and a half for the personality tests I took to be graded and sent to my Dr.'s office) For all I know they should be done and there now. (it's been a week and a half) The coordinator at the Dr. office told me once she had them in it would take up to a week for them to get everything else together and send it in!!! Now I know it is all been well discussed on here. It only takes 24 to 48 hours to be approved. I finished the last of my appointments early Monday morning Sept 24th. I am just very anzy and wanting to get things MOVING!! However, no one else I am dealing with seems to be in a rush. I have refrained from calling the Dr.'s office or Tricare(so far). I am going to give them to the end of next week. If I have heard nothing I will call and check on things. I would just sort of give it to Tuesday or Wednesday and call Tricare back if I were you. I feel your pain and I know how you are feeling; but you don't want to call TOO much over at your Dr.'s office. I would say give yourself a time frame and check back with Tricare. I know it doesn't make things easier; but that is what I am trying to do as well.
Jaye Jaye
Topic: Trying to Wait Patiently
I went and saw the doctor on September 18th to get my date. Well I didn't get it that day. So I had to wait. I wait about 3 days and then I called. I was then told that all my paperwork had not been received. Then I called last Thursday. The lady told me that she was going to submit my paperwork to Tricare either that Thursday afternoon or Friday morning. Well she didn't.
I am kind of mad about that. Of course I have called Tricare to see if they have received my paperwork. I called the doctor's office back and she said that she is going to fax it in Monday. She hasn't!!!!
I am trying not to call the doctor's office everyday. The lady told me on Friday that if anything is missing from my packet, they will call me on Friday. Do you think I got a phone call????
So I just assumed that everything was ready to be submitted. I am TRYING
to wait patiently. But this is getting out of hand. I need your advice. What should I do? Should I call the doctor's office until they submit or just continue to wait it out?
![](http://images.obesityhelp.com/mbgraphics/emoticons/angry.gif)
![](http://images.obesityhelp.com/mbgraphics/emoticons/angry.gif)
![](http://images.obesityhelp.com/mbgraphics/emoticons/nono.gif)
![](http://images.obesityhelp.com/mbgraphics/emoticons/angst.gif)
![](http://images.obesityhelp.com/mbgraphics/emoticons/help.gif)
jennadweeb
on 10/2/07 4:12 pm
on 10/2/07 4:12 pm
Topic: RE: letter to insurance company
yes i did, but my pcm had me do this, and she told me that it wasnt always necessary however when doing this they approve you easier, verces having to go through an appeal process. i didnt do it in a letter format more like a list, i included all the medications i was on, then went on to my issues such as asthma, diabities then listed which medication i use for that problem, how often it is perscribed for and how this problem actually effects me
then in a different paragraph i wrote down my diet history best to my ability i also included what weight loss and weight gain i had while on these "diets", and then any training about right food choices, so i included anything i could think of, such as WIC, diabities dietician. i also put down all my blood sugars for the month, then averaged it all out for them. i dunno hopes that helps feel free to ask me any other questions about this
-jennifer
Topic: RE: letter to insurance company
I didn't have to write a letter either. It is more than likely just a surgeon's requirement. S/he probably deals with a lot of insurance companies that require it, so they just make it an automatic requirement for all patients in their program. My surgeon's program had non-Tricare requirements too; a 5% weigh loss, letter from PCP supporting WLS, 5 year weight history, etc.
HTH and Good luck!
Andi
Topic: RE: letter to insurance company
I did not have to write a letter. I never heard of it. But Tricare qualifications are always changing. I would call Tricare and find out.
Topic: letter to insurance company
Did anyone here with Tricare Prime have to write a letter to Tricare telling them why you need WLS? When I first started out with this journey the first thing I did was call Tricare and find out exactly what they covered and what I had to do as far as authorizations and such. They did not mention a letter but my Doctors office gave me a book on my first visit there Monday and it gave a list of things to do for when I come back in to meet with the surgeon. One of things on the list was a letter to your insurance company with why you need WLS. Just curious if anyone knows if Tricare required that. Thanks for any info on this.
Topic: RE: Hi Everyone, It's been awhile!
Hey someone from my neck of the woods . Im Tina Im also awaiting to have my surgery should have a date soon will find out soon should have my second appt with surgeon soon which at that time I will get a date and packet put in for approval from tricare..
I wish I was still over in WA was born and raised there move almost three years ago..
Miss it alot I lived in Spanaway close to Mcord and Fort Lewis and worked in Bellevue.
Cant wait to move back since all my friends and family in WA.
Well keep me informed on your progress maybe we will have surery around the same time... GOOD LUCK!!!
Tina
Topic: RE: PROTEIN
I have some of the kind that you sprinkle, well at least I think it is.. I got it at GNC it's a non-flavored protein powder, but I haven't tried it yet.