Recent Posts
Topic: RE: Tricare Prime and RNY
I just got approved for RNY with Prime.
I had to have:
cardiac OR pulmonary clearance--I had cardiac
6 month supervised diet
test for sleep apnea--I have it
phsyc eval
pcm letter of approval and drug and alcohol free letter
hpylori blood screen
thyroid screen
I am 340 and 5'5"
we sent my packet to tricare on 6/26. I was approved today!
Topic: RE: Hi all...
The military forum is kind of dead. You may want to go to the general discussion forum. That might help. I check this forum every so often. But you always have support here.
Topic: RE: Got approval to see surgeon...now what?
This was the approval to see the surgeon. You have to have a series of test done before you are approved for the surgery. Once the tests are finished, all the results are sent to Tricare for approval. After I had all my test results submitted, it took Tricare 7 days to approve me for the surgery.
Topic: Got approval to see surgeon...now what?
I was told via telephone by Tricare that I was approved to see gastric bypass surgeon for initial consult visit + 5 additional visits. That's great and it get's me started. What I wanted know was if this was the authorization for surgery or just for evaluations. If not, how long does it take to get an authorization approved?
Topic: RE: Tricare Prime and RNY
Thank you very much. I received a referral to a bariatric surgeon about 40 minutes from me.
jennadweeb
on 6/30/08 12:36 am
on 6/30/08 12:36 am
Topic: RE: Hi all...
i am no sure where you live, but i m guessing maybe ft. belvoir? well if so than there are a few excerise groups, and there are a few support groups too. also look in the va forum here on oh. this military form is always dead. so if you have any questions ask a way.
Topic: RE: Tricare Prime and RNY
Erica,
Hello,
Check to see which bariatric surgeons in the area accept Tricare, and research them. Go to their informational seminar (these are usually free)
Get the referral from your PCM for your first choice.
I had surgery 6 months ago, and getting approved is relatively simple. You will need the following:
These you will need referral from your PCM: I would make an appointment to talk with him/her and explain what you are wanting to do, and that you need their support. If they are not willing, then get another PCM who will.
Psyc eval.
Nutritionist/Dietician eval. (this may not be covered by Tricare)
Pulmonologist eval. - this may entail a sleep study to check for sleep apnea
Have the PCM order the following blood test:
Full Chem panel
Cholesteral
TSH or full thyroid panel
Hypolori - this is to check for bacteria known to cause ulcers.
Check B vitamins, protein, and anything else not listed.
This will give you a head start on what is needed.
The surgeon may require some other things but this is the basics.
Good luck.
Topic: RE: Tricare Prime and RNY
yes, you do need to get a referral from you civilian doc.. best of luck
Topic: Hi all...
Hey all, I am Sheri and new here. I am a military spouse.
I am getting "realized" soon, and am just looking for some support of other military wives that have been "through it". My husband is deployed so I am going at this alone and while he is as supportive as anyone can be from the other side of the globe, he has never had to deal with weight issues, and lets face it, a 10 minute call twice a week doesn't really help with the other 5 days!
Anyway, Hi!!