Has anyone ever been able to co-ordinate benefits using TriCare?
My primary insurance is through Manatee Health Network, and my husband is a retired Marine, so we have TriCare as well. My primary insurance refuses to consider full coverage to an out-of-network surgeon that I want to go to. They will pay 100% for an in network surgeon, but he doesn't do distal RNY, which would be the best procedure for me (BMI greater than 50). If I want to use the out-of-network surgeon I would have to pay a $500.00 deductible plus 60% of the total bill. I am wondering if anyone has ever been successful coordinating benefits from their primary carrier and TriCare to cover WLS with an out-of-network surgeon? Thanks!
We greatly appreciate your interest in helping us build our Q&A database. To discourage vandals from posting garbage, however, we require people to register before posting.
You must be logged in to post an answer. Click here to log in.