Guest guest Posted June 30, 2000 Report Share Posted June 30, 2000 Debbie, It took my daughter and I just about three days for an approval for Tricare standard. The only reason it took 3 days is because they made us both have a psych eval before they gave us a decision. I live in Ct. and they approved us to go to North Carolina to see Dr. Rutledge and to have our surgery. I did have the fax number but I don't have it now. Call up Tricare on Monday and they will be glad to give it to you. Good Luck. The Tricare nurse who helped us get approval was wonderful so much that I sent her flowers. Liz Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2000 Report Share Posted June 30, 2000 Debbie, It took my daughter and I just about three days for an approval for Tricare standard. The only reason it took 3 days is because they made us both have a psych eval before they gave us a decision. I live in Ct. and they approved us to go to North Carolina to see Dr. Rutledge and to have our surgery. I did have the fax number but I don't have it now. Call up Tricare on Monday and they will be glad to give it to you. Good Luck. The Tricare nurse who helped us get approval was wonderful so much that I sent her flowers. Liz Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2000 Report Share Posted June 30, 2000 Debbie, It took my daughter and I just about three days for an approval for Tricare standard. The only reason it took 3 days is because they made us both have a psych eval before they gave us a decision. I live in Ct. and they approved us to go to North Carolina to see Dr. Rutledge and to have our surgery. I did have the fax number but I don't have it now. Call up Tricare on Monday and they will be glad to give it to you. Good Luck. The Tricare nurse who helped us get approval was wonderful so much that I sent her flowers. Liz Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2000 Report Share Posted June 30, 2000 Hi, I have some questions about Tricare if anyone has any info I sure would appreciate it. 1) Do they have a fax number 2) How long did it take to get anything back on it. 3) I live in Memphis do you think they might approve it even though it is out of state. Also can I send in the patient online info without all the rest of the packet. I love reading everything you all have been writing, hopfully soon maybe I can actually meet some of you to. I could use a couple more contacts to. God Bless, Debbie S. Anxiously waiting Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2000 Report Share Posted June 30, 2000 ---Also can I send in the patient online info without all the rest of > the packet. Yes Debbie you can send the computer Patient Info in first. Debbie in the office does want the other requested data to be in one packet and sent in all together. The only thing I ommited was the ekg results and the blood work. That must be fresh with in 30 days of the surgery. BYW? i ll be happy to be a contact for you. I m staying still for awhlie my email address at this time is lorireplogle@ hotmail.com If you would prefer to call and talk on the phone the # where I m at now in NY is , I ll be happy to help ....... Lori Honour NC 5-31-00 In MiniGastricBypass (AT) e, " Debbie Simpson " wrote: > Hi, I have some questions about Tricare if anyone has any info I sure > would appreciate it. > 1) Do they have a fax number > 2) How long did it take to get anything back on it. > 3) I live in Memphis do you think they might approve it even though > it is out of state. > > Also can I send in the patient online info without all the rest of > the packet. > I love reading everything you all have been writing, hopfully soon > maybe I can actually meet some of you to. I could use a couple more > contacts to. > God Bless, > > Debbie S. > Anxiously waiting Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2000 Report Share Posted June 30, 2000 ---Also can I send in the patient online info without all the rest of > the packet. Yes Debbie you can send the computer Patient Info in first. Debbie in the office does want the other requested data to be in one packet and sent in all together. The only thing I ommited was the ekg results and the blood work. That must be fresh with in 30 days of the surgery. BYW? i ll be happy to be a contact for you. I m staying still for awhlie my email address at this time is lorireplogle@ hotmail.com If you would prefer to call and talk on the phone the # where I m at now in NY is , I ll be happy to help ....... Lori Honour NC 5-31-00 In MiniGastricBypass (AT) e, " Debbie Simpson " wrote: > Hi, I have some questions about Tricare if anyone has any info I sure > would appreciate it. > 1) Do they have a fax number > 2) How long did it take to get anything back on it. > 3) I live in Memphis do you think they might approve it even though > it is out of state. > > Also can I send in the patient online info without all the rest of > the packet. > I love reading everything you all have been writing, hopfully soon > maybe I can actually meet some of you to. I could use a couple more > contacts to. > God Bless, > > Debbie S. > Anxiously waiting Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 30, 2000 Report Share Posted June 30, 2000 ---Also can I send in the patient online info without all the rest of > the packet. Yes Debbie you can send the computer Patient Info in first. Debbie in the office does want the other requested data to be in one packet and sent in all together. The only thing I ommited was the ekg results and the blood work. That must be fresh with in 30 days of the surgery. BYW? i ll be happy to be a contact for you. I m staying still for awhlie my email address at this time is lorireplogle@ hotmail.com If you would prefer to call and talk on the phone the # where I m at now in NY is , I ll be happy to help ....... Lori Honour NC 5-31-00 In MiniGastricBypass (AT) e, " Debbie Simpson " wrote: > Hi, I have some questions about Tricare if anyone has any info I sure > would appreciate it. > 1) Do they have a fax number > 2) How long did it take to get anything back on it. > 3) I live in Memphis do you think they might approve it even though > it is out of state. > > Also can I send in the patient online info without all the rest of > the packet. > I love reading everything you all have been writing, hopfully soon > maybe I can actually meet some of you to. I could use a couple more > contacts to. > God Bless, > > Debbie S. > Anxiously waiting Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 1, 2000 Report Share Posted July 1, 2000 In a message dated 7/1/00 7:44:42 AM Pacific Daylight Time, trudellt@... writes: << pneumonia, given tons more steroids and now is at 427lbs. That is over 70lbs she would have to lose. If she could lose 70lbs she wouldn't need WLS. So, much to my distress she is going to have an open RNY, we are now waiting for a surgery date. Best Wishes, Dee Trudell >> Hi Dee, Do not let this get you down! She is in such bad shape now that the most important thing at this point seems to be WLS, and if it is the RNY, then that's the best thing for her! Do not beat yourself up over this. You have done a great job pursing WLS and an answer to her problem. No one could ask any more of a mother! I wish her the best and please keeps us posted! Regards, Debbie in IL Cigna approved on 3rd appeal for daughter (BMI 45) Counting on Cigna for Debbie (BMI 40) correct online info re-sent 6/29 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 1, 2000 Report Share Posted July 1, 2000 Dear Debbie, Our experiance with Tricare is that there is a BIG difference between Prime and Standard. We are in land, that's Leonardtown Flo, and Prime will not approve for us to go out of region. However, did figure out that if you dis-enroll from Prime and go Standard they will approve going to see Dr. Rutledge. If you go Standard you cannot re-enroll Prime for 1 year. $$$ wise this means that you have a $150 deductible and pay 20%, but only $25 for inpatient (MGB surgery). You can still have all your labs done at your military facility and just need to find a civilian Dr for a year. Spoke to a friend who has a 20% co-pay and said that she usually pays $10 for a Dr. visit. Heck, my co-pay is $12 with Prime. Unfortunately, by the time I figured out how to be able to receive the benefits that we are intitled to my daughter, Karlie, no longer qualifies to see Dr. R. In January when we started our fight She weighed 380lbs. We felt that having her lose 30lbs was not unreasonable. Since then she has been hospitalize twice for asthma and pneumonia, given tons more steroids and now is at 427lbs. That is over 70lbs she would have to lose. If she could lose 70lbs she wouldn't need WLS. So, much to my distress she is going to have an open RNY, we are now waiting for a surgery date. Best Wishes, Dee Trudell Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 1, 2000 Report Share Posted July 1, 2000 Dear Debbie, Our experiance with Tricare is that there is a BIG difference between Prime and Standard. We are in land, that's Leonardtown Flo, and Prime will not approve for us to go out of region. However, did figure out that if you dis-enroll from Prime and go Standard they will approve going to see Dr. Rutledge. If you go Standard you cannot re-enroll Prime for 1 year. $$$ wise this means that you have a $150 deductible and pay 20%, but only $25 for inpatient (MGB surgery). You can still have all your labs done at your military facility and just need to find a civilian Dr for a year. Spoke to a friend who has a 20% co-pay and said that she usually pays $10 for a Dr. visit. Heck, my co-pay is $12 with Prime. Unfortunately, by the time I figured out how to be able to receive the benefits that we are intitled to my daughter, Karlie, no longer qualifies to see Dr. R. In January when we started our fight She weighed 380lbs. We felt that having her lose 30lbs was not unreasonable. Since then she has been hospitalize twice for asthma and pneumonia, given tons more steroids and now is at 427lbs. That is over 70lbs she would have to lose. If she could lose 70lbs she wouldn't need WLS. So, much to my distress she is going to have an open RNY, we are now waiting for a surgery date. Best Wishes, Dee Trudell Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 1, 2000 Report Share Posted July 1, 2000 Dear Debbie, Our experiance with Tricare is that there is a BIG difference between Prime and Standard. We are in land, that's Leonardtown Flo, and Prime will not approve for us to go out of region. However, did figure out that if you dis-enroll from Prime and go Standard they will approve going to see Dr. Rutledge. If you go Standard you cannot re-enroll Prime for 1 year. $$$ wise this means that you have a $150 deductible and pay 20%, but only $25 for inpatient (MGB surgery). You can still have all your labs done at your military facility and just need to find a civilian Dr for a year. Spoke to a friend who has a 20% co-pay and said that she usually pays $10 for a Dr. visit. Heck, my co-pay is $12 with Prime. Unfortunately, by the time I figured out how to be able to receive the benefits that we are intitled to my daughter, Karlie, no longer qualifies to see Dr. R. In January when we started our fight She weighed 380lbs. We felt that having her lose 30lbs was not unreasonable. Since then she has been hospitalize twice for asthma and pneumonia, given tons more steroids and now is at 427lbs. That is over 70lbs she would have to lose. If she could lose 70lbs she wouldn't need WLS. So, much to my distress she is going to have an open RNY, we are now waiting for a surgery date. Best Wishes, Dee Trudell Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 1, 2000 Report Share Posted July 1, 2000 Hi Dee, Dr.R's weight limit is 400lbs now, not 350. Don't lose hope!!!!!!! Give the Atkins diet a shot.....lot's of post-ops had to lose some to qualify and they did it with Atkins. She only needs to lose 27 lbs not 77...... Hang in there things will turn out the way they should. Best Wishes, Genz DebLaMan@... wrote: > In a message dated 7/1/00 7:44:42 AM Pacific Daylight Time, > trudellt@... writes: > > << > pneumonia, given tons more steroids and now is at 427lbs. That is > over > 70lbs she would have to lose. If she could lose 70lbs she wouldn't > need WLS. So, much to my distress she is going to have an open RNY, > we > are now waiting for a surgery date. > Best Wishes, Dee Trudell > > >> > Hi Dee, > Do not let this get you down! She is in such bad shape now that the most > important thing at this point seems to be WLS, and if it is the RNY, then > that's the best thing for her! Do not beat yourself up over this. You have > done a great job pursing WLS and an answer to her problem. No one could ask > any more of a mother! I wish her the best and please keeps us posted! > > Regards, > Debbie in IL > Cigna approved on 3rd appeal for daughter (BMI 45) > Counting on Cigna for Debbie (BMI 40) correct online info re-sent 6/29 > > ------------------------------------------------------------------------ > Special eGroups Offer: Save On Long Distance Today! > http://click.egroups.com/1/5073/3/_/453517/_/962467197/ > ------------------------------------------------------------------------ > > This message is from the Mini-Gastric Bypass Mailing List at Onelist.com > Please visit our web site at http://clos.net > Get the Patient Manual at http://clos.net/get_patient_manual.htm Quote Link to comment Share on other sites More sharing options...
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