Question:
To get aproval from tricare prime did you have to see your base dr first?

   — ashley-clark (posted on January 21, 2008)

January 21, 2008
Yea as with any thing with Tricare prime you have to see your dr and get a referral to see a surgeon.
   — NavyNukeWife

January 21, 2008
My hubby is retired and I don't see a base dr. My PCM doctor is the one that put in the referral for the surgeon.
   — Cindy H.

January 21, 2008
i did but in one week i was approved.very fast and had the surgery i month later. karen
   — 270

January 21, 2008
Yes I had to see my Primary doctor first. He had to fill out paperwork and I had to have tests done. Once everything was submitted to Tricare I had an approval with in hours. I had to pay a $350.00 education fee that I did not get re imbursed for. Tricare said it was covered but the doctor's office did not submit the right paperwork so they would not pay. Tri care said they wanted details on what was included in the $350.00. Hope this helps.
   — Ethel777

January 21, 2008
You have too see your primary care doctor first. heor she will do a referal. I was approved in a week, and had my surgery one month later.
   — blueeyes3025

January 23, 2008
I had a general check up and physical but your surgeon may require further tests depending on your individual situation. My surgeon had me do a sleep lab test and some sort of abdominal sonar test, it's been so long ago now I don't exactly remember what that was for. Any updated medical information you provide (at the time of your visit) for your surgeon may expedite your evaluation and approval from the insurance company,meaning of course his staff doesn't have to wait on files,tests,results,etc. to be sent from other doctors. Hope this helps! Good luck and DON'T GIVE UP!!! Ashley Turner
   — [Deactivated Member]

Click Here to Return