Tricare Prime Ins Coverage

sunshine531 · 06-24-2008, 10:54 AM

Does anybody know if Tricare Prime Ins covers the fills that we need after initial surgery? It covered my surgery, but am wondering about my fills.

minpinmom · 06-25-2008, 04:47 PM

I have had 4 or 5 fills and only been charged my $12.00 copay. My Dr. just recently requires a Barium swallow before each fill, that is not covered by insurance. So I pay the $12.00 copay + $50.00 fee for the Barium Swallow.

If you have a fill without barium, it should only be your 12$ copay. I am Tricare Prime.

azairforcewife · 06-25-2008, 05:13 PM

i went to a seminar last night and thr dr said tricare covers all fills for one year after surgery!hopefully by end of july i'll have my band done

webenchantressd · 06-27-2008, 02:56 PM

Why does Tricare only cover fills 1 year after surgery... What if I get pregnant and have to have an unfill! Will they not pay to have it refilled?

minpinmom · 06-27-2008, 03:02 PM

My Dr.s office said fills are covered. No time limit. Maybe that Dr. won't take insurance after 1 year for fills? (because of how little they pay)

Ineedalapband · 07-01-2008, 07:27 AM

Do you mind me asking what a Barium Swallow is? I'm just learning.

minpinmom · 07-01-2008, 09:23 AM

My Barium Swallow: You stay dressed and stand in front of this large xray machine. They give you a little pill cup filled Barium (looks and kinda tastes like Milk of Magnesia). The turn the machine on, I can actually see my tummy and everything on the screen, they tell you to swallow and the Barium shows up on the screen. You actually see it go down to your pouch and then into your lower stomach. It coats everything, kinda like the old Pepto Bismol commercials. They watch to make sure your pouch hasn't stretched and also to see how fast the liquid goes through. My Dr. does this before he gives you a fill.

Hope this helps!