Jesusislove

I was told by Humana Tricare that all systems should be updated today in the system. I already have my visits authorized to see my doctor before today, a week ago. You must be 100lbs overweight with comorbidities according to the metropolitan life chart. If you fall 100lbs overweight on the chart you're good. If you should weigh 135lbs and you weight 270 or more, you automatically qualify, that is what 200% means. BMI has no bearing with tricare only weight and height for you bone structure. Weight and bone structure is based on the Metropolitan life charts. You will need clearances from you cardiologist, your doctor, nutrition eval, and pschy eval, after your packet is accepted by your bariatric doctor.

This is wonderful news dallman, they are finally doing their job. Let us know the what they required of you. Congrats and thanks for all your information and input on this site.

<p>Hi, good morning, everyone. I was informed that most of Tricare's manuals are outdated, this should be resolved on my Humana Tricare this week. I am assuming this is how it will work. If you live near a military treatment facility that does the Lap-band surgery you may have to go to the military treatment facility. I am Humana Tricare and we do not have a MTF that does the lap-band in Georgia. My referral was put in for one of the doctor's here in town. I will have to attend the seminar on January 18, 2007. I know you must be at least 100lbs overweight with a BMI of 40 (overweight according to the Metropolitan Life chart). If your BMI is not 40 then you must have a least one comorbidity. If you are 200% over your ideal weight, then you automatically qualify. I will check on this again to be sure this is accurate.

Hi, everyone. Thanks for the manual information. I was forced to call the The Office of the Assistant Secretary Department of Defense (Health Affairs); after I was repeatedly told that lap-band prodecure was not a covered beneft by Tricare. I was called back by Health affairs, great people to deal with. I handled it on the phone with Tricare the way they told me to do it. Meanwhile, I was emailed by someone in the contracting office saying they are expecting this policy change to be implemented in 3 weeks. It was a fight but I got us some answers. I was also told that even though the policy change has not been implemented, they still can not deny your claim, big boo boo! They can not deny your claim during the waiting period of the implementation as well. Great people that work there. Thanks for the information about the manual change on here, I finally had somehting to fight with. Thanks guys.

Hi, this is awesome news. I checked this forum to see if it had been approved because Tricare tried to call me out of the blue. I had a referral that had been cancelled, they were calling me, so I might be one of the first approvals.