azairforcewife

munger, I started all this in june so its been well over six months and the dr said surgery dates were either the 13th or 20th of feb it seems so far away!!!Has it been sixty days since you submitted everything to tma because thats their time frame. I'm so sick of weighing 236 i just want to be in wonderland already!!!!!!

munger, I'll be crossing my fingers for you! tricare is still giving me problems even after being approved !!!!! they are saying they still don't have records from TMA saying i was approved and they won't take my faxed copies from the 5th of jan , I'm so sick of having to call everyday and nobody knows anything!!!!

munger, Is your paperwork at tma and are you at dm because there is a lady on base that can talk to tmaand see the statis of your appeal she works for the people but for tricare? Don't give up ,i was the same way !

ok munger so this is how it happened! I am 5'4 and 236 with blood suger problems and they came back with a denial for not having problems long enough. So the second time i had my psm look at the met life charts and messure my arm for frame size so i could also quilify under the 200% and sent that in and was denied again so i then sent it to the formal review board (tma) secratery of defense where they have 60 days to review!! I have to say i was ready to quit and thats what they want but my wonderful husband said "no we are going to fight this they want you to give up."Send them everything the met life charts hilighted frame size,all your med records and a personal letter on how it affects your life from day to day ,self esteem and how lapband will help with blood pressure etc.. Make it personal !!!!i think i sent them 53 pgs of info.make copies of there polices .Dr.monash will do a peer to peer rewiew leave a message for him personally .Hes ofice staff is a little flakey!! If you have any qwestions just ask. O' and the last weigh in for the 200% i was 255 wearing everything i could think of quarters etc...

I'm so excited after 6 months of fighting with tricare , I finally won !!!2 appeals and a formal appeal to tma. It really pays to fight for what you want .:thumbup: surgery in Febuary!!!

my surgeon has caled the medical director 3 times about my case personally and they said i need something more to be approved he is sendig me for a sleep study stat !! He also said that tricare does not know much about wls and how much better your health will be and all the statictics on diets failing ,he gave them a ear full !! do most overweight people have sleep apnea???????

i was denied to for not being on meds for diabetes even though it shows my high blood suger. i'm 5'4 and 240 is that 200% over my ideal weight for a small frame? working on my appeal letter!!! wondering why everyone is getting denied!!

Isn't thyroid -hypothalamic disorder the same?

I would love some info on appeals for thyroid and diabeates i'm starting to do mine today.

im so bummed!!! tricare gives my a different answer everytime i call i meet the requirements and they say i need more clinicals? anyone have this problem? do i appeal now?:wink2:

so i clled tricare again today and i get a different answer everytime i call one will say they need more clinicals another will say the doctor did not send in the addtional info in fast enough when it had been just two days and the last one said i had to appeal any ideas? i'm soooo frusterated!!!!

so i called today and they said they just but not approved on the website until it as reveiwed.i told them they should but in being processed or something i was up all night upset for nothing !!

denied:frown:i have tricare and the dr office sent everything in yesterday and today i went on the web site and it said denied. i am 236 and 5'4 and thats 100 pds overweight by the met life charts and i have thyroid and pre diabedic!!! im so bummrd im calling in the morning for a reason any body else have them change approval after calling ?

i have tricare prime too, i called dr.monach in tucson office and i hae a appt july9th!! he has done over 250 this year alone.

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:smile:

thats funny about the towel i was just watching army wifes and they had a scene with her wrapping a towel around her and i thought its been a long time since i could do that!!!!! i cann't wait