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fsherald

LAP-BAND Patients
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Posts posted by fsherald


  1. Hello all,

    Got a Notice saying I haven't posted in 30 days :thumbup: , so here I am still searching the forms getting all the information I can and might I add there is a lot out there . Just wanting everyone to know that I am still here even though I don't have much to say :cool2: I am still with you whole heartly.To everyone thank's for so much information that is given so freely you all just jump in to help out when someone is in need and I really admire that .:w00t:

    Francine :eek:


  2. HOPE THIS INFO HELPS FOR TRICARE INS!

    Go to the TRICARE website at www.tricare.osd.mil/

    standardprovider to locate a provider in your area

    (South Region)

    TRICARE covers most inpatient and outpatient care that is medically necessary and considered proven. However, there are special rules or limits on certain types of care, while other types of care are not covered at all. This section provides details about services that TRICARE covers, limits and excludes. This is a guide to your TRICARE coverage - it isn't all-inclusive. Some services or treatments require prior authorization. Your coverage and out-of-pocket costs are dependent on your eligibility as a TRICARE beneficiary and may vary according to the program option you're using. Contact your regional contractor or TRICARE Area Office for more information.

    Gastric Bypass

    TRICARE covers gastric bypass, gastric stapling and gastroplasty to include vertical banded gastroplasty and laparoscopic adjustable gastric banding (Lap-Band surgery) is covered only when the beneficiary meets one of the following conditions:

    • Is 100 pounds over ideal weight for height and bone structure and has one of these associated conditions: diabetes mellitus, hypertension, cholecystitis, narcolepsy, Pickwickian syndrome, hypothalamic disorders or severe arthritis of the weight-bearing joints
    • Is 200 percent or more over ideal weight for height and bone structure
    • Has had intestinal bypass or other surgery for obesity and because of complications, requires another surgery (takedown)

    TRICARE does not cover:

    • Nonsurgical treatment of obesity, morbid obesity, dietary control or weight reduction
    • Biliopancreatic bypass, gastric bubble or balloon for the treatment of morbid obesity

    Last Modified: March 24, 2008

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