KarinaM

I'm sure she will have NO problems on getting approved as long as she gets all her tests done (pscy eval, nutricionist, PCM letter and sleep study). Besides the nutricionist eval she should be getting all paid by Tricare.

I have High cholesterol(not comorb) and a very bad accid reflux desease(not considered eather) and high blood sugar but I'm not diabetic. My chances are almost 0, I guess.

Hi, I had to pay for my nutricionist because TriWest will NOT pay for it. I agree that TriWest its harder to get proved.

Any news, Meggie?

Yes and no they only sent me a letter saying I did not meet the criteria (the 100lb over with one comorbidity or 200%). I "gained" 20lb more and sent my appeal. I'm sure it will be a denial because it's taking more then 30 days.If it was an approval I think they would done it faster, What do you think?

Meggie, I would no wait for your surgeon to call TriWest. I'm still waiting and will be one month this friday. I had a TriWest lady on the phone lst week and she started: "oh you called...." I interrupted her and told her not to count because I call at least twice a day everyday and I also check the web at least 10X. After she told me it was still pending I told her: Ok I will call again tomorrow morning. hehehe They are probably hopping I get approved so they can get me to stop calling.

OMG. I'm so sorry for all this trouble you are going thru now. I'm sure this will be all gone very soon and you will be able to enjoy the band.Just remember you will get great results. Will Tricare cover the antibiotic????

YOU GOT IT!!!! I'm so happy for you. Hope you feel better soon. Just remember it's worth the pain. hehehehe:thumbs_up:

Meggie, I think you have Triwest. 1888-triwest

Meggie, I agree. How can you wait until the next day??? YOu have to drive them crazy. Keep calling. I call at least twice a day. I'm sure doesn't make much difference in my case, but I'm on top of whats going on. You know they don't care about us. Call your doctor, call Tricare.Did you get your letter yet? Who will be doing your appeal, the doctor's office or yourself???Ask the Dr's office what's the procedure and we go from there.

Nothing yet Meggie. Let us know if the doctor called Tricare. :thumbup:

HI Meggie, did you decided to do the appeal? I had the surgeons coord call Tricare and they told her the same thing I was told PENDING REVIEW and they told her usualy they take 30 days or up to 60 days. (TriWest sucks)!!!!!:thumbup: Lrt me know if you need help. Our friend JWRN is banded by now. I'm so happy for her.She was a great help and support for me.

Good Luck tomorrow.Congrats.:thumbup:

HI Meggie. I never heard of the surgeon calling Tricare but I think this is great. I could never expect this from my surgeons office. I emailed my surgeon coord asking her to call to find out what the status is and she never got back to me, not even to say no. YOU HAVE TO APPEAL. Of course I had no answer on my appeal. I call TriWest abt twice a day, but I know will de a Denial. I really think YOU have great chances to win on your appeal, so don't give up.

DOes anyone know for sure if the wesite is 24 hours behind or not? I got diferent ansfers from Tricare people like always.

I spend ALL my day checking online and I call at least 3 times a day. I guess I'm the most hated at Triwest. They never give any diferent info. They always tell me they are "working on my appeal". hehehGood luck.

You've got to be kidding/ OF COURSE you have to appeal. Did they tell you WHY you got denied? I understand I got denied because I have no comorb (I'm prediabetic and high cholesterol, but they do not consider) and I was under the 100lb before so I had to "gain the extra pounds, but you should DEFINETLY appeal.Let me know if you need help. JWRN helped me a lot maybe I can try to help you on your appeal.:wub:

Hi Meggie, any news? I'm still pending.

I agree 100% with eveyhing you said. I'm from Brazil and the funny thing it is that I see on my brazilian channel things that are not allowed to show in our television. The WHOLE wold it is sorry for americans for the past 8 years of Republicans at the government and how they were able to DESTROY or at least to a darn good job with our economy and how ugly we look out there with a very stupid president doing whatever he wants and we just let it happened not doing anything about his stupidity. I do not understand how people will not sign up to vote when it is so important. I believe voting it is not only a previlege it is a OBLIGATION. Mr. Mcain can be a great soldier, but honestly we DO NOT NEED A SOLDIER we need the miracle of change. Obama might not be a miracle but I will not take 10% chance with Mr. MCcain.

Hi, have TRIWEST. TriWest

Is NP Non Provider???? Mine it is also a non provider, but they told me this is not a problem. We have no MTF here.I think you will be approved. JWRN was approved on her appeal in 4 days, but they do tell you UP TO 60DAYS so there is nothing I can do about it. The approval should not take more then 5 days unless they have questions to the Doctor and they take long time to get back t Tricare(happened to me). Let us know as soon as you find out. Oh I just found out th eweb site is 24hous behind, so try callling tomorrow to find out.Or even today.I would.

I have Triwest Prime Remote and it took 7 days to get my denial(the Dr's office took forever to get back to Tricare) and now its being 8 days and the apeal still showing pending.Good luck to you.

Have you try EBAY? I am trying to get 2 one for me and one for my sister but Best Buy is sold out. I will try Ebay.

Hi, We were always in California(my husband refuses to move out of California). I'm from Brazil and he is from Arizona and we net in San Diego where he was stationed in the Navy and I was there to learn Inglish. When we got married we were in San Diego for one year then we moved to Port Hueneme(Between Los Angeles and Santa Barbara) and we hated the 3 1/2 years we were there. In 2003 we moved back to San Diego ( he joint the US Coast Guard) and we were there for almost 4 years but last year in August we had to move to the Bay Are (San Francisco area). It's nice but nothing is better then SAN DIEGO. I bet if you get to stay there you will never want to move.

I do have NOW high cholesterol and I'm pre diabetic it does not metter to Tricare). I had to "gain" 20lb to send my appeal, hopefully will wok, but since they are taking too long on my appeal (its being 8 days), I think it will be a big NO. When is the surgery again? Good luck.