munger

I am so happy for you - I hope you can not detect the raging jealousy!!!! I know how much you want this and I am truly happy for you. I got a letter form Tricare also on the 19th - but mine was to say that basicly they needed me to resubmit EVERYTHING!! So off to the clinic - agian, wieght, height, bone structure....... faxxed it to her - again!! Of course she said it will be a few weeks before I hear anything - I am sure that they will take more than a few weeks and then they will need something else! Enjoy your Christmas. Have one last piece of fudge or fruit cake which ever is your passion! Don't forget to shop all the winter sales for severl size smaller - so you will have new clothes for cheep! 75% of an expensive size 10 sweater, or coat. My friend Lisa says she is always cold now - less insulation! What will you new years resolution be? Again, I am sooooo happy for you ( and SOOOOO jealous!)

WOW that is quick!

GREAT! I hope everything goes well for you. We have about the same profile - so I am REALLY glad to see you get approved because maybe I still have a chance! When are you going to get it done? Will you do it before Christmas? Will you have to go on a protein diet? You are so lucky - I am sooooo jealous!!

I am going crazy trying to second guess TriWest. I had no problem getting a referral and seeing a Dr. I had my Dr do a weigh-in, went to a seminar and then they submitted the paper work thinking everything was fine. It was denied. TriWest Phoenix sent me the denial letter and I submitted what I thought was enough info. - but silly me I did not enclude my medical records, only a letter like I thought they had asked for. So they denied me again. I will take the hit for that one. I had all the number correct, I simply thought that they had access to my records. They do not. So with the second letter I encluded everything! I went to the clinic on post and weighed in everyday and had my blood pressure monitored. I renewed all my perscriptions so they knew I was taking meds for high blood pressure, high cholesteral and low thyroid. I had an old English teacher edit my paperwork and make sure that there was no mistaking what I had or what I wanted. I sent the package off certified mail - because they do not have a fax number in Aurora Colo. They recieved the package 2 days later. They responded to me 2 WEEKS later with a form letter simply stating that they had it. I have now been waiting sense Sept 25th with no end in sight. I was told - not once - not twice but three times that they have no time limit on when to respond to my appeal!!! So I will worn anyone that is trying to work with Tricare - make sure everything is right the first time or they will make you wait and wait and wait and ..... 60+ days and still waiting!!! I wish you luck. I have a friend in GA that went through this she had almost the same with (3 pounds less than me). Only high blood pressure and she was approved in 2 weeks. So I believe that it is luck of the draw and not regulation that guides TriWest. Hope you get what you want - I am still waiting.

The only good thing about not being banded yet is I did enjoy more than a cookie! I am actually trying not to diet just incase they want me to jump on a scale agian. This is the first time in 10 years I have not been on a diet.

This is driving me nuts - It has been over 2 months and there seems to be no end in sight! I even emailed Tricare to make sure of the policy - and they stated that there was no time limit. I would love to find out before Christmas.

Hi, I hope you do get approved without having to jump through too many hoops. I would make sure that the Dr - writes everything down. I had high blood pressure - but was not taking meds. So they said it was untreated and I believe that was what got me denied the first time. I had my BP and my weight monitored for a week. I MADE the Dr give me a HP pills and I have resubmitted my letter. I have been waiting for ove 60 days on this second appeal. The first one I got back in less than a week. I believe the more they know about you the first time the easier it will be. Make sure if there is anything wrong with you it is in your records and writen in the letter that they submit to Tricare. Good luck and I will pray for you.

I will also say a prayer for you. When you submitted your appeal did you have to resubmit it to a different place. The first time I was denied I submitted my paperwork to AZ. When I turned my appeal in the second time I had to send it to Colo. I have been informed that they have NO timelimit to respond to the appeal!! So I could wait 3 months to a year!!! I have been waiting 3 months now!! I hope they go quickly for you.

Did you send your package back to the first people who denied you or did you have to send your package to a different place?

I looked at the weight chart - and if you are 13 pound light then that means that they want you to be right in the middle of the "medium" weight limits or higher. I was denied - they did not even tell me why. So I went crazy and documented everything. Then I had to send the infor to Aroura Co. - these people have not turn around time, no requirements to contact you or even update your status. So I have been waiting for almost 2 months - with no indication one way or the other!!! I hope you do not have to deal with them!!!!

All it stated was factual deniel. So I guessed that either I was under weight ( I was right in the middle of the medium section for being 100 lbs over weight) or that I my meds for high blood pressure was not documented. So I had them record my weight and BP for a week - had my Rx refilled and resubmitted. It has been over 30 days and I still do not know anything new!!!

how tall are you and how much do you weight? I was turned down the first time - I'm not sure why.

How tall are you and how much do you weight? I am 5'6" and weight 247 - I am pending approval from TriWest. I have high blood pressure and High colesteral.

Hi, I started this process at the end of July! I thought I had dotted all my "i's" and crossed all my "t't" BUT I still got denied. I am 48, 5'6", 247 pound, high blood pressure and colestral(400+) on meds for both, and have been recommended for back surgery because I have degenrative whatever! I was turned down in a matter of days by the people in Arizona. I got my paper work back and sent it to Colorado - after they had my package for 2 weeks they finally sent me a letter stating that it was on someones desk. Now that has been over 2 months! So I figure I have 30 more days to wait to get my - third deniel!! C

The people in Aurora "don't have a phone" nor do they have a fax!!!!

I think they do come up with their own obstacle course!! I had a friend in GA - she asked, when to a phys. eval and was baned with in a month!! Our BMI and comorbities were the same and I got denied!!!

The letter is the appeal - I think. I wrote a letter and then also went and got my weight and blood pressure checked for a week and sent that in also. It has been over 30 - and still no word. So I am not sure if I did it correctly.

It was a factual deniel - I guess it means that I did not meet the requirements. Nothing else was stated. I was kinda left hanging. I did get an e-mail from someone at Triwest - and they could not figure out why I had been denied either - by looking at the requirements and was told to appeal.

Going by the chart I am 100 pounds over weight!! I am medium frame, so at 247 that puts me over wieght for even a large frame woman. The reg states that they have to add 100 pounds to both the upper and lower end of the weight chart. Unless I am reading it wrong!!!