Denied by Tricare, going to appeal-help!

[mamagirl 0]

Hi there, I'm new here. Tricare just recently denied my appeal saying I didn't weigh enough. I am going to appeal, any suggestions? I'm 5 lbs below the 200% mark with no cormorbidities.

I'm also using the OBand center in Tustin, CA so if anyone has experince there, please share. Thanks!!!

[Mimilou2004 13]

There is only one way to get Tricare to pay and that is to weigh what they want. Are you sure, absolutely sure that you are not shorter than you think? I don't know about you, but I can gain 5 pounds in the blink of an eye!!!

Good luck,

Mimi

[MsShay 0]

I had the same issue with Triwest and I appealed and was banded on `12/28/09. You have to fight with them. It seems like they deny first. :cursing:

[Mimilou2004 13]

MsShay. You are fortunate your appeal succeeded. Can you tell us what the merits of your case was/were? I have Eastern Tricare and if you don't meet the letter of the standards you don't win the appeal from what I have been able to discover. Congratulations.

Mimi

[mamagirl 0]

Thank you for your replies! I had a good talk with a tricare representative today and she told me to make sure my doctor specifies my body frame. I'm going to see what I can do to gain a few pounds as well.

[mlillie36 1]

I have tricare and I was approved. I say put some rocks in your pockets.

[Mimilou2004 13]

Ankle weights, too, LOL. Good luck, Mamagirl, and be as short and small framed as you can be!!!!

Mimi

[nawlinzlady 1]

Oh and eat salty food and drink alot of water.....worked for the red team on Biggest Loser :thumbdown: