Tricare Worries

[Melanniek 0]

Hi Everyone!

I'm new here and this is my first posting. I have Tricare Prime, and we are stationed in Missouri. I went to my very first Dr. Appt. with my PCM yesterday. I was shocked that not only did she think I was a good canidate for WLS, but she put my referal in right away. I have read enough on here not to get my hopes up yet. I have my psych eval this friday and my nutritionist meeting on the 13th. Unfortunatly, my surgeon doesn't do a seminar in Dec., so I have to wait until Jan 2 before I can make an inital appointment. I hope with the holidays this time will go by quickly!!! I don't know how fast Triwest moves, but I am crossing my fingers. I was wondering if anyone else has had luck with them. My BMI (wich doesn't mean anything to them) is 40.7. My height is 5'3" and weight is 230. My PCM put high blood pressure as a co-morbid. Thanks in advance for any info!!! Good luck to everyone.

Melannie

[BandedJenny 0]

Hi. I also have Tricare and hoping I will be approved. My surgeon seems to be very confident that I will. My BMI is also 40 and I have no co-morbids. I should know by the end of this week, or early next week. I'll let you know.

[jdmerck 0]

I am Tricare Prime south region i was approved right away i was not denied for anything, i have high BP high Cholest a BMI of 43 so i was perfect for the surgery...i am happy to have Tricare never a problem...good luck you should have no problem, they look at it in a way to where usually if you have Tricare you will be with them for a LONG time so they want you healthy, thats what my PCP told me and the surgeon, i may not have alot of Drs to choose from and i do have to travel an hour north of me but it will be worth it

[Melanniek 0]

LMAO...okay so some weird news...I'm not just obese, I'm pregnant!!!! So surgery denied....lol...good reason though...GL to everyone else

[mabinty 3]

LMAO...okay so some weird news...I'm not just obese, I'm pregnant!!!! So surgery denied....lol...good reason though...GL to everyone else

LOL now that is funny ROTFL:D Anyway Tricare will be there when you need it. I just got my band Nov 22. I did not have any problem, I was approve so fast. I went to a semiar on the 28 of Oct then Nov 15 had my pre op nutrition class Then on Wed Nov 17 had pre op appointment. And that was it no other test had to be done so it was all of 3 week:lol: Congrats on the baby:D

[roedayo 0]

I have had a ton of trouble with TriWest, because I got my surgery done while in the TriSouth region and Triwest refuses to approve my fills, because I not longer fit the criteria for surgery. It has been a nightmare and I hope to have it resolved soon.

[melzie_99 22]

I have Triwest as well and have had issues in the past getting surgery approved (took almost 2 years to get a medically necessary breast reduction) but so far my PCM and the surgeon's office seem confident I should have no problems with approval (I've heard that one before...). My BMI is 43.5 and my doctor listed 4 comorbidities in my referral; I see the surgeon on the 8th. Fingers crossed everything works out but part of me feels like if I get denied I won't fight it...good luck to everyone.