Jump to content
×
Are you looking for the BariatricPal Store? Go now!

TRICARE PRIME PATIENTS



Recommended Posts

I am waiting for my referral to go through and then I will schedule an appointment with the surgeon. I want to know of anyone who got approved for surgery with a BMI of 40 or lower and what comorbs or problems you had that helped you get approved. I think my BMI is just 40 but I do not have any of tricares comorbs that are listed.

Share this post


Link to post
Share on other sites

Mine was about 39 but I have type 1 diabetes. My PCM doesn't give you the referall for the surgeon if you don't qualify, I'm not sure if they are all the same. So where are you guys stationed? I'm at Fairchild. Oh, the process went really fast too! I was done with everything and scheduled for surgery in less than 3 months. :D

Share this post


Link to post
Share on other sites

I asked my PCM for a referral, and she willingly gave it, since she knew how hard I'd tried to lose weight before this. By the time my surgeon asked Tricare to approve me for surgery, my BMI was barely 40. I had high blood pressure, high cholesterol, and arthritis in weight-bearing joints. It was only three working days between the submission of the request and the approval. Tricare is VERY easy, if you meet their minimums. Depending on your stats, you may qualify for surgery just based on your BMI and weight.

Good luck!

Dave

Share this post


Link to post
Share on other sites

I am waiting for my referral to go through and then I will schedule an appointment with the surgeon. I want to know of anyone who got approved for surgery with a BMI of 40 or lower and what comorbs or problems you had that helped you get approved. I think my BMI is just 40 but I do not have any of tricares comorbs that are listed.

i just got my referral in and it was approved but the surgeon they picked does not go the lap band grr so i have to find a new one. i think i might have found one i go in friday im so scared

Share this post


Link to post
Share on other sites

Mine was about 39 but I have type 1 diabetes. My PCM doesn't give you the referall for the surgeon if you don't qualify, I'm not sure if they are all the same. So where are you guys stationed? I'm at Fairchild. Oh, the process went really fast too! I was done with everything and scheduled for surgery in less than 3 months. :D

Camp Lejuene:)

Share this post


Link to post
Share on other sites

i just got my referral in and it was approved but the surgeon they picked does not go the lap band grr so i have to find a new one. i think i might have found one i go in friday im so scared

I told my doctor what surgeon I wanted to go to and he wrote it down so hopefully no confusion there

Share this post


Link to post
Share on other sites

I asked my PCM for a referral, and she willingly gave it, since she knew how hard I'd tried to lose weight before this. By the time my surgeon asked Tricare to approve me for surgery, my BMI was barely 40. I had high blood pressure, high cholesterol, and arthritis in weight-bearing joints. It was only three working days between the submission of the request and the approval. Tricare is VERY easy, if you meet their minimums. Depending on your stats, you may qualify for surgery just based on your BMI and weight.

Good luck!

Dave

Yeah i don't have the comorbs I am 5'5 244 BMI 40 thats all I got hopefully that will be enough, I am SOOOOO over it, i've been overweight for 20 years and i'm only 24 :/

Share this post


Link to post
Share on other sites

They have messed mine up before, but when you called the Tricare 800 number they change it over the phone, no big deal. Good luck, I hope you get it!

Share this post


Link to post
Share on other sites

I am a Tricare Prime Member. My BMI is 36 currently and my doctor submitted my case for approval on Tuesday. When I came home yesturday I checked the tricare website hoping to see that the request has been entering in the system. I was very suprised to see that I had already been approved. It was less than 24 hours. I only have high blood pressure. So mine was very quick. I hope that this helps you feel a little better about your chances.

Share this post


Link to post
Share on other sites

I am a Tricare Prime Member. My BMI is 36 currently and my doctor submitted my case for approval on Tuesday. When I came home yesturday I checked the tricare website hoping to see that the request has been entering in the system. I was very suprised to see that I had already been approved. It was less than 24 hours. I only have high blood pressure. So mine was very quick. I hope that this helps you feel a little better about your chances.

YAY yes girl it does!. Congrats:) What region are you?

Share this post


Link to post
Share on other sites

YAY yes girl it does!. Congrats:) What region are you?

I am in tricare region South. I hope that it helps. I think it helps if your doctor basically builds a case for you. I am hopeful that I can get surgery during the schools spring break so I wont be out too long. One step at a time and it seems to be coming together nicely. Have faith you will get it.

Share this post


Link to post
Share on other sites

I am in tricare region South. I hope that it helps. I think it helps if your doctor basically builds a case for you. I am hopeful that I can get surgery during the schools spring break so I wont be out too long. One step at a time and it seems to be coming together nicely. Have faith you will get it.

GRRR I am north still haven't heard of anyone in North Region getting approved without meeting all requirements. I guess on the bright side its the military and we will probably get moved to a different region eventually.

Share this post


Link to post
Share on other sites

Hi,

I am in process of trying to get my BMI to 35. I have type 2 diabeties,HC,HBP. I am having to gain 10pds to reach 35bmi even though Tricare isn''t requiring it? The surgeon is the one requiring the BMI 35.

Has anyone had to gain to get approval? I am Tricare Standard retired living in VA.

Share this post


Link to post
Share on other sites

Hi,

I am in process of trying to get my BMI to 35. I have type 2 diabeties,HC,HBP. I am having to gain 10pds to reach 35bmi even though Tricare isn''t requiring it? The surgeon is the one requiring the BMI 35.

Has anyone had to gain to get approval? I am Tricare Standard retired living in VA.

I have read about alot of being having to gain weight to get approval and i've heard of people wearing ankle weights so that they weigh enough lol not that I am recommending

Share this post


Link to post
Share on other sites

Camp Lejuene:)

hi, im from camp lejeune and go on wed to see my surgeon for a surgery date :)

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • cryoder22

      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
      1 protein shake (bariatric advantage chocolate) with 8 oz of fat free milk 1 snack = 1 unjury protein shake (root beer) 1 protein shake (bariatric advantage orange cream) 1 snack = 1 unjury protein bar 1 protein shake (bariatric advantace orange cream or chocolate) 1 snack = 1 unjury protein soup (chicken) 3 servings of sugar free jello and popsicles throughout the day. 64 oz of water (I have flavor packets). Hot tea and coffee with splenda has been approved as well. Does anyone recommend anything for the next 3 weeks?
      · 1 reply
      1. NickelChip

        All I can tell you is that for me, it got easier after the first week. The hunger pains got less intense and I kind of got used to it and gave up torturing myself by thinking about food. But if you can, get anything tempting out of the house and avoid being around people who are eating. I sent my kids to my parents' house for two weeks so I wouldn't have to prepare meals I couldn't eat. After surgery, the hunger was totally gone.

    • buildabetteranna

      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

      · 0 replies
      1. This update has no replies.
    • BetterLeah

      Woohoo! I have 7 more days till surgery, So far I am already down a total of 20lbs since I started this journey. 
      · 1 reply
      1. NeonRaven8919

        Well done! I'm 9 days away from surgery! Keep us updated!

    • Ladiva04

      Hello,
      I had my surgery on the 25th of June of this year. Starting off at 117 kilos.😒
      · 1 reply
      1. NeonRaven8919

        Congrats on the surgery!

    • Sandra Austin Tx

      I’m 6 days post op as of today. I had the gastric bypass 
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×