bkc951 0 Posted September 7, 2011 Hello to All! I'm new to this site and I just saw my primary Doctor today&we are now awaiting approval from my insurance(tricare). According to my insurance I need a BMI of 40(which I don't quite meet) for them to cover procedure. I do have a few other health issues I hope they will consider, and approve me! I'm told I should hopefully have a decision within a week. Fingers Crossed! Congrats to those of you who have started your new journey! Share this post Link to post Share on other sites
So Cal <3 0 Posted September 8, 2011 I'm new here too, I also have Tricare and saw my PCM yesterday as well. We sound like we are in the same position I also am not quiet at to 40 BMI either but do have other health issues as well. So looks like fingers crossed to both of us I hope Tricare approves us both!! Share this post Link to post Share on other sites
formykids2 4 Posted September 9, 2011 The new policy with tricare (that doesnt come up on the websites just yet apparently) is not just 40 bmi. It is 35-39.9 with other health issues from the obesity and 40+ bmi with no other health issues. The previously listed comorbidities from the tricare policy book are not the only ones they are accepting anymore so there may be a posibility that they will look at the things you have as a qualifier, but you do have to show that you have had physician suppervised/ medical weight loss attempts that have not been successful. They will accept like weight watchers or whatever diet as long as you are seeing your doctor monthly for monitoring. I really hope that the new policy gets listed on the tricare sites soon so that people can know what is offered and what they are up against to get approved. Share this post Link to post Share on other sites