melon11 0 Posted October 19, 2011 Has anyone been approved with Tricare for Lap Band without having any co-morbidities? I had my docs apt with my PCM this morning and he's going to put in a referral for the surgery. other than being over wight I dont have any other co-morbidities. Has anyone else been approved through Tricare without having any? Im worried they'll deny (Doc said i should have a problem) my request to get the surgery done. Share this post Link to post Share on other sites
Mimilou2004 13 Posted October 19, 2011 What is your bmi? it must be pretty high to qualify with no co-morbidities. Share this post Link to post Share on other sites
melon11 0 Posted October 19, 2011 Odd thing is he never tested it. He merely told me after talking about the situation that I am a candidate for the surgery and that i Shouldnt have a problem getting approved by insurance. I thought it was odd, but i can always go through my next appt. whether it be my pcm or my consult with the surgeon. Im 5'5 @ 316. Share this post Link to post Share on other sites
amiller1010 2 Posted October 20, 2011 I qualified through Tricare and I had no co-morbidities. Your BMI is 52.6. You should qualify also. I was 5'1" and 345, so my BMI was definitely high enough. You can always check Tricare's website also. Good Luck!! Share this post Link to post Share on other sites
Mimilou2004 13 Posted October 20, 2011 Your statistics weren't included in your original post...you will get approved. Good luck on your journey. Mimi Share this post Link to post Share on other sites
melon11 0 Posted October 20, 2011 Im hopeful I will. Hearing your stories helped ease some of the anxiety of possibly being denied. Thanks guys! Share this post Link to post Share on other sites
KBoo 3 Posted October 21, 2011 My husband had tricare when he was deployed butane I've never heard great things about it from the wives. Your bmi doesn't have to be tested they use your height and weight. GOod luck I'm sure it will be approved unless they have time restrictions Share this post Link to post Share on other sites
Lytha 2 Posted October 21, 2011 I was appproved through Tricare, then I did a genious move my enrolling in my new company's Health Care, so I had to wait about 30 days to get my insurence cards. I was approved by both. I know a number of people who were approved for Tricare on their BMI alone. Good luck. Share this post Link to post Share on other sites
Lytha 2 Posted October 21, 2011 I was appproved through Tricare, then I did a genious move my enrolling in my new company's Health Care, so I had to wait about 30 days to get my insurence cards. I was approved by both. I know a number of people who were approved for Tricare on their BMI alone. Good luck. Share this post Link to post Share on other sites
melon11 0 Posted October 21, 2011 ***Update*** I received a call from my pmc's office today saying that Tricare is requesting me to go to a nutritionist (given), check in every 6 weeks with my pcm to record progress, and that i HAVE to have records of a diet plan along the lines of Weigh Watchers or Jenny Greg ect.. Then they topped that sundae with the beautiful news that i'd have to pay for that diet plan out of pocket. The wind is slowly but surly being knocked outta my sails. It seems like everytime i get closer to getting approved for the surgery i get knocked back 3 steps. we'll see that happens from here. Share this post Link to post Share on other sites