Information About Being Approved By Tricare

[arilyset 2]

Alright I've been doing so insane research about LapBand, reading all the benefits, and risks. I've decided I would like to have the surgery. BUT I'm only 20, and can't prove I've been dieting, i.e. I've never tried weight watchers/bally ect. Also I don't have (to my knowledge) a secondary medical cause because just being over weight. I'm 5'6/5'7'' and weigh 260, my ideal weight is 143-140. My BMI is about 40-42. I've been on a diet for 8 months, and have gained at least 10 lbs. So does anyone know if TRICARE will approve me? IDK if it helps but I have endometriosis, and the hormones are why I've gained over 50 lbs in a year.

Thank you so much <3

[ErinMarie 186]

What kind of tricare do you have? And with your BMI you should have no problems getting approved. As far as dieting, last year tricare didn't require 6 months of dieting beforehand. Of course, the policy could change since it's the new year! Good luck!

[arilyset 2]

My Husband says it's Prime. I know it's just the basic type. Its just my weight has always been a problem I'm going to see my doctor in March Probably I wanna diet a little longer, but being a mom in a new state, and having really no time to go to the gym, I don't see my loosing any you know? Thank you <3 I hope my dr actually listens <3

[ErinMarie 186]

Prime is excellent! Don't worry! Just get a letter of necessity from your PCP and you shouldn't have any problems! I was approved in about 3-4 weeks with no issues and I had tricare RS

[arilyset 2]

Thank you so much.. I'm gonna make the appointment soon. <3

[MrsMoretti 0]

I just went through this whole process 3 times and got denied by them finally round 3 I appealed my case and got approved .... I fought this denial because I met all the guidelines and in there policy it does not state u need 6 months they just try to tell u that over the phone but for this to be in affect it has to be in writing in there policy ... That's why I fought it and won because they tried to tell me I needed 6 months of failed weightloss attempts .... But they couldn't prove that cuz its not in the policy ... I think you have a good shot , if they deny you appeal it and mention what I said in ur letter ... Hope this helped ....