Alittle Confused :-/

[MendyB 8]

I have a question about Tricare. I have all my doctors and test done but my physicians weight loss documentation goes back to 2005 to date. It is not consecutive because the medications given is not for long term use. Would they deny me based off this or do they look for documentation that the program has been done? I also have documentation since November with my updated weight loss program?

All of this is very confusing because it seems people get approved and denied based off the smallest wording or mistakes in documentation. Ive been waiting now over a week and starting to get nervous... Grrrrr

[Lisa Renee Cook Pettit 19]

me to i am going thru the same exact thing rite now and I already have my surgery date!!!Its bullcrap and f we awant to have a surgery to help us with our health why cant we??I KNOW what your going thru i truely do.

[MendyB 8]

Btw, I have the blood work, dietian, physiologist and surgeon appt, upper GI, chest X-ray, weight loss documentation and my primary doctors notes since November all completed. What am I missing????

[mandagay 93]

Do u need an EKG or a sleep study? Diff ins require diff things

[MendyB 8]

This is so frustrating .... I don't know whether to be happy, worried, sad or mad.

[MendyB 8]

I've had my EKG and I do not need a sleep study;) I do have high blood pressure and depression. Blood pressure medication almost 2 years, depression medication over 20 years and a BMI of 38:(

[mandagay 93]

Well I know it's tough but sounds like u just have to wait now. Unfortunately u will have some down times of just waiting (waiting for solid foods, waiting for restriction etc.) it will b here before u know it. Good luck!!

[waitingpatiently 250]

Which tricare? north?south? standard or prime. I have tricare north/standard

I was able to sign up on line and was able to check on the status of my approval. It took a week. Is your Bmi 40 or 35 with co-morbidities?

[MendyB 8]

I have Tricare north. I have a BMI of 38 with high blood pressure and depression. My lab work last month shows elevated blood sugar, triglyceride and cholesterol. So the doctor wants to start monitoring this every 3 months.

[new beginnings03 9]

I also have Tri care and went through this same process. At first they denied me because I didn't have current 6 months of consecutive dr visits regarding my weight issues with my PCP. So I had to compete that first than I appeal it and I was approve in February and just had my surgery yesterday.

Hang in there things will get better for you soon you can also log Into triwest.com with your user name etc and check the status on approval or not . Best of luck to you

[waitingpatiently 250]

If you have the bmi and the comorbidities, the most they can do is make you do the 6 month diet. High blood Pressure is definately a comorbidity ....don't think depressions is, but I could be wrong.

Just jump through all the hoops and you will get there. Try not to get discouraged.