Tricare Prime

[Aqusis 16]

Is your dr out of network? That would cause a lesser level of benefit to be available.

[carlak 59]

Lap Band Warriors, please help. TRICARE has denied my surgery! They want me to write an appeal, which I have only 14 days to do so. The lady at TRICARE told me to quote articles etc. One day I saw where someone had written an EXCELLENT appeal letter quoting all sorts of articles, facts etc. If anyone has any experience with this, Id really appreciate the help.

Thank you !!!

[carlak 59]

my doctor is in network

[mmuralles2003 0]

how long from first consultation to surg? im hoping mine goes fast! any helpful info would be appreciated! im 27/ 40 bmi...no medical conditions...

[carlak 59]

[Good luck. I spoke to the head of Tricare Thursday and was told IBM I have 40 is not need any other health conditions. 40 supposedly qualifies within itself

[Blast 12]

the dr called tosay and said tricare came back and said they would only pay for 50 percent of the surgery anyone ever hear of this?

I have Tricare Prime and I was approved with no problem. I didn't have any health problems. My BMI was enough to qualify me for surgery. I just needed the doc to refer me for surgery.

[carlak 59]

What was your bmi

[Blast 12]

47.5

[carlak 59]

What was your Bmi?