Lap Band to Gastric with Tricare Prime

[talkalot1981 5]

I'm just curious if anyone has had their band removed and then got gastric I was banded in 2009 I have an apt with my surgeon to discuss if this is even possible with Tricare insurance Any advice would be helpful

[Mikee57 699]

I know Tricare Prime covers the lap band and also the gastric bypass...don't think they cover the sleeve...best wishes talkalot1981

[☠carolinagirl☠ 18,721]

i have Tricare prime north

best answer is to call Tricare and tell them what you wrote here

and they will say yes or not or what to do to see if you can have it done

mikes is right, when I was banded in 2012, Tricare said sleeve was not something

they would approve (it may have changed I don't know)...

all the best.

[Mikee57 699]

Talkalot1981, I just found this in Tri-care Provider News

TRICARE covers the following bariatric surgical procedures:
• Roux-en-Y gastric bypass
• Vertical banded gastroplasty
• Gastroplasty (stomach stapling)
• Adjustable gastric banding (i.e., adjustable LAP-BAND®)

TRICARE does not cover:
• Nonsurgical treatment of obesity or morbid obesity (commercial diet programs, weight-loss supplements)
• Redundant skin surgery when performed solely for the purpose of improving appearance
• Biliopancreatic bypass, gastric bubble or balloon, gastric wrapping/open banding or sleeve gastrectomy for the treatment of morbid obesity
• Devices used for bariatric surgery not approved by the U.S. food and Drug Administration
Note: TRICARE only covers one bariatric surgery per lifetime. In certain medically necessary circumstances, TRICARE will also cover bariatric-revision surgery. For more information, visit www.tricare.mil/coveredservices. n

[talkalot1981 5]

Has anyone ever converted from the band to gastric with Tricare? Do they cover it?