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Hey friends -

I am just starting the process with my WLS. I would prefer having the sleeve over Bypass, but Tricare seems to think Bypass is better/safer. Apparently, they are not up with the times. Anyway, I was researching on Tricare for any changes in the policy and to see if it would benefit me to try to appeal when the decline comes through. What I found was, Tricare is having a Webinar on July 31, 2014 from 1-2 pm EST. (North Region I guess). Someone named Francine Forestell is conducting this webinar on claims and appeals process. I thought if several people questioned live and online the need for the VSG to be approved, it couldn't hurt. HURRY, there is limited space for participants. I just registered today. Praying they will finally concede!!!

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Bring it on, good luck I've talked with Tricare couple times asking each month if they will change and cover my sleeve with them being a secondary ins. Nope they don't cover sleeves. It's just not fair they usually cover things under the Medicare guidelines but not this :-(

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Hi there,

I was told by TRICARE West Region that the sleeve is only covered if there's a qualified general surgeon with bariatric training that had training doing the sleeve at a MTF. Since we're at a base with only a clinic, the RNY gastric bypass was my only option since having to go down town. I'm glad I prepared for this route-I have acid reflux bad & the sleeve & lap band are no good if you have that. Good luck-maybe you'll be told differently.

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