Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Tricare and abdomnioplasty



Recommended Posts

Like I said, I am moving forward with a well documented PS but at the price tag it would be great for tricare to cover any portion. I have documented psoriasis and I am still having to appeal.

Share this post


Link to post
Share on other sites

Well I won my appeal! It's not even going to cover half but I am glad it is covering some. It pays to stick with something!

Share this post


Link to post
Share on other sites

Yay Mary!!! I am so glad you won. Wish it was more but it helps.

Share this post


Link to post
Share on other sites

Congratulations! That's great news!!!

Susan

Share this post


Link to post
Share on other sites

Hi Mary-

Any advice on the appeal process with Tri-Care? How did you finally win?

Share this post


Link to post
Share on other sites

I wrote a letter stating briefly my journey and explaining the continued success of my weightloss would depend on the skin removal. I believe it helped that I submitted a letter from my bariatric surgeon as well as my PCM that is was necessary and not for cosmosis.

Share this post


Link to post
Share on other sites

I haven't been officially rejected yet, I am assuming. My doctor put the authorization in on Friday. I had the ryn-y 21 months ago and have maintained my 135lb weight loss for the past 6 months. I have the sores, rashes and infections. It's all very well documented by my PCM and now a surgeon. I have heard it's near impossible to get approved right out the gate so I am trying to learn as much as I can from other Tri-Care patience who have had success. We are active Prime but would consider changing to Standard if it would help my cause.

Share this post


Link to post
Share on other sites

You have one shot to appeal the denial. The letter you write is important so take your time with it the only other thing is to pick a plastic surgeon that will fight for you? Mine was imperative in getting the appeal reversed.

Share this post


Link to post
Share on other sites

Tricare paided for my Tummy Tuck. I had my band and in 2011 I had my tummy tuck in 2013 and was covered. Im' now having a revision from band to bypass on the 30th that tricare is covering also

Share this post


Link to post
Share on other sites

I received my approval for both the panniculectomy and abdominoplasty. I was feeling very confident they would approve the panniculectomy portion but figured I would have to pay out of pocket for the rest. I am feeling very blessed for the dual approval, I know in today's TriCare would it's highly unusual. Surgery set for 21 May.

Share this post


Link to post
Share on other sites

I received my approval for both the panniculectomy and abdominoplasty. I was feeling very confident they would approve the panniculectomy portion but figured I would have to pay out of pocket for the rest. I am feeling very blessed for the dual approval, I know in today's TriCare would it's highly unusual. Surgery set for 21 May.

How did you get them to approve it? I'm having so many skin problems it's not even funny.

Share this post


Link to post
Share on other sites

I received my approval for both the panniculectomy and abdominoplasty. I was feeling very confident they would approve the panniculectomy portion but figured I would have to pay out of pocket for the rest. I am feeling very blessed for the dual approval, I know in today's TriCare would it's highly unusual. Surgery set for 21 May.

Congratulations!! As I said, Tricare is only covering the panniculectomy. My plastic surgeon didn't even submit for abdomnioplasty as it is strictly cosmetic and won't be covered which I believe because he had to talk with tricare multiple times just to get panniculectomy approval. I am content with the discount I am getting and now focusing on the procedure and recovery......you should hear from me next week!

Share this post


Link to post
Share on other sites

Anyone have AETNA insurance? Ifso how long did your approval for plastics take? on breast reduction or TT...

Share this post


Link to post
Share on other sites

Post op day 3 of abdomnioplasty and couldn't be more happy!

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • cryoder22

      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
      1 protein shake (bariatric advantage chocolate) with 8 oz of fat free milk 1 snack = 1 unjury protein shake (root beer) 1 protein shake (bariatric advantage orange cream) 1 snack = 1 unjury protein bar 1 protein shake (bariatric advantace orange cream or chocolate) 1 snack = 1 unjury protein soup (chicken) 3 servings of sugar free jello and popsicles throughout the day. 64 oz of water (I have flavor packets). Hot tea and coffee with splenda has been approved as well. Does anyone recommend anything for the next 3 weeks?
      · 1 reply
      1. NickelChip

        All I can tell you is that for me, it got easier after the first week. The hunger pains got less intense and I kind of got used to it and gave up torturing myself by thinking about food. But if you can, get anything tempting out of the house and avoid being around people who are eating. I sent my kids to my parents' house for two weeks so I wouldn't have to prepare meals I couldn't eat. After surgery, the hunger was totally gone.

    • buildabetteranna

      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

      · 0 replies
      1. This update has no replies.
    • BetterLeah

      Woohoo! I have 7 more days till surgery, So far I am already down a total of 20lbs since I started this journey. 
      · 1 reply
      1. NeonRaven8919

        Well done! I'm 9 days away from surgery! Keep us updated!

    • Ladiva04

      Hello,
      I had my surgery on the 25th of June of this year. Starting off at 117 kilos.😒
      · 1 reply
      1. NeonRaven8919

        Congrats on the surgery!

    • Sandra Austin Tx

      I’m 6 days post op as of today. I had the gastric bypass 
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×