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Tricare north appeal low BMI



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Hello I was wondering if anyone has filed an appeal for a revision? I had to do a pathway program in order to get my original surgery and fell to a 34 BMI but was able to still get the surgery because of my starting weight. It's been two years and my new doctor says they screwed up my sleeve and I need a revision but Tricare denied me do to being only 34 at the original surgery. Any tips on what to put in my appeal to get this done would be appreciated.

I had my original surgery done in an Army Hospital if that helps anyone

Thanks

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Not familiar with the appeals process, but I would definitely see if your current doc will put into writing that the band was "messed up" when installed originally. I would think there would be some weight behind a medical professional making that claim "officially" that could help you in your Quest for an appeal.

Hope it all works out for you!

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