Tricare Prime Bummer

[pjblundell 0]

:help:This is my last find regarding Tricare insurance. I am upset right now, but hopefully they will change. They will pay for gastric bypass, but not LapBand! Go figure...

TRICARE only covers morbid obesity surgery such as gastric bypass, gastric stapling and gastroplasty when the beneficiary meets one of the following conditions:

• Is 100 pounds over ideal weight for height and bone structure and has one of these associated conditions: diabetes mellitus, hypertension, cholecystitis, narcolepsy, Pickwickian syndrome, hypothalamic disorders or severe arthritis of the weight-bearing joints
  
• Is 200 percent or more over ideal weight for height and bone structure
  
• Has had intestinal bypass or other surgery for obesity and because of complications, requires another surgery

TRICARE does not cover:

• Nonsurgical treatment of obesity, morbid obesity, dietary control or weight reduction
  
• Biliopancreatic bypass, gastric bubble or balloon, or gastric wrapping or gastric banding for the treatment of morbid obesity

Last Modified: November 10, 2007

If anyone knows of new updates, please let me know.

pamblundell@aol.com :help:

[Karyn72 0]

Oh my I had no idea. Just got referral to surgeon and just assumed that if surgeon said I needed LB it would be paid for.