Finally Approved By Tri-care

[Startingover! 0]

:wink2: I'm so freakin excited I can't stand it!! I just got approved today after 3 long months!! Now I just have to schedule the surgery.

So excited I can't stand it!!

[linda7 0]

did you file an appeal? I know you said earlier that you were denied, or did your doctor just resubmit? I am in about the same boat you were. My weight is just a little under but I do have high blood pressure and I am diabetic.

[Stay_Tuned 0]

:wink2:YEAH!!

Good for you..... What a happy day for you!!

Congrats!

[Startingover! 0]

did you file an appeal? I know you said earlier that you were denied, or did your doctor just resubmit? I am in about the same boat you were. My weight is just a little under but I do have high blood pressure and I am diabetic.

My doctor just resubmitted it. But I had to be 100lbs over their requirement before they would approve it, even with the co-morbs. It's bad to say but I purposely gained a few pounds for the approval. Otherwise I would have never been approved. Good luck to you!

[mommakatx2 0]

CONGRATS to you!!!! I know you must be so relieved and excited!!! It won't be long now!

[gina s. 0]

YAY! I'm still waiting, hopefully I'll get approval too!

[bama_belle 0]

Congratulations!

I also have Tricare, and it wasn't as bad as I thought it was going to be to get approved, but I was already above the 100 lbs and diabetic and sleep apnea AND some other issues, so it only took me a week (no kidding!) once the Dr. submitted.

I'm scheduled for banding on May 29 and I can't wait for it to get here!:thumbdown:

[msjessy 0]

Congratulations! Keep us posted.

[Jesusislove 26]

Congrats! Be blessed.

[Startingover! 0]

Thank you to everyone! My surgery date is June 17th. It seems like a lifetime away! But I figure I've waited months to get approved so I can wait another month.

[StoreyAnsley 0]

Hi Amy, I have been following your posts all the way from Alaska!! lol

I was denied by Tricare the same day you were. I was at 38.6 BMI, with co-morbs but not THEIR specific co-morbs. Once I was denied, I called the insurance lady at the Dr. office and she said I need to get in the office to weigh in, put rocks in my pocket or just whatever, but et over that 40 BMI mark. Well, I put weights in my pocket and came in at a BMI of 41!!! Then, my insurance lady who does the appeals went on medical leave and will not be back in until Monday, 5/19.

Do you think I will get approved now with my new BMI?? I am soooo nervous about this, I just can't function anymore!

Hope to hear from you soon! :thumbup:

[Keleka 0]

Woo-Hoo! Congrats on the approval!!!! I can't wait either!!! I'm just at the starting gate waiting on a referral for a surgeon from TriCare! Good luck with everything!

[gina s. 0]

Hi Amy, I have been following your posts all the way from Alaska!! lol

I was denied by Tricare the same day you were. I was at 38.6 BMI, with co-morbs but not THEIR specific co-morbs. Once I was denied, I called the insurance lady at the Dr. office and she said I need to get in the office to weigh in, put rocks in my pocket or just whatever, but et over that 40 BMI mark. Well, I put weights in my pocket and came in at a BMI of 41!!! Then, my insurance lady who does the appeals went on medical leave and will not be back in until Monday, 5/19.

Do you think I will get approved now with my new BMI?? I am soooo nervous about this, I just can't function anymore!

Hope to hear from you soon! :confused_smile:

I was told that Tricare doesn't go by BMI, it goes by weight. My BMI is 36 and I got approved with one co-morbidity.........but maybe this will work for you, so good luck!