Trouble getting Tricare Approval

Ashley Blue · 07-04-2008, 10:04 AM

Has anyone who has Tricare Prime been banded? How did you get approval I am having a really hard time..any suggestions please

dsmith35 · 07-04-2008, 11:02 AM

hello, ashley blue Ive just had surgery May12,2008 I was approved by Tricare Prime it didnt take much it depends on your doctor and you to send in any weight loss attempts and thats it i was approve in 2 days, but also your BMI has to meet their requirements, so just hang in it will happen.

Ashley Blue · 07-04-2008, 11:22 AM

thanks my BMI is just at 40 so I have to be careful and I have several weight lose attempts even ones I paid a lot of money for but really thats it how high was your BMI?

Long2BFree · 07-04-2008, 12:09 PM

You have to be at least 100 lbs overweight and have co-morbilities in order for the surgery to be covered. If you meet the guidelines then your surgeon will submit the paperwork for authorization. I would recommend calling Tricare or going to your local Tricare office and getting more information.

dsmith35 · 07-04-2008, 09:26 PM

ashley blue my BMI was 50 and i was 295, borderline high blood pressure and i also had a five year diet history, I didnt have any medical problems, my doctor was a known surgeon with tricare I was referred to him by Tricare. Dr. Steve Weinstein in Mobile,Al