Finally Approved By Tri-care This is a discussion on Finally Approved By Tri-care within the Insurance & Financing forums.
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05-12-2008, 03:13 PM
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#1 | | Registered User
Join Date: Jan 2008 Age: 37
Posts: 109
City: West Palm Beach State: Florida | Finally Approved By Tri-care
 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!! | 
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05-12-2008, 03:31 PM
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#2 | | Registered User
Join Date: Mar 2008 Age: 59
Posts: 28
City: Jacksonville State: Florida | 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.
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05-12-2008, 04:21 PM
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#3 | | to be continued.....
Join Date: Apr 2008 Age: 34
Posts: 127
|  YEAH!! Good for you..... What a happy day for you!! Congrats!
__________________ Seminar 4-21 Approval 4-25 Psych 4-30 Meet with Surgeon 5-5 Pre-Op 5-12 Surgery 5-21
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05-12-2008, 04:29 PM
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#4 | | Registered User
Join Date: Jan 2008 Age: 37
Posts: 109
City: West Palm Beach State: Florida | Quote:
Originally Posted by linda7  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! | |
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05-12-2008, 07:26 PM
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#5 | | Registered User
Join Date: Aug 2007 Age: 30
Posts: 93
City: Radcliff State: Kentucky | CONGRATS to you!!!! I know you must be so relieved and excited!!! It won't be long now!
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Process begun 12/2007
TRICARE PRIME APPROVED!!! 04/10/08 
BANDED!!! 04/23/08 w/Dr. Farid Kehdy, Louisville, KY 
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05-14-2008, 01:08 PM
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#6 | | Registered User
Join Date: Mar 2008
Posts: 150
City: Killeen State: Texas | YAY! I'm still waiting, hopefully I'll get approval too! | |
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05-14-2008, 01:44 PM
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#7 | | Banded May 29, 2008
Join Date: Oct 2006
Posts: 66
City: Woodstock State: AL | Congrats
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!
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Start /current/ Mini Goal/ Goal
271 / 243 / 225 / 150  | |
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05-14-2008, 03:45 PM
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#8 | | Registered User
Join Date: Mar 2008 Age: 25
Posts: 75
State: New York | Congratulations! Keep us posted.
__________________ ~Jessenia
H-270*//C-250//G-HEALTHY!!
Dr. Geiss-LI, NY Initial Consult: May 2* Insurance Approval: July 17, 2008 Surgery: August 21, 2008 | |
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05-15-2008, 04:18 PM
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#9 | | Registered User
Join Date: Jan 2008
Posts: 147
| Congrats! Be blessed. | |
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05-15-2008, 06:34 PM
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#10 | | Registered User
Join Date: Jan 2008 Age: 37
Posts: 109
City: West Palm Beach State: Florida | 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. | |
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05-16-2008, 03:12 AM
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#11 | | Registered User
Join Date: Dec 2007 Age: 28
Posts: 3
| 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!  | |
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05-16-2008, 10:43 PM
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#12 | | Registered User
Join Date: May 2008 Age: 43
Posts: 48
State: WV | 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! | |
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05-22-2008, 12:31 AM
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#13 | | Registered User
Join Date: Mar 2008
Posts: 150
City: Killeen State: Texas | Quote:
Originally Posted by StoreyAnsley 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! |
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! | |
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