Has Tri-Care approved anyone yet??

Startingover! · 01-26-2008, 09:02 AM

Considering that Tricare just began covering the LAP-BAND® procedure I was just curious if anyone has been approved yet?

Amy

jaunderwood · 01-26-2008, 09:50 AM

Hello ,
Does anyone have Humana insurance?? I hope to be approved soon and wondered how long it will take??
jaunderwood

mgordon1 · 01-26-2008, 11:35 AM

Yes they approved and my surgery is on Jan 30. I have Triwest. For Triwest, it took two days for approval

Startingover! · 01-26-2008, 01:08 PM

Do you mind me asking you what your height/weight is?

Divamom · 02-01-2008, 12:48 AM

I saw my PCM one day and I was approved by Tricare west the very next day. It is now a covered surgery if you are 100lbs over your ideal weight for height and weight and bone structure and their weight is associated with severe medical conditions known to have higher mortality rates. This is taked directly from the tricare manual. I am 296lbs, 5'7. I( have type 2 diabetes, sleep apnea, hypertension. So you need to have a good dicussion with your PCM. I wish good luck for everyone.

Leah

minpinmom · 02-02-2008, 11:06 AM

I have been approved, I have Tricare South. The paperwork went in and the next day it was approved. I am 5'4", 258, no co morbidities. Good Luck!

mgordon1 · 02-02-2008, 05:07 PM

Sorry I have not posted, but I have had my surgery. My weight was 268 and my co -morb was hypertension and cholosterol (sp) I had my surgery at a center of excellence facility.

dallman · 02-04-2008, 07:49 AM

I had my surgery the 28th of Jan. and have lost 10 lbs so far. My starting weight was 343 and height is 5' 11". I have high blood pressure and sleep apnea. I started walking a mile the day after surgery and have increased that to walking longer and lifting light weights every other day.

Don

Startingover! · 02-04-2008, 08:53 AM

Mgordon-how's everything since you've had your surgery? How's the pain after the surgery? I worry about that and if you can feel the band inside of you! Congrats on the weight loss so far!

Don-WOW! That's amazing that you started walking a mile a day after the surgery! Congrats to you!

minpinmom · 02-04-2008, 10:57 AM

Dallman,

How awesome for you, I haven't seen you around for a while, I was hoping you were in Bandland. Congrats. Hopefully I will get my date today or tomorrow.

mgordon1 · 02-04-2008, 11:42 AM

Quote:

Originally Posted by steveamy0503

Mgordon-how's everything since you've had your surgery? How's the pain after the surgery? I worry about that and if you can feel the band inside of you! Congrats on the weight loss so far!

Don-WOW! That's amazing that you started walking a mile a day after the surgery! Congrats to you!

Thankfully, everything is fine since surgery. I did not have any pain, but I was sore. Even though I did have the pain medication from the doctor, gas strips and liquid vitamans, I only use the paid meds the night I came home. I know that everyone is different when it comes to pain, but I will admit that I am a big chicken

. I have the Realize band by Johnson and Johnson and I can not feel it. The doctor showed me where my port was located and while it is not sore any more, it is tender. I have my first post-op visit on Friday. I will let you all know how it goes.

And last but not least, I am thankful for Tricare. The only cost that I had out of pocket is my co-pays at the doctors office.

Dallman/Don - congrats on your surgery, I guess we are band buddies.

Startingover! · 02-04-2008, 11:47 AM

Quote:

Originally Posted by mgordon1

Thankfully, everything is fine since surgery. I did not have any pain, but I was sore. Even though I did have the pain medication from the doctor, gas strips and liquid vitamans, I only use the paid meds the night I came home. I know that everyone is different when it comes to pain, but I will admit that I am a big chicken

. I have the Realize band by Johnson and Johnson and I can not feel it. The doctor showed me where my port was located and while it is not sore any more, it is tender. I have my first post-op visit on Friday. I will let you all know how it goes.

And last but not least, I am thankful for Tricare. The only cost that I had out of pocket is my co-pays at the doctors office.

Dallman/Don - congrats on your surgery, I guess we are band buddies.

I'm so glad that you're doing well. Thanks for the info. I also consider myself a big chicken when it comes to pain! So to hear it from another chicken it makes me feel better! I have my appt w/the dietician & the pre-op class tomorrow which is when they said they will submit my package to Tricare. So I'm hoping to have a surgery date by the end of the week! I'll keep you posted also.

Congrats on the 14lbs also!

zeama · 02-13-2008, 04:56 PM

I just got my referral to go off post to have LAP-BAND® surgery. I am in the Tricare North region! :D I am SO EXCITED!!!!

minpinmom · 02-13-2008, 08:15 PM

I am so jazzed, the office called today, said they were taking their time because my insurance said it was covered at 100% and they said, normally there is some sort of copay or deductible or something, but nope, they doubled checked everything and I am good to go! I go in for pre-op this Friday, barring a problem with that, I will have surgery on Tuesday. I can't believe it. I am almost sick thinking about it. What a great Valentines gift!

Katies · 02-14-2008, 09:28 PM

Quote:

Originally Posted by zeama

I just got my referral to go off post to have LAP-BAND® surgery. I am in the Tricare North region! :D I am SO EXCITED!!!!

Can I ask which post? I am Tricare North and my PCM just submitted my referral. Apparently it go to Bethesda first and they can refuse to treat me and give me a referral to civilian doctors.