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I am brand new I would be so grateful for help

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Old 07-04-2008, 12:24 PM   #1
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I am brand new I would be so grateful for help

Hi Im new I would like to know what the criteria is for getting the Lap Band through tricare prime.

My BMI 37 and I dont know what co morbidities are. I have high
cholestral and I have weight related asthma I snore loudly and feel breathless all the time if I have to exert myself.

please help. I have tricare prime in MS.
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Old 07-04-2008, 01:11 PM   #2
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Go to www.tricare.mil. ONce there, you can go itno the benefits section and look up the policy manual for coverage. Basically, they require that you be 100 lb overweight OR have co-morbidities such as hypertension, sleep apnea, diabetes, etc.
You can also call your regional tricare office. I am in the West so it is Triwest. I am not sure who has the Southern contract.

Good luck...
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Old 07-09-2008, 10:50 PM   #3
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From Tricares website:
  • 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
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