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Tricare-Expedited Resubmit my $#@@#!

I don't understand Tricare at all, and I now meet any definition they can come up with for the 200% of ideal body weight. I have had Tricare available and never used it for the last twenty years because I just used my other insurance and now that I ask for one benefit to be paid....I'm just so darn frustrated with this whole process!!! BUT I AM NOT GIVING UP!!!

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hope2bthinr

LAP-BAND Patients

I don't understand Tricare at all, and I now meet any definition they can come up with for the 200% of ideal body weight. I have had Tricare available and never used it for the last twenty years because I just used my other insurance and now that I ask for one benefit to be paid....I'm just so darn frustrated with this whole process!!! BUT I AM NOT GIVING UP!!!

Band_Groupie

LAP-BAND Patients

Stick with it and good luck! -BG

hope2bthinr

LAP-BAND Patients

Thank you.

I finally got someone on the phone today that explained to me what's going on, whether I'm missing anything, whether the Dr. did what they were supposed to, etc. I'm so glad I tried calling one more time. 30 days isn't so bad when this could be something that lasts the rest of my life. I'm just going to be patient and whichever way it goes, it's meant to be. If I get an authorization in that thirty days, maybe I needed that extra thirty days. I think I had myself convinced that after reading so much about the process that I knew how to make it go smoothly. I really don't know how to work through this tricare red tape and paperwork, but I have learned more about it.

It's just been a rollercoaster, and if I had understood it all from the beginning maybe I could have avoided some of the delays. Live and learn. I'm sure there's a lesson I needed to learn from all of this.

rottie69

LAP-BAND Patients

Getting denied is the pits, I was denied in January. Cigna changed their guidelines in June, and on a whim I decied to contact the center in August, they resubmitted and in a week I had an approval and was banded less than 30 days later! 28 to be exact! Good luck!

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