carlak

Tricare has given me HELL!!!! Can't get straight answers 39 Bmi 3 knee surgeries Everyone in my family had died young of diabetes. Help please

I can understand your frusteration. I have Tricare prime south . I had 2 other insurnces but after TRICARE said they woiuldnt cover bariatrics if I had other insurance I quit the other two. I saw surgeon who said I am an excellent candidate. EVERYONE in my family has died of diabetes, including my dad at 45 and my son is very brittle t 26.The surgeons office submitted everything and I was denied for not having physician supervised diet, I called Tricare to find out exactly what that meant and I was given the reply of "oh I don't know!" On my own I saw my ob gyn who has it documented since2007 weve discussed weight loss diet exercise weight watchers etc (ive been a member of ww since 2007) the doc wrote me an excellent letter and resubmitted. please cross your fingers.

What does supervised diet actually mean

I'm in Louisiana who is your doctor

Who is your insurance

Does anyone have TRICARE SOUTH??????

Does anyone have TRICARE SOUTH

Depressed fat and don't know what else to do about tricare

I'm around 39

Should I personally appeal or let the surgeons office

newbie did you get approved

hi Carla. may I ask you what your bmi is? Im right on the fence. I have no co morbities. I can either give up, keep trying or gain weight. any advise appreciated

Shot down AGAIN by tricare

Went to gyn md today they agreed to be my supervisor to diet plan. Please cross your fingers

I have heard that Tricare is cutting this procedure being covered. trying hard to get approved.

newbie, I was told by a Tricare rep that with a bmi of 40 or greater its an automatic approval.

I live in Louisiana. I am struggling with Tricare. I actually have 3 insurances but since insurance 1 and 2 doesn't cover bariatrics I am forced to use Tricare. 5 times I called Tricare to receive 5 different answers. one rep told me I would have to drop insurance 1 and 2. I dropped one and that made me nervous. I called finally and got a supervisor who told me not to drop my other insurance. my bmi is 39.5 I have no co morbidities, however every one in my family has diabetes including my dad who died at 45 of the disease. I just knew sleep apnea would be my ace in the hole, I had a sleep study, much to my surprise I have no apnea!! my only hope now is to do the physician monitored diet. I have been on weight watchers since 2011 but wasn't concurrent with physician monitoring. I have an apt with my GYN doctor on Wednesday, I feel certain he will help me out. my question is do I need to keep my weight stable or show loss or gain. I really really want this procedure!!!! the lady at Tricare said "well it sounds like you will get diabetes so if you do call us and we will probably pay for the procedure" Really??? that's what I am trying to avoid. any advise is greatly appreciated.

I agree same thing happened to me

Carolina girl I have been trying to reach you. I font know how to work this forum PLEASE email me bmxmomla@aol.com I am in TEARS over tricare

Okay Vanders I need help. I have three insurances the first two do not cover bariatric surgery that my third try care. When I started the process I was told that the problem was because I have three insurances. I want blackband so bad that I canceled one of my insurances. Then I was told to send in medical evidence supporting The lap band which I did. I caught all my medical records plus documentation ive had three knee surgeries sent in a beautiful appeals package. Today I received A denial lettet It states in the denial that I did not have proof of physician my weigh inwith the commercial diet plan. I have been Weight Watchers for years. Now I don't know what to do. Should I go to the doctor every month and get weighed. I have done everything that Tricare has told me to do. Now I am considering getting a sleep study. Any advice is appreciated

You guys are amazing encouragement. I am 58 weigh 176 and 5 ft 2 Everyone thinks I'm crazy for wanting lapband I've never not been "fat enough" I'm battling insurance My family is full of diabetes and my dad died at 45 of diabetes I REALLY want lapband with plication Thanks for support I'm not good at this site my email is bmxmomla@aol.com

Help I want to talk to u carolinagirl but don't know how to work this site Can u email me bmxmomla@aol.com I have Tricare questions