Lilpeach_059

Hi, Anyone that has been approved and is 100lbs overweight and has a comorbodity, what was the procedure for informing tricare of the comorbidity? I heard that the person from the surgeons office will call you and ask, and if you say yes then thats it. If this was true for you please post your experience here! thanks!:smile:

Thanks for sharing! :biggrin:

Hi everyone, Im kinda new here but I have Tricare Prime (South) and I was wondering if everyone who has been approved or disapproved for Lapbad (since they have started approving Lapband) will post here and include their starting weight, height, BMI and any comorbities, if any. Also, if you got denied, can you please include why you were denied. Thanks!!

Thanks so much guys!

I went for my 1st appt...the MD is weary of tricare...I should have printed out the change in the manual. The receptionist swears they (tricare) dont approve lap band, I asked her to call Tricare ASAP b/c it is approved (she wants to wait until she has something in writing)!! Hopefully I'll have a date soon!! :eek:

Congrats!! Can you tell us the requirements that Tricare had please? :help:

I spoke with Tricare earlier this week and I was told that Lap band is a Gov't no pay, but the rep told me that if I submitted a referral from the surgeon and got approved that it would be covered. I also spoke with someone yesterday that told me that since it is a Govt no-pay service that they would not cover it. Then I called right back and spoke with someone else that told me that if I got a referral in and got approved that it would be covered. So my next step is to meet with the surgeon on 01-14-08 and hopefully things will go smoothly! But im not too familiar with insurance companies and their policies...I have a question. Tricare rep told me that they only requirements are to be referred by my surgeon. This kinda confuses me...what about the Bmi and evals? :help:

Tricare tells me they havent updated yet...should I call again in hopes of speaking to some one else?