AZArmyWife36
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Everything posted by AZArmyWife36
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Hi! After three denials from Tricare Prime, I'M APPROVED!!! Tricare approved me by the new BMI requirements. I didn't meet the old requirements because I wasn't 100 lbs overweight. My BMI is 35 and I have hypertension. Best of luck to everyone!!!
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Tricare Prime - Lap Band Denied Again, Again, And Again!
AZArmyWife36 posted a topic in PRE-Operation Weight Loss Surgery Q&A
Well, here I am with a sad look on my face! Tricare denied me again. I didn't meet their requirements even though I have hypertension. My BMI is too low. So, hubby and I looked into it and we are paying out of pocket. I figure I probably have spent at least 10K in my lifetime on diets. So, my pre-op is Tuesday, 28 June and if all is clear and okay then my doc's office will schedule surgery. Wishing everyone luck on Tricare approval! I was hoping with the new rule that I'd get it approved. No luck! Best to all! -
First Lap Band Fill - 5cc's Bam!
AZArmyWife36 posted a topic in POST-Operation Weight Loss Surgery Q&A
Greetings fellow bandsters! I'm five weeks post-op and had my first fill today. My doc didn't waste any time and filled my band with 5cc's. I've been doing liquids all day and have had no hunger. I just wanted to thank everyone for the great information on what to expect throughout this journey! Wishing everyone lots of continued success!! -
First Lap Band Fill - 5cc's Bam!
AZArmyWife36 replied to AZArmyWife36's topic in POST-Operation Weight Loss Surgery Q&A
It's been two days and I' haven't felt too different. I have lost 16lbs and no gains. I wasn't too hungry but made sure to get my protein and liquids in. I'm hoping that I'll feel restriction soon. Thanks to everyone for their input! I truly appreciate it! Keep on losing and getting healthy! :0) -
Finally banded & Feeling good!
AZArmyWife36 posted a topic in POST-Operation Weight Loss Surgery Q&A
I had my surgery yesterday and today I woke up feeling good! Luckily the nurse massaged my shoulders and got rid of the gas. This morning I had a bit of jello and now some decaf coffee. I'm so exctied about my new life. Hope I'll be losing soon! Best of luck to everyone! -
Finally banded & Feeling good!
AZArmyWife36 replied to AZArmyWife36's topic in POST-Operation Weight Loss Surgery Q&A
Thanks for the support! No gas pains for me! Relaxing and getting rested. -
October Bandsters!!!
AZArmyWife36 replied to "AmyRose"'s topic in PRE-Operation Weight Loss Surgery Q&A
Tomorrow is the BIG day! I've been denied and denied that I can't believe it's here. I've been having some wild dreams! Is it nerves or just knowing that I'll finally be banded? Does anyone have any words of wisdom? I hope that everyone's surgery has gone well! To those that will be Halloween Banditas, best of luck tomorrow! We'll all be losers! Ha! Take care! -
Hi! Where ya been? I bet you are sooo thin that I can't see ya! Great news! Finally got my approval and I'll be banded on Oct 31. Hope you are doing GREAT!!
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Hi!! How ya feeling? I'm so ready for the Halloween to get here. I'll be a bandita on that day! Ha! Anyhooo! Hope you are doing great! Have a great weekend!
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October Bandsters!!!
AZArmyWife36 replied to "AmyRose"'s topic in PRE-Operation Weight Loss Surgery Q&A
Hello to all! Got my date for my long awaited lap band! Oct 31! Looking forward to a healthier me! Good luck to all! Brenda -
Newbie from San Diego, CA
AZArmyWife36 replied to Pashion's topic in Tell Your Weight Loss Surgery Story
I as well was just approved with a BMI of 35 with one co-morbit with Tricare Prime. I've been denied 3 times and with the new ruling I was approved the day after it was submitted. No MTF here at Huachuca. But I bet if you look into it more you'll be on your way to getting approved. Best of luck!! -
Tricare Prime - Lap Band Denied Again, Again, And Again!
AZArmyWife36 replied to AZArmyWife36's topic in PRE-Operation Weight Loss Surgery Q&A
Hi! I have Tricare Prime. I went to my PCM on post and she gave me a referral to a bariatric doctor off-post. I saw a nutrisionist and did a pysch eval. Plus you should have some form of weight loss program you followed. I did Jenny Craig and HCG. Never did anyone say that I had to go on post or MTF to have it done. I'd call Tricare and ask about it. Good Luck! -
Arizona newbie here . . .
AZArmyWife36 replied to sillymama's topic in Tell Your Weight Loss Surgery Story
Hi! AZ here! I'm seeing Dr. Monash in Tucson. Amazing team and the BEST doctor around!! Best of luck!! -
Tricare Prime - Lap Band Denied Again, Again, And Again!
AZArmyWife36 replied to AZArmyWife36's topic in PRE-Operation Weight Loss Surgery Q&A
Winner!! Tricare has finally approved me! The new requirements have taken affect. They no longer use that crazy MET life chart. They'll be using your BMI. I have been denied at least three times and now it's my time! Good luck to all! Get healthy and be happy!!! -
Tricare Prime South BMI requirements?
AZArmyWife36 replied to wesmommy's topic in Insurance & Financing
Great news! Tricare has new rule in manuals. New rule should be in system at the end of the month. You should be approved if you have a BMI of 40 or 35 - 40 with one co-morbidity. Not too sure what else is required. Keep your eye on it! Good Luck! -
Hi! How ya doing? I'm hoping this is the month for Tricare to change their rule! Have a Happy 4th of July!
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Tricare Prime - Lap Band Denied Again, Again, And Again!
AZArmyWife36 replied to AZArmyWife36's topic in PRE-Operation Weight Loss Surgery Q&A
Wow! Thanks to everyone that has replied! I love the passion and sincerity of everyone! My BMI is 35 and the new rule will cover BMI from 35 - 40 and above. My doctor is one of the best and has done everything to help me out. I'm going to wait another month and try one more time. I heard from someone very helpful today that the new ruling might take affect at the end of July. So fingers crossed! Again, thank you for all the support! Many losses to all and happy lives!! -
Tricare Prime - Lap Band Denied Again, Again, And Again!
AZArmyWife36 replied to AZArmyWife36's topic in PRE-Operation Weight Loss Surgery Q&A
Thanks so much! -
Wow! That's amazing! Thanks for the info! I have an appt with my PCM on Monday for referral. I'll keep you updated! Good Luck!!
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Hi, I was denied twice from Tricare a couple years ago. Where did you hear about it being switched to the BMI Method? Any information is greatly appreciated. Thank you, Brenda
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Hello! I'm soooo bummed out right now! Tricare didn't even take a look at it. It was submitted yesterday and denied today. Anyone have some appeal letters? Any help is greatly appreciated. Thanks! One sad girl :scared2:
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Tricare denied me - AGAIN!!
AZArmyWife36 replied to AZArmyWife36's topic in Tell Your Weight Loss Surgery Story
Spoiltmom, I hope it's something else! Wish me luck! -
Hi! How are you? I was doing searches on Tricare appeals and found your post. Can you please share your letters with me? I was denied today. I don't know why but I figure cause I'm not 100lbs overweight. I'm so frustrated and need help. If you can please email me at cafe15@yahoo.com. I truly appreciate it! Thanks!
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Tricare denied me - AGAIN!!
AZArmyWife36 replied to AZArmyWife36's topic in Tell Your Weight Loss Surgery Story
Hi! I do not know why I was denied. I just checked Triwest and it said not approved. I think it's because I'm not 100 lbs overweight. I do have hypertension. I called the doc's office and they don't have anything as of yet. Sucks! I'm totally bummed out! I'm planning on appealing once I find out what the reason of denial.