HOPE THIS INFO HELPS FOR TRICARE INS!
Go to the TRICARE website at www.tricare.osd.mil/
standardprovider to locate a provider in your area
(South Region)
TRICARE covers most inpatient and outpatient care that is medically necessary and considered proven. However, there are special rules or limits on certain types of care, while other types of care are not covered at all. This section provides details about services that TRICARE covers, limits and excludes. This is a guide to your TRICARE coverage - it isn't all-inclusive. Some services or treatments require prior authorization. Your coverage and out-of-pocket costs are dependent on your eligibility as a TRICARE beneficiary and may vary according to the program option you're using. Contact your regional contractor or TRICARE Area Office for more information.
Gastric Bypass
TRICARE covers gastric bypass, gastric stapling and gastroplasty to include vertical banded gastroplasty and laparoscopic adjustable gastric banding (Lap-Band surgery) is covered only when the beneficiary meets one of the following conditions:
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 (takedown)
TRICARE does not cover:
Nonsurgical treatment of obesity, morbid obesity, dietary control or weight reduction
Biliopancreatic bypass, gastric bubble or balloon for the treatment of morbid obesity
Last Modified: March 24, 2008