Heyyy!! So like my title says, im new here, and i just have some questions about this whole process, but to clear something up im trying to get approved for bypass surgery, not the band, but i hope im still welcome? Lol. Well i suppose ill let you guys in on my situation. Well my name is Kyra, and im 17 years old, i graduated early, actually just a couple weeks ago, and i have been pondering this surgery since last year, and now i know i want it after a 4 month FAILED Nutrisystem diet attempt. Ive struggled with weight literally my WHOLE life! It's just in my genes! luckily, i have no developed anything life threatening, although recent blood tests indicate high glucose AKA borderline diabetes, and my mom btw is a full blown diabetic, with many comorbs, and her and i are trying to go through this together. Ive been on SO many diets since about 6th grade, i commited to all of them, but it was the same old lose 5 and gain 20 lbs deal, so i know i need this. Anyway, i guess i just have some questions on the whole process. Mainly the PCP referral deal. I seen my PCP in September, and although she admits this surgery is medically necessary for me, she is against the surgery, even though she hasnt outright says it, my mom and i can tell, and my problem is she made me do all these blood tests and she is very unreliable, she has cancelled on my at least 6 times, and she keeps putting it off. So anyways, here i am, 4 months later and no referral. So my mom and i called the surgery office and they said that they dont need a referral, just insurance approval, SO im wondering, has anyone been approved without a PCP referral?Im going to call my insurance [which is TRICARE btw] on Monday, but im afraid they will say i need a referral and it is like pulling teeth to get the referral from my PCP. I would also just like to know the approval process many of you went through! It would just be nice to see what I am getting into! And here is my info:
5'4'', 275-280 lbs, medium frame according to MET table, BMI 47.
I heard tricare doesnt care about BMI, just if i you have comorbs OR if you are 200% over ideal weight, which is the criteria i meet.
Thank you all so much, and God Bless!!!
-Kyra:cool2: