Denied by tricare ....................i guess it wasnt meant to be

[Perk25 0]

Tricare has specific co morbidities they look for (if you do not have a BMI of over 40. If it is over 40 (typically) they will approve you. They typically only do it with a BMI under 40 with High blood pressure, diabetes, or DIAGNOSED sleep apnea. This is what I have heard anyways. I have a girlfriend who has a bmi of 40 with no other problems and just had the surgery done three weeks ago. I myself had a bmi of 39 but had HBP to go with it. I got the referral and then went to a dr (non-network at that) and had the surgery 60 days after my start. That was April 29th. They paid for both of our surgeries. Good luck to you and dont let them push you behind. Stick with it...appeal and I am keeping my fingers crossed for you!

Thanks I guess my first hurdle is getting my pcm to refer me some of them are weird about that!Congrats on ur surgery!!! Hope your feeling good!

[one-day-soon 26]

My husband is retired and we have tricare in the south region. I had to appeal also in order to get approved. Once I sent in my letter that included my comorbities I was approved right away. My surg is July 14th. Good luck to those still trying to get approved.