Calling all tricare experts
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I'm a little confused :thumbup: about Tricare policies. I know that regardless of being 100 pounds overweight or having a 40 bmi you do not get approved unless you have a co-morbidity. So that leaves that option out and I'm hoping for the 200% of my ideal weight to get approved. I have a small frame and definitely make the 200% on the starting end but I am about 8 pounds away from the high end.
Now Tricare manual 2002 had the following provision:
B. In determining the ideal body weight for morbid obesity using the Metropolitan Life Table, contractors must apply 100 pounds (or 200%) to both the lower and higher end of the weight range. Payment will be allowed when beneficiaries meet all requirements for morbid obesity surgery including the ideal weight within the newly determined range.
This provision is not listed on the 2008 version of the manual. What does this mean for me? Does mean as long as I'm somewhere in between I will get approved? What has the experience of others been.