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Why has Tricare denied gastric sleeve?

When I went in for a consultation, I was told that Tricare no longer covers the gastric sleeve at all. I am SO upset. That's what I was going to have. They used to cover it. Why the change I wonder?

I'm definitely not getting the Lap-Band. I know 4 people that have had it, and not one of them lost more than 20 pounds and then gained it back even with adjustments. So I'm left with the gastric bypass which has many more complications. But there's nothing else to do I guess. : (

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I too am a military spouse, and have tricare prime. I was able to get my surgery scheduled at a military hospital and won't have to pay for anything. Surgery is in May. I have a hiatal hernia which will be repaired at the same time.

Best wishes!

Lisa

Mswanson502, the h pylori results usually come within a week and if its positive they put you on antibiotics fir 14 days which takes care of it and they can retest you to make sure.

Good luck!

Sent from my S Galaxy using VST

That's so strange. Mine was done in office, I waited literally 15 minutes for my results. I'm so sorry you are having a hard time w this. :(

  • Author

Good news! I was negative for h pylori bacteria! He knew as soon as he was done with the scope, but he didn't tell me since I was asleep. I guess he thought my MIL wouldn't remember to tell me that, lol. Anyway, now I just have to have my psych and cardiology appt, and I'm good to go. I'm already approved.

  • Author

DonRondolfo, their prices are pretty cheap! The lady's that was $46,000 said she lived in Alaska, so I'm sure that's why. It's outrageous for anything there. I think mine will be around $23,000. After talking with the surgeon, we decided the bypass was the best way for me to go anyway. I have 5 comorbidities, two of which cause severe weight gain, so I absorb fat really easily. With the bypass, you don't absorb fat the same way. Yes, it's a lot more risky and has more complications, but I really don't have a choice. My PCP said I'd be dead within 2 years if I didn't do something. : (

Great news!

Mswanson, do you mind sharing what were the things that he found that made him steer you to bypass?

  • Author

The two main things were Polycystic Ovarian Syndrome and hyperinsulinemia. I also have high blood pressure, and pre-diabetic and have extremely high cholesterol.

The two main things were Polycystic Ovarian Syndrome and hyperinsulinemia. I also have high blood pressure' date=' and pre-diabetic and have extremely high cholesterol.[/quote']

Got it!! Thanks so much for sharing.

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