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I was approved by 1 primary doctor and 2 surgeons for revision
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Last year (2012) I was having so much problem with my Lap Band (surgery Jan. 2009). Had xrays that showed nothing was wrong with it. But the heart burn, acid reflex, burping....etc.... I had had enough! Went to primary care doctor, he agreed to send me to the Gastric Surgeon. She approved my request to have a revision to RNY. BUT, she couldn't do it as she was the only Gastric Surgeon they had (USAF), so she approved the order to send me downtown. Tricare approved the order for me to see Gastric Surgeon, he approved the surgery, had all the tests, blood, chest xray, EKG, Phsic, dietician, trainer, etc....BUT, then it happened. Tricare said no! What the HELL???? On July 5th the fight started. Had 2 denials and sent all the paper work of the doctors I had seen over the 4 years of lap band and problems I have had. Stll denial....sent ONE more appeal to Tricare and it took almost a year. This all started on July 5, 2012 and I just recieved my apporval last week (May 2, 2013). Don't ever give up HOPE! I thought the insurance lady was going to fall over when I called to tell her it was APPROVED! Now the only thing I have left to do is Cadiologist as I am over 60. So hopefully this will go fast....I am so ready!!! Thanks for listening......