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Just starting this journey- actually waiting for the surgeon's office to call me with an initial appointment. I was wondering who out there had Tricare insurance and how difficult were the hoops you had to jump through? I am nervous that even though my bmi is 40 I will be denied and honestly, I don't know where I would go from here. Background: 52 year old female, don't drink, don't smoke, GERD is my only comorbidity.

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I have tricare! It was actually much easier than I anticipated. After my surgeons office got my referral their ins coordinator called me. She told me that tricare would approve based on BMI over 40, I could have even been approved at a 35 simple because of sleep apnea. Ohh how I wish I knew that a few years ago.

Tricare requires a 4 month weightloss trial, the ins coordinator told me tricare does not actually require you to lose weight just to basically answer yes to all the questions -are you parking further away than needed - are you putting your fork down between each bite etc. I scheduled all 4 of my appointments to be at approx the same time and I fluctuated just a little down, up down.

During my 4 month wait I had my first appt with surgeon to decide which surgery to have and had my nutrition class as well as my individual appt with dietician.

After my last weight appt the end of June, I had to wait for a few more tests to come back for the surgeon, they came back the beginning of July and they submitted my packet to tri-care. Less than a week later I was approved due to timing for someone to be with me after surgery I couldn't have my surgery in July even though it was offered. I finally had it done on Aug 19.

Now the difference is I do have sleep apnea and high blood pressure but again, my insurance coordinator told me just being over 40 bmi was enough. I would talk to your surgeons insurance coordinator to see what they say hopefully you are still in a Mil area where they are all accustomed to using tricare and their rules. That made it so much easier for me.

The process went really really quickly for me and I was terrified tricare would randomly deny me. We are tricare prime retired and even with that I was approved.

GL and if you have any questions just message me, I will answer them to the best of my ability.

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I have Tricare, but my situation was a little different because the Army Base here in San Antonio, Tx has a bariatric clinic. So I wasn't required to do any dieting for any amount of months. I started my journey as in dietitian classes, blood work ups, upper gi, psychiatric evaluation, sleep apnea evaluation in April and had my surgery in July. I got it so quickly because the military clinic's don't have to jump through as many hoops as if you go through a civilian provider. But being at a 40 BMI you don't need any comorbidities. I was a 40 BMI and my comorbidities were PCOS and sleep apnea. I'm sure you'll get approved just because of your BMI.

Sent from my SM-G965U using BariatricPal mobile app

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    • veisor  »  Panda333

      Hi!
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    • ms.sss

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      1. FluffyChix

        HI-LAR-ious! I love your kid!!!

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      2. 2Bsmaller18

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      5. ms.sss

        The difference in price for a mini arm lift and the full arm lift at my surgeon is less thank 2K and probably not worth the savings. May as well pay the extra bit and get the full arm lift as my sag also reaches my elbows. You are right though, my arms see the light of day way more than my butt does...I'll have to see if the continued butt exercises will change my mind down the road (but it's looking more and more that a butt lift is in my future)

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    • BoredCW

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      · 2 replies
      1. ms.sss

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