I am brand new I would be so grateful for help

janiev · July 4, 2008

Hi Im new I would like to know what the criteria is for getting the lapband through tricare prime.

My BMI 37 and I dont know what co morbidities are. I have high

cholestral and I have weight related asthma I snore loudly and feel breathless all the time if I have to exert myself.

please help. I have tricare prime in MS.:thumbup:

Cadets71 · July 4, 2008

Go to www.tricare.mil. ONce there, you can go itno the benefits section and look up the policy manual for coverage. Basically, they require that you be 100 lb overweight OR have co-morbidities such as hypertension, sleep apnea, diabetes, etc.

You can also call your regional tricare office. I am in the West so it is Triwest. I am not sure who has the Southern contract.

Good luck...

Ineedalapband · July 10, 2008

From Tricares website:

Is 100 pounds over ideal weight for height and bone structure and has one of these associated conditions: diabetes mellitus, hypertension, cholecystitis, narcolepsy, Pickwickian syndrome, hypothalamic disorders or severe arthritis of the weight-bearing joints
Is 200 percent or more over ideal weight for height and bone structure
Has had intestinal bypass or other surgery for obesity and because of complications, requires another surgery