Tricare Denial..REVERSED!!

[JamieNP 20]

They don't care what brand, just as long as you have one come surgery time.

[KarinaM 0]

DO I need to tell you how HAPPY I am for you????? CONGRASTS!!!!!!You deserve it.

[sunnylilme 0]

I just got denied today. I don't know why. What did you have to do to get it reversed?

[KarinaM 0]

I just got denied today. I don't know why. What did you have to do to get it reversed?

Start your appeal process and do whatever it takes to get it. I packed some "extra weight" hopefully will work this time. I hope I can resubmit next week. Don't give up.

[RestlessMonkey 7]

Sunnylilme...you need to find out WHY they denied you, then make that go away

[KarinaM 0]

Sunnylilme...you need to find out WHY they denied you, then make that go away

The same happened to me and what they gave me was the guide lines (100lb over and one comorb or 200% over weight) and nothing else.

I am now over 100lb and I'm trying to get my PCM to prescrive me diabetes meds, but I'm not sure will work. Maybe you need to add some ponds, maybe will work. Get the 200% of your weight adn then you will not needa comorb.

[sunnylilme 0]

My BMI is 42, I'm 5'6 252, which is 100 lbs overweight. I have sleep apnea which is a comorbidity, I think...

I'm so upset, I'll just have to wait for the letter, I guess.

[KarinaM 0]

Do an appeal and write a letter sometimes I think they just want us to appeal.

[aculberg 0]

Sunny - Definately appeal it! You have all of the qualifications, just fight them. So far, I havent seen anyone get denied on their appeal! Its just gonna take a little longer, but you'll be way more prepared. Go for it!!

[sunnylilme 0]

I'm on it. I hope an appeal isn't much harder than the first process.

[RestlessMonkey 7]

Look at it this way...whatever time you take, you are saving yourself 15k. That is a pretty high salary, IMHO! LOL It's worth it.

[sunnylilme 0]

Did you have to have psych eval, ekg, bloodwork, before the approval or after?

[JamieNP 20]

Am I talking to you on 2 threads? :shades_smile: Yes Had to have all of the above.

[sunnylilme 0]

You're talking to me on two threads, yes:)

So you had to have all of these prior to submitting your packet?

[KarinaM 0]

I submited my appeal today. Pray for me!!!!!!!:thumbup: