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Tricare Denial..REVERSED!!

I just got the phone call from my surgeon's office. Tricare has now

APPROVED ME!!!

Surgery is Sept 30th

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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.

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

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.

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!!

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.

  • Author

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

Why did you get denied the first time? Was the appeal any different than the original request?

I checked mine wayyyy too often online:)

Best of luck!!

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