Has anyone been approved with one comorbidity? My BMI is 46.6 and when my insurance paperwork was submitted, they accidently only listed one comorbidity. The doctor's office said, "well, it's done now, so let's see what happens." What are the chances that this will actually be approved? :redface:

Thank you so so so so so so much, radar. I'm going through a private doctor and I should hear back this week. Fingers crossed, but I'm not counting on it.

radar, that was a lot of good information you gave all us Tricare folks. Thanks so much. Tomato girl, I hope to hear something this week to on a date for banding, and like you an APPROVAL from Tricare. I will be out of town until Wed. nite and then have an appt. with the surgeon on Friday. Hopefully we will all get approvals and be banded in early Oct.:cursing: Talk more later this week. Good Luck Maggie:shades_smile:

Always willing to help others "beat" the system, and Tricare can be one of the worst! Be careful though when you actually get approved and go through all of the paperwork with the surgeon.. Tricare isn't a huge reimburser, and doctors that see a lot of Tricare patients often use many non-covered codes in order to give services. If you don't sign the noncoverage waiver, you can't have that particular service, and therefore no surgery, so they have you between a rock and a hard place. It isn't against the rules (yet, according to our local Tricare rep), but for things like the nutrional consult, anything done in a group setting (like education or seminars) or even educational materials, these things aren't covered. Be careful and ask for a full list of out of pocket expenses up front. It may delay your surgery by a week or two, but if the surgeon they send you to tries to make you pay out of pocket or up front, call another Tricare approved surgeon and switch! I did this, and am glad I did. Whole big mess, but the orginal surgeon I was referred to is no longer in the network because of questionable practices. Some people will do anything for a buck.

If anyone ever has any questions about their bill, let me know! :tt1: